Medicare Compliance Rac Oig

Provider alignment to get a boost under anti-kickback, Stark proposals: attorney

Provider initiatives to better align under value-based payment models would get a boost from proposed Stark and anti-kickback law enforcement changes.

Rich Daly October 15, 2019

EHRs, EDs and the latest on OPPS

Stephen Morgan of Virginia's Carilion Clinic shares how his organization used analytics to optimize its EHR. Also: Chad Mulvany shares early takes on the latest from CMS on OPPS, and in a sponsored segment, Florian Otto of Cedar talks about what healthcare can learn from other industries about patient-friendly payment.

Erika Grotto August 9, 2019

Introducing the ‘Cup of Joe’ podcast

From the team that brings you Voices in Healthcare Finance comes Cup of Joe, a new podcast featuring conversations between HFMA's President and CEO, Joe Fifer, and key industry thought leaders. In today’s preview episode, Joe talks with Gail Wilensky, an economist and senior fellow at Project HOPE who served as a senior adviser to President George H.W. Bush.

Erika Grotto July 19, 2019

Inconsistent address data could delay Medicare payments

One health system found in its Medicare enrollment system that addresses were missing for new facilities. Another found addresses still listed for a demolished facility.

Rich Daly June 7, 2019

Deceased Medicare Beneficiary Admissions: Accounting for the Causes and Impacts

Hospitals and health systems should be prepared to see a greater financial impact from Medicare hospital admissions that end with beneficiaries being deceased than from such admissions that end with the patients leaving the hospital in an improved condition. 

HFMA February 26, 2019

OIG’s Video Highlights a Busy Year

A recent OIG video highlighting various reports offers helpful reminders for finance personnel, compliance officers, legal counsel, and others who assist in ensuring that their healthcare organizations abide by all legal requirements.

J. Stuart Showalter February 20, 2019

5 Ways to Boost Billing Capabilities for Transitional Care Management

Samantha Sizemore shares tips for success in transitional care management. 

Samantha Sizemore December 20, 2018

Some Regulatory Reduction Plans Draw Hospital Concerns

Areas of concern include around transfer agreements and patient status.

Rich Daly December 12, 2018

Proposed Regulatory Relief Saves $1.1 Billion for Providers

A proposal to eliminate required outpatient medical histories and physicals could reduce costs for healthcare providers by $454 annually.

HFMA October 10, 2018

Managing the 30-Day Readmissions Window

Mary Kay Thalken explains that ensuring continuity of care to reduce readmissions requires a current, comprehensive referral network. Automating the process can be helpful as well.

Mary Kay Thalken September 11, 2018
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