Legal and Regulatory Compliance

The Opioid Funding Controversy: A Portent of the Upcoming Bipartisan Healthcare Reform Debate

The continuing efforts to repeal and replace the Affordable Care Act could open doors for advocacy groups to revisit aspects of the legislation they want to change.

Ken Perez August 23, 2017

Ask the Experts: Handling Patients Who Provide False Identities

Are there any policies or workflow processes for handling emergency department patients who misrepresent their identities?

HFMA August 15, 2017

Compliance Analytics: There’s Gold in the Data

Compliance can become a financial asset. For example, data mining provides opportunities to improve vague or incomplete clinical documentation, weak internal communication, overly conservative or inconsistent coding, and physician education, all of which improve the bottom line and reduce risk.

J. Stuart Showalter August 10, 2017

The Abuse and Misuse of Observation Services

Lack of limitations on observation status has led to confusion and increased expense among patients. 

Paul Shoemaker August 1, 2017

Ask the Experts: HIPAA Compliance for Minors

Are there any special HIPAA considerations when treating children (minors) who are living in group homes?

HFMA July 21, 2017

Obstacles Remain for Team Based Care

Some allied health professionals see state laws as the biggest hindrance.The growing use of team based care continues to run into legal and regulatory hurdles, industry advocates say. Shawn Martin, senior vice president at the American Association of Family Physicians,

Rich Daly July 19, 2017

Hospital Requirement to Provide Auxiliary Communication Aids Continues

An appellate court ruled hospitals must continue to provide appropriate auxiliary aids to help hearing impaired patients exchange medical and financial information with hospital staff. 

J. Stuart Showalter July 17, 2017

Ask the Experts: RAC Reserves on Balance Sheets

How should hospitals account for RAC reserves on their balance sheets?

HFMA July 17, 2017

Facing MACRA Without Fear

David Lareau offers insights into the future of the Medicare and CHIP Reauthorization Act of 2015.

David Lareau July 7, 2017

How Finance Can Play a Pivotal Role in the Transition to MACRA

As a central entity in a healthcare practice, the finance department is in a unique position to review processes and implement improvements as the MACRA transition begins.

Karen England July 5, 2017
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