Legal and Regulatory Compliance

Sidebar: Staying HIPAA Compliant on Social Media

Sharing patient information is a sensitive matter, particularly where compliance with the Health Insurance Portability and Accountability Act (HIPAA) is concerned. 

HFMA January 9, 2017

Medicare’s Quality Initiatives Present New Management Challenges

Value-based purchasing and reduction of readmissions and hospital-acquired conditions are coming into focus for hospitals thanks to Medicare initiatives.

Paul Shoemaker December 19, 2016

The ACA—and Other Healthcare Issues Confronting a New Congress

Republicans have promised to repeal the Affordable Care Act when Congress convenes in 2017, but they have other healthcare considerations to address, as well. 

Gail R Wilensky, PhD December 19, 2016

A Framework for Predicting the Trump Administration’s Health Policy Moves

Considered unpredictable by many, the policies of President-elect Donald Trump’s administration are beginning to take shape in health care.

Ken Perez December 19, 2016

MOON Form Approved

The MOON notice related to observation status was recently approved.

J. Stuart Showalter December 9, 2016

Ask the Experts: Physician Malpractice Insurance

Our hospital just acquired a physician group. What is our obligation to provide and/or pay for medical malpractice insurance?

HFMA November 16, 2016

Over the MOON about the NOTICE Act

Although many healthcare leaders applaud the fact that there is plenty of time to prepare for MOON requirements, there are lingering concerns, including limited patient education in the form and requirements for translating the form into other languages.

J. Stuart Showalter November 16, 2016

Addressing Challenges Presented by Financial Assistance Rules

Although the vast majority of hospitals have been working to implement IRS regulations for patient financial assistance, healthcare leaders should focus on potential problem areas because compliance with all the requirements is necessary to qualify for tax-exempt status.

J. Stuart Showalter October 12, 2016

Video: Critical Steps Toward 501(r) Compliance

Hospital financial assistance policies should be easily accessible by patients, and staff should be trained to explain the policies and assess patient eligibility.

HFMA October 12, 2016

High Court Decides False Claims Act Case

The Supreme Court ruled that “in some circumstances” hospitals’ implied certification of compliance with payment requirements may make them liable under the False Claims Act, but the decision’s reach is not as expansive as proposed by plaintiffs and the federal government.

J. Stuart Showalter August 4, 2016
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