Topic:

Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Success story: Faced with closure five years ago, Florida hospital now in the black

Five years ago, Boca Raton Regional Hospital in Florida faced a $124 million loss and was close to shutting its doors for good. Today, the 400-bed, not-for-profit hospital can boast of a complete financial turnaround. In this exclusive interview, Rudy  Braccili Jr., executive director of revenue cycle services, tells  FierceHealthFinance about   the reasons behind the hospital's new-found success.  

Hospital coalition speaks out on Tenet contract moves

Several California health professionals have formed the Coalition for Quality Hospital Care in response to Tenet Healthcare Corp.'s plan to cancel contracts with independent physicians, according to an announcement from the group. One Tenet hospital spokesperson says the plans are in the nascent stages and that it has included staff physicians in the process. 

Health system adapts NIST framework to meet security risk needs

Data breaches have become the "inciting incident" that--much like in a story--precipitates the plot, writes Christopher Paidhrin in a blog post for  HealthcareInfoSecurity.com. Now, he says, that incident must lead to a refocusing of thinking and behavior in IT security.

CMS solicits ideas for engagement models

The Centers for Medicare & Medicaid Services is soliciting comments through Sept. 15 about its proposed initiatives to test new engagement models for Medicare, Medicaid and the Children's Health Insurance Program.

Mac McMillan: 'Disparate' health privacy requirements overwhelming for providers

As the U.S. Department of Health and Human Services' Office for Civil Rights ramps up its audits of healthcare entities in the coming months, there is a sense among some that there will be a flood of fines levvied compared to actions that have already been taken. Mac McMillan, chair of the HIMSS Privacy & Security Policy Task Force, and CEO of IT security consulting firm CynergisTek, actually foresees trouble looming at the state level for providers, as well.

AMA's RUC panel skews payments toward specialists

The American Medical Association's power in determining the relative value of the services physicians provide plays an outsize role in favoring specialist physicians and driving up the costs of healthcare delivery in the United States,  Politico  reported.

California turns up the heat on insurers

California is a brewing hotbed of potential trouble when it comes to insurance rates. California lawmakers propose a state-wide vote on a new ballot initiative that would expand the state's authority to regulate health insurance rates. To make matters worse, voters show signs they support the measure, according to an article in  Kaiser Health News.

Hospital will release patients treated for Ebola as virus scares continue

Atlanta's Emory University Hospital will discharge two American aid workers treated for the Ebola virus today,  USA Today  reports, but virus scares continue to pop up throughout the country.  

Computer bug 'Heartbleed' likely source of Community Health Systems data breach

Hackers likely used the computer bug Heartbleed to gain access to the data of about 4.5 million patients at Community Health Systems--and the FBI is warning other hospitals they could be at risk, too, Reuters reports.

EHR billing fraud: More than a numbers game

There's a well-known adage in business that 10 percent of people will never steal, embezzle or commit fraud; 10 percent will always steal, embezzle or commit fraud when they can; and 80 percent will do it under certain circumstances when given the opportunity. That might finally explain what's occurring with electronic health records and billing fraud.