Compliance & Legal
Flexing its anti-kickback muscles, the federal government is clamping down hard on some profit-focused patient referral and healthcare joint venture practices.
The offical transition to the ICD-10 coding set takes place next October (or so we hope). Many providers have already spent a good deal of money preparing for the inevitable, but even so, you need to make certain that select ICD-10 costs are included in your 2015 budget.
Last week the HHS Office of Inspector General and the Centers for Medicare & Medicaid Services published a joint notice continuing the effectiveness of fraud and abuse law waivers granted in 2011 in connection with the Medicare Shared Savings Program.
An article published last week in the New England Journal of Medicine casts doubt that malpractice reform would reduce the use of supposed "defensive medicine."
More than ever before, physicians and managers are feeling the stress of running a practice. Though most medical schools do not teach business principles to physicians in residency, it is just as important to invest in education about the business side of medical practice as in the clinical aspects.
Seismic changes altering the healthcare industry are creating an increasing number of compliance requirements for hospitals and health systems to meet. This means a larger role for an organization's chief compliance officer.
This week the Centers for Medicare & Medicaid Services expanded the agency's Five Star Quality Rating System for Nursing Homes, and proposed new conditions of participation for home health agencies.
The HHS Inspector General continues to fault CMS for failing to issue final regulations to enforce the location requirements for rural health clinics. The agency's inaction is costing taxpayers millions.
When a healthcare provider's data resides on someone else's servers, plenty can go wrong. And HIPAA isn't necessarily the worst of it. Experts offer contracting advice to help head off financial and legal disputes between vendors and providers.
Are hospitals exploiting the 340B drug discount program? Critics of the federal government's program have some new evidence in the debate over healthcare subsidies.