Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

EHR fraud: A slippery slope

The future of health IT was looking pretty rosy this week in the afterglow of last week's annual Healthcare Information and Management Systems Society conference in Chicago. Interoperability....

6 steps for surviving a Meaningful Use audit request

At the Healthcare Information and Management Systems Society's annual conference in Chicago last week, Cathy Borst, vice president and CIO at Chicago-based National Surgical Healthcare, and consultant Patty Guinn of Atlanta-based Cornerstone Advisors, outlined best practices for surviving an audit request.

Hospital-acquired conditions more likely for patients admitted on weekends

A new study that found patients are more likely to experience hospital-acquired conditions on the weekend raises important questions about what causes HACs as well as highlights how much work still needs to be done to cut down on these adverse events, according to an accompanying opinion piece.

What will the end of the SGR bring, besides more acronyms?

What do we know so far about Medicare's replacement for the Sustainable Growth Rate formula, the Medicare Access and CHIP Reauthorization Act of 2015? 

Glimmers of hope on the interoperability horizon

Andy Slavitt sounded every bit the part of a an administrator looking to fundamentally change the way healthcare is delivered during his shared keynote address with National Coordinator for Health...

Complex observation-status rules complicate patient care

The convoluted nature of Medicare's rules on observation status and follow-up care has significant financial implications for beneficiaries, according to a study from the American Association of Retired Persons

OIG to hospitals: Involve boards to strengthen compliance

The Department of Health and Human Services' Office of Inspector General has released jointly developed guidance to help healthcare providers' boards address compliance issues.

Nemours sues United Healthcare of Delaware over breach of contract

The Nemours Foundation, which owns the Alfred I. du Pont Hospital for Children in Wilmington, Delaware, filed a federal lawsuit against United Healthcare of Delaware Monday in a dispute over pediatric care covered by Medicaid, the  SF Gate  reported.

Latest King v. Burwell interpretation: New exchanges may not be allowed

If the  Supreme Court rules in favor of the plaintiffs in  King v. Burwell  and strikes down federal subsidies for residents in the 34 states that rely on the federal insurance exchange, one legal expert suggests that residents of those states may never qualify for subsidies.

5 questions about SGR's replacement

Now that Congress finally repealed the long-hated Sustainable Growth Rate (SGR) payment formula, I'm curious to see what happens with its replacement. About the only benefit the SGR had going...