Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

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Now that Congress finally repealed the long-hated Sustainable Growth Rate (SGR) payment formula, I'm curious to see what happens with its replacement.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

3 takeaways from the HIMSS mobile survey

The new mobile survey released at last week's Healthcare Information and Management Systems Society's annual conference in Chicago provides encouraging and exciting insight on how such...

3 social media shortcuts for physicians

One of physicians' most common objections to participating in social media is the amount of time it may require, on top of their already overburdened schedules. But having an online presence doesn't have to be all-consuming to have a positive impact on your practice, according to social media expert Kevin Pho, M.D., in the Spring 2015 edition of  Physician Family Magazine.  

Secrecy about superbugs could put patient safety in jeopardy

The all-too-common secrecy surrounding superbug outbreaks at U.S. hospitals undermines promising strides the healthcare industry has made in the push for transparency, the  Los Angeles Times  reports.  

Is Maintenance of Certification as burdensome as critics claim?

When the American Board of Internal Medicine adopted the new maintenance of certification (MOC) requirements in early 2014, many physicians balked vocally. Today, the criticism has yet to subside, with some physicians alleging that the burden of taking the exam every two years instead of 10 costs them not just money but also time with patients, according to an article from the  Longview Daily News.