10 states file lawsuit to halt CMS’s new rule requiring healthcare staff to be vaccinated
The suit says CMS didn’t have a good rationale for implementing the mandate and failed to follow required procedures for handing down such regulations.
Rep. Suzan DelBene discusses the Improving Seniors‘ Timely Access to Care Act
HFMA senior editor Nick Hut is joined by Rep. Suzan DelBene to talk about the Improving Seniors' Timely Access to Care Act as well as following up on the Value in Health Care Act.
CMS finalizes vaccination requirements for hospitals and most other healthcare settings
If hospital staff aren’t fully vaccinated by Jan. 4, their organization will be deemed noncompliant with Medicare and Medicaid regulations, according to a new rule handed down Thursday by CMS.
CMS finalizes changes to the price transparency penalty, inpatient-only list and more for 2022
Medicare policies affecting price transparency, the inpatient-only list and more will take effect Jan. 1 after CMS published its 2022 final rule for hospital outpatient departments and ambulatory surgical centers.
Additional requirements are needed to make healthcare price transparency worthwhile, report states
Updates to price transparency regulations should address compliance and formatting and incorporate new data elements.
Hospital groups express concern over earlier court ruling that could expand False Claims Act liability
The groups argue that allowing FCA claims to be brought for post-termination actions would defy congressional intent and leave hospitals subject to excessive financial liability.
Hospital groups urge changes to Provider Relief Fund distribution and reporting processes
HHS should send out the upcoming Provider Relief Fund distribution as quickly as possible and offer flexibility in the ongoing reporting process, hospital groups said.
Healthcare price transparency initiatives may fall flat due to systemic factors, expert says
Niall Brennan, a leading expert on healthcare cost drivers, is among the skeptics who doubt the ongoing price transparency push can result in a more efficient system.
New rule describes the penalty associated with regulations on surprise billing
A new rule from HHS sets forth the maximum penalty for violations of new patient-billing regulations that take effect Jan. 1, 2022.
Legal and Regulatory Compliance
Keep up with the latest legal and regulatory developments and related subtopics of privacy and HIPAA, Medicaid and Medicare compliance, IRS matters, and the Red Flags Rule.