Legal and Regulatory Compliance

HFMA Comments on Transition to HIPAA Eligibility Transaction System

HFMA is concerned that a 12-month limitation will not allow providers the time to research facts and, if mistakes are discovered, reopen claims with Medicare under CMS' reopening regulations.

HFMA March 20, 2015

HFMA Comments on Hospital Improvements for Payment Act of 2014 Discussion Draft

HFMA comments to the U.S. House Committee on Ways and Means on the challenges of the Medicare Recovery Audit Contractor program and other policies that have had negative unintended consequences.

HFMA March 11, 2015

M&A Basics: How to Avoid a Broken Deal

Hospital leaders involved in merger and acquisition discussions need to understand some fundamentals about these transactions to ensure a successful outcome.

Curtis Bernstein February 19, 2015

An Antitrust Primer

It may be helpful to remember certain basic principles of antitrust law when contemplating mergers and acquisitions.

J. Stuart Showalter February 19, 2015

HFMA Summary of IRS 501(r) Final Rule

This summary outlines the provisions of the IRS final rule providing requirements for charitable hospital organizations added by the Affordable Care Act.

HFMA January 8, 2015

HFMA comments on the Delay of RAC Appeals assigned to Administrative Law Judges

HFMA voices concern and comments on the recent Office of Medicare Hearings and Appeals decision to suspend assignment of new RAC appeals cases to Administrative Law Judges.

HFMA March 25, 2014

HFMA urges support for the Stark Administrative Simplification Act (H.R. 3776)

HFMA urges support for the Stark Administrative Simplification Act (H.R. 3776) introduced by Rep. Charles Boustany, MD, and Rep. Ron Kind.

HFMA January 23, 2014

Highlights from Nov. 12 Open Door Forum on 2-Midnight Rule

On Nov. 12, 2013, CMS hosted a third, follow-up special open door forum to allow providers and other interested parties to ask questions on those areas of the two-midnight provision contained in the FY14 IPPS final rule, pertaining to physician order and certification, inpatient hospital admission, and medical review criteria.

HFMA November 21, 2013

HIPAA and Cloud Computing

Cloud computing multiplies the compliance risks for healthcare organizations, which possess both protected health information and financial information.

J. Stuart Showalter May 28, 2013

Ask the Experts Answer: Charge Tickets

How long should we keep charge tickets in the ambulatory care setting?

HFMA October 25, 2012
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