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Blog posts by christopher

Fiscal Year 2024: New IPPS Provisions Kick in This Week

It must seem strange to many that there is a variance in what is deemed to be the start of a new year depending on whether you’re talking about the normative “calendar year” or the governmental fiscal year. It’s just a bit cumbersome to have two different yearly reboots. However, we must point out that […]

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All Aboard! New Transparency Bill Heading Down the Track

We’re on a roll—like a runaway freight train. This is the third alert in a row that we are bringing on the topic of hospital price transparency. Though, at this point, it may seem like an obsession on our part, it’s really more of a reflection of how much the transparency issue has been in […]

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Holmes Heads to the Hospital: Price Transparency Meets Price Inconsistency

Sir Arthur Conan Doyle would have been quite pleased with the story coming out of a respected medical publication this month. It was as if his own creation—the character we all know as Sherlock Holmes—had cracked his latest case in the usual spectacular fashion. Undercover operatives, corporate intrigue and the circumvention of federal law—what more […]

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Opening up the Blinds: Transparency Rules for Hospitals

A few months ago, the Centers for Medicare and Medicaid Services (CMS) published a fact sheet that outlines process updates the agency is making to increase compliance with the hospital price transparency requirements. As our readers may recall, the government’s hospital price transparency requirements are authorized by section 2718(e) of the Public Health Service Act, […]

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On a Roll: Another Victory for the TMA

For the fourth time in a row, a federal judge has sided with the Texas Medical Association (TMA) in its legal challenges to regulations that implement the federal No Surprises Act (NSA).  The TMA brought another one of its legal actions back in November, alleging that certain provisions of the NSA regulations inappropriately link providers’ […]

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Navigating the Challenges of BPO Implementation in Healthcare Organizations

Business process outsourcing (BPO) is a widely adopted strategy in healthcare that allows providers and facilities to delegate administrative tasks and non-clinical functions to third-party companies. With increasing pressure to deliver high-quality patient care while reducing costs, healthcare providers are leveraging BPO to streamline their non-core functions. Outsourcing services such as medical billing, coding, and […]

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Leveraging BPO to Navigate Regulatory Compliance Challenges in Healthcare

The healthcare industry faces increasing pressure to comply with various regulations and standards, such as HIPAA and Health Information Technology for Economic and Clinical Health  (HITECH). Patients are concerned about their privacy and protected data, while providers strive to protect a patient’s information and deliver quality care. Regulations are in place to protect the privacy […]

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2024 IPPS Final Rule: Quality Programs

Over the last two weeks, we have provided the latest provisions arising from the 2024 Inpatient Prospective Payment System (IPPS) final rule released earlier this month by the Centers for Medicare and Medicaid Services (CMS). This alert will act as our final installment on the IPPS rule and will specifically focus on the CMS quality […]

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2024 IPPS Final Rule: Special Rules for Special Hospitals

There is a scene in the movie Tora, Tora, Tora where a group of sailors on a Japanese aircraft carrier excitedly gather around one of their celebrated pilots. When asked by one of the flight crew, “how did you rate another promotion,” the cocky pilot wryly remarked, “special people deserve special treatment,” which brought roars […]

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