Legal and Regulatory Compliance

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

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.

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

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

States--not CMS--have regulations in place related to timely patient notification of the availability of financial assistance/charity, as well as a statement that includes a summary of charges.

Do you know of any policy/legislation or general practices regarding a provider refunding a payer if the patient was authorized but then later found by the payer to be uncovered because they are secondary?

In developing a policy for small claims court proceedings, there are a few homework and research items you will need to complete before proceeding.

Is there guidance to ensure that all the recent changes to HIPAA are incorporated in policies, procedures, notices and contracts?

We have a variety of business units that bill off different billing systems for unique service lines. How can I get only the funds for each billing area correctly remitted just to that unit?

 Any HospitalJob DescriptionTitle HIPAA Compliance CoordinatorMain Function The incumbent is responsible for monitoring the Hospital's compliance with applicable governmental regulations related to the Administrative Simplification elements of the Health Insurance Portability and Accountability Act of 1996 (a.k.a. HIPAA). The incumbent