Legal and Regulatory Compliance

How Montana got hospitals to accept Medicare-based payment rates

Montana moved its hospitals to Medicare-based payment rates to help reduce costs for its state-employee health plan.

By Rich Daly December 20, 2019

A 5-month delay of the DSH payment cut is among new federal budget provisions

A delay of a $4 billion cut to hospital DSH payments was included in a year-end federal funding package.

By Rich Daly December 20, 2019

Battle emerges over value-based safe harbors included in anti-fraud overhaul

Although proposed Stark Law exceptions have drawn praise in comments from many healthcare stakeholders, others see reasons for caution.

By Rich Daly December 18, 2019

Price transparency: What to know about the CMS final rule

The podcast team breaks down the recently issued CMS final rule around price transparency. Also, a rural health system in South Dakota discusses how it transformed its revenue cycle by focusing on self-pay patients.

By Erika Grotto December 6, 2019

OPPS final rule keeps site-neutral payments and 340B cuts, leaves out transparency requirement

The Medicare OPPS final rule will continue 340B and site-neutral payment cuts but leaves out the requirement to post rates negotiated with health plans.

By Rich Daly December 6, 2019

Why the Trump administration is pursuing hospital payment cuts that courts have rejected

The Trump administration is continuing to push hospital payment cuts rejected by courts to make the case to Congress that new laws are needed, according to a senior White House official.

By Rich Daly November 13, 2019

Hospitals baffled over why Medicare continues site-neutral payments, 340B cuts despite adverse court rulings

Hospital advocates blasted two major payment cuts that were implemented recently despite court orders overriding the cuts and warned about the consequences.

By Rich Daly November 7, 2019

Analysis: Why it behooves hospitals to re-evaluate medical accounts receivable process | HFMA

As negative press about patient billing shows no sign of slowing down, hospitals and health systems should re-evaluate the way they engage patients to resolve medical accounts receivable.

By Chad Mulvany, FHFMA November 5, 2019

Analysis: What to expect after the Texas vs. Azar ruling

There’s still much to be argued and dealt with regarding Texas versus Azar, and no final decision on the ACA should be expected until June 2020 at the earliest.

By Chad Mulvany, FHFMA November 5, 2019

Cup of Joe: ZDoggMD

Dr. Zubin Damania, better known as ZDoggMD in his popular online video series, talked with Joe Fifer at HFMA's Annual Conference about his vision for the future of healthcare.

By Erika Grotto October 31, 2019
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