Medicaid Compliance

Medicaid Work Requirements Impact Hospital Finances: Report

As many as 17 states could eventually have Medicaid work requirements, which may cut into the finances of hospitals in those states, according to a new analysis.

Rich Daly May 3, 2019

Keeping Up-To-Date on Shifting Medicaid Eligibility Laws

A government affairs expert shares strategies for keeping up with complex Medicaid rules and stay in compliance.

Marie Hinds October 4, 2018

ACA Medicaid Enrollment Draws Administration Scrutiny

Aug. 21—States that broadly exceeded their Medicaid expansion enrollment projections will be among those targeted in recently launched eligibility audits, a senior administration official told Congress this week.

Rich Daly August 22, 2018

Medicaid Waivers: Work Requirements Are Not the Only Changes Coming

Work requirements present unknown changes and impacts, but the impact may not be as big as some assume. However, what providers and recipients need to consider are the other and seemingly less significant changes that will intensify the overall impact of an 1115 Medicaid demonstration waiver.

Marie Hinds April 10, 2018

A Look at the Trump Administration’s Approach to HIT

In 2018, the Trump administration is likely to promote interoperability and consumer-directed data exchange and place increased emphasis how the private sector can help to advance the implementation of health information technology.

Lia Winfield, PhD February 5, 2018

Improving Satisfaction with MOON

Tim Kelly describes how following a new CMS rule can lead to higher patient satisfaction.

Tim Kelly January 3, 2018

Making the Business Case for Compliance in Healthcare Organizations

Rebekah Sharpe describes the pitfalls of noncompliance. 

Rebekah Sharpe November 2, 2017

MIPS: Getting Ready for a New Paradigm in Pay for Performance

Organizations that have not yet considered their strategy for participation in the Merit-based Incentive Payment System (MIPS) must begin to plan now, or risk financial penalties. 

Jennifer Swindle September 5, 2017

The Abuse and Misuse of Observation Services

Lack of limitations on observation status has led to confusion and increased expense among patients. 

Paul Shoemaker August 1, 2017

Facing MACRA Without Fear

David Lareau offers insights into the future of the Medicare and CHIP Reauthorization Act of 2015.

David Lareau July 7, 2017
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