Category Archives: Uncategorized

CMS Issues Final Hospital Price Transparency Rule, As Well As Proposed Insurer Cost-Sharing Disclosure Rule

CMS released a Final Rule on November 15, 2019 requiring hospitals to disclosed their negotiated rates with third-party payers for all items, services, and service packages provided by the hospital, as well as those provided by hospital-employed physicians, effective January 1, 2021.  The Final Rule was released alongside a new proposed rule that would require health insurers and… Read More »

Sponsored Post: Health System Consolidation Requires Single Instance RCM Solution

By | October 16, 2019

* * * * * This post sponsored by Bolder Healthcare Solutions. * * * * *             Health system and ambulatory service mergers and acquisitions continue to make the news as organization leaders seek to achieve the operational, service and supply chain benefits afforded by the formation of a new, consolidated business. This desire to… 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 »

Congratulations on Your CHFP Certification, Alex Yerukhimov!

By | September 19, 2019

The chapter would like to congratulate Alex Yerukhimov on completing the CHFP certification process. We recently checked in with Alex to hear about his certification experience. HFMA: Tell us a little bit about your background – did you come to health care finance from the health care side or the finance side?  What has your career trajectory been?… Read More »

Congratulations on Your CHFP Certification, Beverly Paige!

By | June 22, 2019

The chapter would like to congratulate Beverly Paige on completing the CHFP certification process. We recently checked in with Beverly to hear about her certification experience. HFMA: Tell us a little bit about your background – did you come to health care finance from the health care side or the finance side?  What has your career trajectory been?… Read More »