Category Archives: Accounting and Regulatory Technical Updates

Key takeaways from July 21st Webinar on the overview of the No Surprises Act from the Provider Perspective

By | August 25, 2022
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The topic of the federal No Surprises Act (NSA) and Massachusetts Patient First Act implementation resonated with HFMA members and the local healthcare community. Over 250 professionals joined for the webinar as our expert panelists, Angela Confoey and David Tolley participated in a moderated panel by Dhara Satija in a discussion providing an overview of the new requirements… Read More »

2019 Supplemental Security Income Ratios Published

By | January 19, 2022
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The Centers for Medicare and Medicaid Services (CMS) released the latest Supplemental Security Income (SSI) percentages for fiscal year (FY) 2019. Find important information about the publication of percentages below. Key Information Applicable Health Care Entities CMS published SSI data for the following health care entities: Inpatient Prospective Payment System (IPPS) hospitals Inpatient rehabilitation facilities (IRFs) Long-term care… Read More »

A Substantive Reimbursement Requirement for Medicare DSH Calculations

By | April 26, 2021
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According to the Centers for Medicare & Medicaid Services’ (CMS) 2016 Outpatient Prospective Payment System (OPPS) Final Rule, for hospitals to potentially qualify for Medicare reimbursement related to any given issue, they must first make a cost report claim for the reimbursement. Alternatively, if the provider feels the reimbursement associated with a specific item doesn’t adhere to current… Read More »

Register Now for the Accounting & Regulatory Technical Update

By | September 9, 2020
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Get ready to join the MA-RI Chapter of HFMA for the annual Accounting & Regulatory Technical Update.  This year’s program will be a series of four lunchtime virtual sessions (September 16, 23, 30, and October 7) bringing you the great content of this conference in a new format.  Through the four sessions, participants will: Obtain a deeper understanding… Read More »

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

By | October 14, 2019
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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 »

Sponsored Post: Reasons to Be Hopeful About the US Health Industry in 2019

By | December 19, 2018
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* * * * * This post sponsored by PwC. * * * * * The US health industry is showing signs of modernizing along the lines of tech, retail and hospitality, changes that should benefit consumers and the healthcare system overall. Once thought to operate outside the greater US economy, the industry—with its byzantine payment system, complicated… Read More »

Smile for the camera!

By | October 30, 2018
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Between the New to Healthcare and the Accounting and Regulatory Technical Update, we’ve had two wonderful educational events in the past few weeks. Below are some pictures from these two events. If you have photos from HFMA that you’d like featured on the blog, please email them to admin@ma-ri-hfma.org. New to Healthcare Seminar & Networking:     Accounting… Read More »

Trump Administration Proposes Requiring Disclosure of Drug Prices in TV Ads

By | October 24, 2018
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The Trump Administration is moving full speed ahead with its proposals under the Blueprint to Lower Drug Prices (the “Blueprint”).  Earlier this week, the Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule that would require pharmaceutical manufacturers to disclose the list price of their pharmaceutical products in direct-to-consumer (“DTC”) television ads (the “Proposed Rule”).  This comes only a week… Read More »

Are you a Knowledge Worker?

By | October 2, 2018
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Many of the HFMA members reading this blog post are likely defined as “knowledge workers” – a term coined by management guru Peter Drucker back in the mid-20th century. Knowledge workers are individuals who work with their heads, not their hands (maybe other than to utilize Excel and PowerPoint to the point of exhaustion) to plan, contribute, and… Read More »

Evolving Healthcare Strategy

By | September 25, 2018
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CVS Health announced its intention to purchase Aetna. Cigna Corp. has announced an agreement to buy Express Scripts. Amazon, JPMorgan Chase & Co., and Berkshire Hathaway have joined forces on healthcare. Partners HealthCare is in talks with Harvard Pilgrim Health Care, and recently closed its purchase of Massachusetts Eye and Ear. Beth Israel Deaconess Medical Center, Lahey Health… Read More »