News

Patient preferences: it’s not all that bad. The Medicare and Medicaid Conditions of Participation (CoP) Final Rule regulatory changes place the patient in the “driver’s seat” in directing their care. On the flip side, the new approach places an obligation on patients to participate. There is ample regulatory guidance available.…
Compliance is mandatory, but data from CMS remains unavailable at this time. The discharge planning day of reckoning is today, Black Friday, Nov. 29, 2019 – and yet, as of this reporting, the only source of data, the Centers for Medicare & Medicaid Services (CMS) Compare website, still has no…
Final rule becomes effective Friday, Nov. 29, 2019 EDITOR’S NOTE: The following are edited remarks by Mary Beth Pace, the author who was a panelist on Monitor Mondays Nov. 25, reporting on how Trinity Health is preparing to implement the final rule on discharge planning conditions of participation from the…
November 21, 2019

Price Transparency: Two Rules for the Same Issue

By Stanley Nachimson, MS
One rule is proposed; the other is now the final rule on price transparency. The Centers for Medicare & Medicaid Services (CMS) recently issued two rules intended to increase the transparency of pricing in the healthcare system, continuing its efforts to provide patients with more data to make informed decisions…
Many believe this rule will never see the light of day. Among other provisions, the hospital price transparency rule pre-published by the Centers for Medicare & Medicaid Services (CMS) last Friday requires online, a publically accessible publication of “standard charges” that apply to 300 of each hospital’s “shoppable” services. The…
November 21, 2019

Google Stumbles into Healthcare

By Timothy Powell, CPA CHCP
Google’s researchers apparently didn’t obtain HIPAA releases from patients. Recently, Google has made some stunning stumbles as it moves into the realm of handling healthcare data.  First, this is surprising, considering the growing distrust among the public and regulators of platforms like Google and Facebook. Second, and more surprisingly, it…
EDITOR’S NOTE: This RACmonitor series examines a new type of auditing in healthcare – the use of algorithms. In the first article in this series, “Artificial Intelligence is Coming to Medicare Audits – Is Your Legal Team Obsolete?” Mr. Roche reported on statistical sampling being supplanted by more complex methods…
EDITOR’S NOTE: Healthcare attorney David Glaser reported on the CMS final rule’s reference to “shoppable” services during today’s edition of Monitor Monday. The following is his report. On Nov. 15, the Centers for Medicare & Medicaid Services (CMS) released an advanced copy of a final rule that will require all…