Legal and Regulatory Compliance

Acting on the Signs and Solutions of Financial Distress

Hospitals and health systems will find the solutions to financial distress more palatable if they recognize the warning signs early and act appropriately to address them.

J. Stuart Showalter February 15, 2016

Concerns Raised Over Changes to 340B Program

As healthcare stakeholders await expected 340B Drug Pricing Program changes, Henry Ford Health System shares how it structures its related compliance efforts.

J. Stuart Showalter January 6, 2016

NLRB Expands ‘Joint-Employer’ Concept

Expansion of the joint-employer concept could have implications for hospitals and other providers who use staffing agencies.

J. Stuart Showalter November 10, 2015

HIPAA Breaches: Eight Lessons Learned

A healthcare attorney shares eight critical lessons from dealing with HIPAA breach issues.

J. Stuart Showalter October 12, 2015

Avoiding and Managing CMS Audits

A revenue cycle director and a healthcare attorney share tips for avoiding CMS audits and managing claim denial appeals.

J. Stuart Showalter August 20, 2015

Ask the Expert: Paying Patient Premiums

Do anti-kickback laws preclude providers from paying premiums for uninsured patients, specifically for the health insurance marketplace plans?

HFMA August 20, 2015

New NLRB Election Rule May Increase Union Activity

A new NLRB regulation shortens the time for union election campaigns and puts employers at a disadvantage, including hospitals. Early preparation is advised, says a labor relations lawyer.

J. Stuart Showalter July 21, 2015

Changes to Two-Midnight Rule Raise Concerns

Medicare’s proposed changes to the two-midnight rule for hospital short stays creates ambiguities and challenges for hospital staff.

J. Stuart Showalter July 21, 2015

Separation of Compliance and Legal Functions Key to Effective Hospital Compliance Program

New guidance strongly suggests that hospital compliance officer should not be subordinate to legal counsel.

J. Stuart Showalter, JD, MFS May 15, 2015

HFMA Comments on Medicare Short Stay Payment Policy

HFMA comments on issues related to Medicare’s current payment policy for short stays, the Recovery Audit Contractor (RAC) program, and the impact of both on Medicare beneficiaries.

HFMA April 20, 2015
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