Category Archives: Industry Topics

Sponsored Post: Top health industry issues of 2020: Will digital start to show an ROI?

* * * * * This post sponsored by PwC. * * * * * In 2020, US healthcare, and especially how it is delivered and how much we pay for it, will be top of mind. Politicians will float many bold plans for transforming the industry. Health system leaders will tout their investments in technology and transformation,… Read More »

Sponsored Post: ASC 606 & THE HEALTHCARE INDUSTRY

By | January 29, 2020

Implementation Considerations for Health Care Organizations Upon Adoption of the New Revenue Recognition Requirements under ASC 606 The model for revenue recognition is changing for all industries. ASU 2014-09: Revenue from Contracts with Customers (Topic 606) requires all organizations, including healthcare providers, to evaluate revenue recognition in a new way. This white paper, brought to you by the… Read More »

11th Circuit: Difference in Opinion Not Enough for FCA Liability

By | October 14, 2019

The 11th Circuit’s long-awaited AseraCare opinion requires more than mere disagreement regarding clinical judgment to prove falsity under the False Claims Act. The 11th Circuit rejected the government’s theory of falsity in its long-running False Claims Act (FCA) case against long-term care provider AseraCare Inc. The 11th Circuit affirmed the lower court’s ruling that mere clinical disagreement was… Read More »

The OIG Urges CMS to Implement Solutions to Reduce Fraud in Medicare Part C and Part D

By | August 7, 2019

Recently, the Department of Health and Human Services (“HHS”) Office of Inspector General (“OIG”) issued its 2019 “Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: Top Unimplemented Recommendations.”  The OIG releases a version of this report each year outlining its top 25 unimplemented recommendations to reduce fraud, waste, and abuse (“FWA”) among HHS programs.  This blog post… Read More »

Call for Speakers!

By | May 10, 2019

Have you heard? The HFMA MA-RI Revenue Cycle Committee is seeking speaker and presentation proposals for its 2020 Annual Revenue Cycle Conference (RCC) to be held on January 16th and 17th at the Gillette Stadium Clubhouse, Foxboro, MA. Share your expertise, raise your professional profile, and help advance the state of the art and best practices relating to… Read More »

Emerging Medicaid ACOs: A State Experiment, One Year In

By | March 20, 2019

We hope you can join us on March 28th for the Health Care Delivery Transformation Committee’s first annual meeting, “Transformation or Disruption: Changing the Focus and Pace of Change in Healthcare Delivery.”  In the post below, Katherine Record discusses the transformative change in the MassHealth Program, one of the many topics to be covered at the meeting.  Last year,… Read More »

Are you curious about Value-based Care?

By | March 17, 2019

If you are interested in learning more about Value Based Care (VBC), join HFMA at the upcoming Health Care Delivery Transformation conferenceon March 28th. Joshua Mast, Senior Regulatory Strategist at Cerner will provide an introduction and foundation to this topic. He will be demystifying the alphabet soup of VBC, at a high level.  Joshua joined Cerner in September… Read More »