Legal and Regulatory Compliance

Hospital’s Tax-Exempt Status Revoked for Lack of Community Health Needs Assessment

The IRS stated that a rural hospital had failed to conduct a proper community health needs assessment and make it widely available to the public. The hospital’s tax-exempt status under section 501(c)(3) was revoked retroactively.

J. Stuart Showalter October 16, 2017

Video: How to Ensure a Clean 340B Audit

Effective 340B compliance requires thinking beyond 340B as a pharmacy program.

HFMA October 13, 2017

The Collateral Impacts of MIPS

Tom S. Lee describes the long-term effects a MIPS score can have on providers.

Tom S. Lee September 7, 2017

MIPS: Getting Ready for a New Paradigm in Pay for Performance

Organizations that have not yet considered their strategy for participation in the Merit-based Incentive Payment System (MIPS) must begin to plan now, or risk financial penalties. 

Jennifer Swindle September 5, 2017

Improve Compliance and Revenue by Understanding the Two-Midnight Rule

Edward Hu, MD, president of the American College of Physician Colleges, offers guidance for physicians seeking to better understand the two-midnight rule.

Edward Hu August 29, 2017

Improve Compliance and Revenue by Understanding the Two-Midnight Rule

Edward Hu, MD, president of the American College of Physician Colleges, offers guidance for physicians seeking to better understand the two-midnight rule.

Edward Hu August 29, 2017

Are You Prepared for These Three Self-Pay Risks?

Hospitals face risks associated with three major statutes that impact revenue cycle processes: autodialer rules, debt collection, and charity care requirements. 

Leslie Newman August 29, 2017

CAQH CORE Compliance: The “Voluntary Mandate” That Isn’t

To comply with HIPAA’s mandate regarding security of information transferred electronically, many organizations have adopted solutions that are not compatible with those of other organizations, making the transfer process cumbersome.

Buster Elrod August 23, 2017

Consequences of PCI Noncompliance

Healthcare finance leaders should understand that the consequences of noncompliance with the PCI standards for security of credit card information can be severe.

HFMA August 23, 2017

Payment Security and Compliance: A Primer for Healthcare Revenue Cycle Decisionmakers

Compliance with credit card security standards has taken on greater importance for hospitals as with the increased likelihood that patients might use credit cards to cover growing payment obligations imposed by high-deductible health plans.

David King August 23, 2017
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