Legal and Regulatory Compliance

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

Hospitals Identify Needed Stark Reforms

Aug. 24—Hospitals and their advocates urged specific regulatory changes to the enforcement of federal anti-referral laws, even as some industry stakeholders raised concerns about potential changes.

Rich Daly August 27, 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

Human Trafficking: Hidden Problem, Hidden Costs

New ICD-10 codes allow for clinicians to document treatment of human trafficking victims, but legal considerations should be taken before doing so.

J. Stuart Showalter August 15, 2018

Health System-Owned Physician Practices: Are Any Losses Acceptable?

Health systems that own physician practices should fully address losses those practices incur and take steps to remediate the issues underlying those losses.

Timothy Smith July 27, 2018

Optimizing Capital Structure Decisions Under the New Tax Law

A roundtable discussion about 2017 tax law changes and strategies for optimizing capital structure.

HFMA July 23, 2018

July 16-20: Congress to Examine Stark Law Modifications; Verma Pledges Changes

July 12—As Congress gears up to examine statutory changes to the Stark Law next week, the Trump administration is planning to implement changes on an administrative basis.

Rich Daly July 13, 2018

Ask the Experts: Reporting Fraud

What types of systems are most hospitals using to allow employees to report fraud?

HFMA July 11, 2018

HIPAA Compliance Needs Improvement

While technology changes over the past 22 years have allowed increasingly skillful data breaches, we can expect even more dramatic developments in the next five years. Attention to potential breaches now—in all their various forms—will be essential to managing unforeseen future threats.

J. Stuart Showalter July 11, 2018

OCR Offers Guidance on Sharing Patient Behavioral Health

OCR has proposed deregulatory rulemaking to clarify when hospitals may share certain patient behavioral health information.

Stuart Showalter July 11, 2018
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