Legal and Regulatory Compliance

340B Program success depends on the quality of self-auditing

Healthcare organizations participating in the 340B Drug Pricing Program should self-audit of their compliance with the program to ensure its ongoing success and effectiveness.

Brian Matney, CPA, CHFP December 22, 2020

Provider responses to prospective compromise on surprise billing range from concerns to opposition

Congressional healthcare committees are urging leaders to include a “compromise” on surprise medical bills in year-end legislation, but providers are worried about it.

Rich Daly December 21, 2020

HHS starts distribution of $24 billion more in COVID grants but rejects one-third of applicants

More than 70,000 providers will share in the latest round of Provider Relief Fund grants, which total $24.5 billion.

Rich Daly December 17, 2020

Financial Sustainability Report: November 2020

The November 2020 Financial Sustainability Report, sponsored by Kaufman Hall, explores the long-term implications for hospitals and health systems of the deferral of elective procedures at the start of the COVID-19 pandemic, and it provides insights into healthcare organizations’ need for consumer-focused strategies. Other topics include 340B compliance and revenue cycle redesign after COVID-19.

HFMA December 16, 2020

Medicare phases out the inpatient-only list, backs off further 340B payment cuts

The final rule for the CY21 Medicare Outpatient Prospective Payment System will phase out the inpatient-only list but won’t implement steeper 340B cuts.

Rich Daly December 4, 2020

Stark, Anti-Kickback changes draw praise from providers

Final rules modifying enforcement of the Stark Law and the Anti-Kickback Statute aim to remove barriers to participation in value-based payment models.

Rich Daly December 1, 2020

News briefs: December-January 2020-21: Recent trends shaping healthcare finance

Read about the key factors that have shaped healthcare finance policy and practice.

Rich Daly November 27, 2020

Financial Sustainability Report: April 2020

The April issue of the Financial Sustainability Report, sponsored by Kaufman Hall, offers insights that can help healthcare finance leaders guide their organizations through the COVID-19 crisis and develop long-term solutions in preparation for a new healthcare landscape in the aftermath.

HFMA November 23, 2020

CMS’s latest guidance for healthcare organizations on the new coronavirus

The HFMA editorial team will continuously post the latest announcements from the Centers for Medicare & Medicaid Services (CMS) related to the COVID-19 outbreak.

HFMA November 16, 2020

California v. Texas: What’s next?

HFMA's Chad Mulvany says we won’t know the outcome of the case until sometime in the first half of next year.

Chad Mulvany, FHFMA November 10, 2020
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );