Compliance & Legal

Nov 29 | Jeff Lagasse

Detroit Medical Center hospitals may lose federal funds due to health and safety violations

At issue were infection control violations, which the Centers for Medicare and Medicaid Services…

READ

Nov 15 | Beth Jones Sanborn

Department of Justice, Atrium Health settle civil suit over alleged anti-competitive steering restrictions

If approved by the Court, the agreement will resolve more than two years of civil…

READ

Nov 08 | Jeff Lagasse

Healthcare providers concerned, unsure how to address CMS price transparency final rule

There is growing concern about how much value the rule really provides for patients and the potential…

READ

Nov 07 | Jeff Lagasse

Hospitals illegally claimed $4 million in education funds, says OIG

The agency placed the bulk of the blame on the Centers for Medicare and Medicaid Services, and the agency has signaled…

READ

Nov 06 | Jeff Lagasse

Hospital communication-and-resolution programs do not expand liability risk

Some medical centers are wary that willingly admitting errors could result in increased liability costs, which has…

READ

Nov 05 | Susan Morse

Federal judge temporarily shutters Simple Health Plans in Florida

The FTC said it wants to permanently stop the shell business from offering bait-and-switch plans under known insurer logos.

READ

Oct 29 | Jeff Lagasse

Payers seeking support for reimbursement decisions often turn to digital information sources

Payers are almost equally as likely to get decision support from websites than from consulting…

READ

Oct 26 | Jeff Lagasse

Americans stressing out over soaring healthcare costs this enrollment season

One of the issues is that while costs are rising, consumers aren't prepared, as many are struggling with…

READ

Industry executive shaking hands with doctor.

Oct 23 | Jeff Lagasse

Most doctors report having financial ties to the industry

Drug samples were the most common benefits, with 55 percent of doctors reporting having received them.

READ

Oct 16 | Susan Morse

Anthem pays $16 million in record HIPAA settlement for data breach

Anthem is being held responsible for cyber attacks that stole the protected health information of close to 79 million…

READ

Pages

Featured Resources

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

MostPopular

(UPDATED)Camp wildfire damages hospital, patients evacuated

Physician compensation top concern for health orgs

Hospital-employed physicians less satisfied, burnout prevalent

Payers use AI to make members healthier

News

Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Analyze this: Health systems, health plans get to the core of big data Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. ...

Whitepapers

Credible, Defensible Estimates In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data ...

Clinical Quality Measures 101 Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to report ...

Search form

Compliance & Legal

Pages

Publications

Education

Career Advancement

Newsletters

About us