Healthcare systems: Evaluate policy with the future in focus
Balancing compliance and risk with lasting sustainability
As value-based care becomes the norm, changes in healthcare industry policy are transforming providers at a record pace. Compliance concerns around unprecedented financial and operational change — including state and federal tax requirements, CMS regulations, HHS and HRSA compliance, and reimbursement reporting — require hospitals and health systems to evaluate, interpret, and react timely with the future in focus.
This is a time of unprecedented stress for healthcare organizations. Mitigating risk, staying compliant, and optimizing reimbursement and funding programs requires unparalleled diligence. Is your health and hospital system keeping pace for long-term success? Read on for insights to position your organization for success.
This is a time of unprecedented stress for healthcare organizations. Mitigating risk, staying compliant, and optimizing reimbursement and funding programs requires unparalleled diligence. Is your health and hospital system keeping pace for long-term success? Read on for insights to position your organization for success.
Interested in a projection of how the FFY Medicare IPPS proposed rule will impact your facilities?
Healthcare systems: Policy insights
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No Surprises Act: How to avoid noncompliance and unwanted surprises
The No Surprises Act became effective on Jan 1, 2022. Here’s how to ensure compliance and avoid unwanted surprises in your healthcare organization.
HHS audits: Key questions facing for-profit healthcare providers
Are you a for-profit healthcare provider preparing for an upcoming HHS audit related to the Provider Relief Fund (PRF) distributions that your organization received? These four questions will help you understand reporting and audit requirements, what to expect during the audit, and most importantly what to do now.
HRSA PRF Period 2 reporting: Should you change your methodology?
Provider Relief Fund Period 2 reporting is here and the Health Resources & Services Administration is permitting reporting entities to change their methodology for lost revenue calculation. Here’s how to determine the impact to your organization.
FASB accounting standards and ASB updates: Don’t forget these lesser-known requirements
Plante Moran Partner Dawn Stark recently spoke at the 2021 Healthcare Financial Management Association (HFMA) conference on new accounting standards that will impact nongovernmental healthcare organizations in the coming years. Here’s how they could affect you.
CMS hospital price transparency: Are you compliant?
As of July 2021, less than 6% of hospitals were compliant with the CMS hospital price transparency rule. Crackdowns are coming, and fines aren’t the only thing you’ll risk if you fail to comply. Here’s what to know now.
How Biden’s executive order promoting competition impacts the healthcare industry
President Biden recently signed an executive order aimed at increasing competition among businesses. Our benefit experts outline how the order affects the healthcare industry.
Our services
Our healthcare policy experts can help you evaluate and interpret policy to minimize risk and reach a balance between compliance and business sustainability.
We’ll partner with you to:
- Identify, interpret, and create strategies to comply with regulations, including the CARES Act Provider Relief Fund guidance, CMS hospital price transparency rules, and the HHS No Surprises Act.
- Prepare annual cost reports along with optimization strategies to maximize Medicaid reimbursement and Medicare reimbursement.
- Analyze risk and prioritize corrective action.
- Minimize your tax burden, optimize tax benefits, and stay compliant with federal and state tax requirements.
- Understand eligibility and activation requirements of state and federal funding streams.
- Prepare for a single audit with a tailored risk-based audit process in response to your situation.
- Keep pace with policy and regulations for long-term sustainability.
Learn more about our hospital and health system services.
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