A Substantive Reimbursement Requirement for Medicare DSH Calculations

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 »

by Michael Newell, Partner, Health Care Consulting Practice, Moss Adams

Prepare to protect your hospital’s tax-exempt status: Prove community benefit to maintain post-COVID qualification

Your nonprofit hospital’s response to COVID-19 likely provided significant community benefit over the past year. It might have earned positive press and goodwill as part of the widespread and rightly held perception that healthcare providers have stepped up heroically. Even so, your system, along with the rest, is on the hot seat with legislators and certain elements of… Read More »

Mary Torretta and Erin Couture

Recent Highlights in Telehealth with Rebecca Mishuris, Chief Medical Information Officer, Boston Medical Center and Kyle Faget, Partner, Foley & Lardner

When the COVID-19 pandemic hit, healthcare providers suddenly shifted from infrequent (if any) use of telehealth, to near universal adoption of the modality. One year in, what have we learned, and what is here to stay? The public health emergency forced providers and regulators to quickly overcome prior barriers that had long impeded adoption of telehealth. While some… Read More »

Katherine Record, Beth Israel Lahey Health Performance Network

Q&A with the April 9 Virtual Roundtable Panelist – Garrett Gillespie

By | April 6, 2021

HFMA Virtual Roundtable – Speaker Q&A – for Garrett Gillespie, JD, CHIE, Vice President and Deputy General Counsel, Boston Medical Center HealthNet Plan Tell us about your compliance career journey. I think most folks in healthcare have non-linear career paths and I’m no different. I started my career as an employment litigator in San Diego. I assumed that… Read More »

HFMA

Q&A with the April 9 Virtual Roundtable Panelist – Kyle Faget

By | April 5, 2021

HFMA Virtual Roundtable – Speaker Q&A – for Kyle Faget, Special Counsel Attorney, Foley & Lardner LLP Tell us about your compliance career journey – I jumped into the compliance world headfirst when I joined the government enforcement group at Ropes & Gray as a young associate. I worked on alleged violations of the anti-kickback statute along with… Read More »

HFMA

Welcome New Members – March 2021

By | April 1, 2021

The following members recently joined. We welcome you to the Chapter and encourage you to take advantage of the many professional development, networking and information resources available to you at HFMA. Other HFMA members are a terrific resource for your everyday professional challenges – we encourage all members, current and new, to get involved with HFMA committees and… Read More »

HFMA

Q&A with the April 9 Virtual Roundtable Panelist – Donna Schneider

By | March 23, 2021

HFMA Virtual Roundtable – Speaker Q&A – for Donna Schneider, RN, MBA, CPHQ, CPC-P, CHC, CPCO, CHPC, Vice President, Corporate Compliance & Internal Audit, Lifespan, located in Providence, Rhode Island. Tell us about your compliance career journey – I began my career as a graduate of the University of Connecticut (UCONN) starting my clinical journey as a Registered… Read More »

HFMA

Welcome New Members! February 2021

By | March 1, 2021

The following members recently joined. We welcome you to the Chapter and encourage you to take advantage of the many professional development, networking and information resources available to you at HFMA. Other HFMA members are a terrific resource for your everyday professional challenges – we encourage all members, current and new, to get involved with HFMA committees and… Read More »

HFMA

Board Member Spotlight – Meet Eric Schwartz

By | February 9, 2021

HFMA is pleased to bring you a recurring feature on the blog, the Board and Committee Member Spotlight. Below is an interview with one of our board members, Eric Schwartz, discussing his history and future with HFMA. Keep an eye out for more interviews coming regularly. What was your first job and how did you end up with… Read More »

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