Legal and Regulatory Compliance

News Briefs: 2023 brings a steep fee hike for No Surprises Act arbitration cases

The No Surprises Act’s independent dispute resolution (IDR) process has become more expensive for healthcare stakeholders. For the new year, the nonrefundable administrative fee due from each party involved in any payment dispute that goes to arbitration increased from $50 to $350, according to a Dec. 23 memo from CMS’s Center for Consumer Information and…

By Nick Hut January 27, 2023

During a potentially tumultuous Congress, healthcare stakeholders should communicate their policy priorities

With the 118th Congress bringing the potential for policy upheaval, one of the best things healthcare stakeholders can do is make themselves heard on Capitol Hill. The new Republican majority in the House of Representatives has signaled its intent to use the federal debt ceiling as leverage in budget negotiations. President Joe Biden and the…

By Nick Hut January 24, 2023

Medicare contractors should more closely examine providers’ bad debt claims, HHS watchdog says

Medicare administrative contractors (MACs) soon could apply more scrutiny to providers’ reported bad debts if CMS implements recommendations from the HHS Office of Inspector General (OIG). OIG in December issued a report in which it examined bad-debt reimbursement claims on Medicare cost reports spanning 2016 through 2018 for 67 randomly selected providers (including 29 hospitals). In those…

By Nick Hut January 3, 2023

Beyond the News: Nick and Shawn discuss No Surprises, disruptors and everything else that made healthcare industry headlines in 2022

HFMA Senior Editor Nick Hut and HFMA Policy Director Shawn Stack discuss the top stories of 2022 in this special year-end episode.

By Erika Grotto December 27, 2022

How healthcare organizations are navigating the era of price transparency

In this roundtable, healthcare leaders from across the nation discuss how their health systems are navigating regulations around price transparency, common challenges and the effect on their organizations.

By HFMA December 22, 2022

Survey: Understanding and mitigating risk in compensating physicians

Important learnings from a February 2020 HFMA-conducted survey about physician compensation, where healthcare organization leaders offer insights on the complexities of the process.

By HFMA December 13, 2022

Healthcare News of Note: Advocate Aurora Health and Atrium Health megamerger complete

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Atrium and Advocate Health close merger deal, CMS details expectations of hospitals in memo addressing workplace violence, and CMS plans to recoup $650 million in overpayments to Medicare Advantage plans.

By Deborah Filipek December 12, 2022

News Briefs: TMA returns to court over concerns about the No Surprises Act’s arbitration process

The Texas Medical Association has gone to court for a second time in less than a year over the independent dispute resolution process that’s part of the No Surprises Act.

By Nick Hut November 18, 2022

CMS continues to relax enforcement of COVID-19 vaccination requirements

CMS has revised its guidance to state survey agencies regarding assessment of healthcare provider compliance with COVID-19 vaccination requirements for staff.

By Nick Hut October 27, 2022

No Surprises Act regulations remain a moving target for compliance

Amid all the rules stemming from the No Surprises Act, a looming mandate for providers to send cost estimates to health plans looks like the biggest stress inducer.

By Nick Hut October 18, 2022
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