Legal and Regulatory Compliance

Fitch describes the heightened risk posed by cyberattacks on not-for-profit hospitals

Cyberattacks on NFP hospitals increased substantially during the COVID-19 pandemic and show no signs of abating, Fitch says.

Nick Hut July 26, 2021

In 2022 OPPS rule, CMS plans to reinstate policies pertaining to the inpatient-only and ASC covered-procedures lists

The 2022 proposed rule for the Outpatient Prospective Payment System would reverse 2021 policies that began to phase out the inpatient-only list of procedures and expand the covered-procedures list for ambulatory surgical centers.

Nick Hut July 21, 2021

CMS is preparing to make noncompliance with price transparency requirements much more expensive

A hospital with at least 550 beds would owe more than $2 million in penalties for a year of noncompliance with new price transparency requirements, according to a proposed rule.

Nick Hut July 20, 2021

Healthcare providers face challenges implementing the latest Surprise Medical Billing Interim Final Rule

HFMA’s Shawn Stack reviews the key provider challenges introduced by the IFC interim final rule with comment period (IFC) that implements sections of the federal ban on surprise medical bills.

Shawn Stack July 19, 2021

A closer look at the new surprise billing regulations: The impact on balance billing

New regulations on surprise billing will affect hospital billing processes starting in 2022.

Nick Hut July 9, 2021

Government agencies issue the first set of regulations restricting surprise billing

In a development that many healthcare stakeholders have awaited for months, four federal agencies on Thursday, July 1 released new regulations prohibiting surprise billing in many scenarios.

Nick Hut July 2, 2021

Healthcare News of Note: S&P says outlook is stable for not-for-profit healthcare sector

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: The not-for-profit healthcare sector outlook was upgraded to stable, new research explores the higher risks facing certain racial and ethnic groups during COVID-19, and OIG finds that CMS lacks the tools to assess hospital quality and safety during an infectious disease outbreak.

Deborah Filipek June 30, 2021

Healthcare leaders offer direction on key CMS inpatient proposals for FY 2022

HFMA offers direction to CMS on several of its key inpatient proposals for 2021 as many healthcare leaders have expressed concern about these proposals.

Shawn Stack June 30, 2021

Financial Sustainability Report: June 2021

This June issue of the Financial Sustainability Report, sponsored by Kaufman Hall, leads off with results of HFMA’s recent report examining the evolving role of the healthcare CFO over the next decade. Two features also examine steps health systems can take to promote success with value-based payment initiatives, including developing models to inform their efforts with risk-based contracts and focusing efforts on removing impediments to success under such contracts.

HFMA June 25, 2021

The state of the 340B program: What the Supreme Court’s Affordable Care Act ruling meant, and which issues still loom

An under-the-radar aspect of the Supreme Court’s ruling on the Affordable Care Act involved hospital eligibility for the 340B program, an industry expert says.

Nick Hut June 25, 2021
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