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Oct 9, 2014 10:30:00 AM

Why GASB 68 is a Financial Priority for Governmental Hospitals

A major change to pension plan reporting takes place in fiscal year 2015 that could become a significant headache for governmental hospitals if they don’t get started now preparing for it. The ramifications of GASB 68 are substantial enough without the stress of waiting too long to prepare. Here’s why: 

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Topics: Regulations, Retirement, GASB 68

Aug 7, 2014 10:30:00 AM

Hospital CFOs Still Seeking Clarity About Allina DSH

Are you wondering about the status of your Medicare Disproportionate Share Hospital (DSH) payments in light of the recent Allina DSH court ruling? You’re not alone.  An April 2014 ruling from a U.S. Court of Appeals for the District of Columbia Circuit upheld a previous ruling that a Health and Human Services (HHS) rule change in 2004 (codified in 2007) was procedurally defective. The lawsuit had to do with a rule change the HHS made to determine DSH payments in 2007. The hospitals claimed there was not proper notification. Although the court ruled favorably for the hospitals, what happens next is still unknown. 

The appeals court included instructions in the ruling that gave the HHS room to reach the same policy decision through administrative adjudication. The bad news for providers is that adjudicatory findings can be applied retroactively. The Centers for Medicare and Medicaid Services (CMS) has not yet issued a definitive guideline on how to retrofit the reimbursement fractions for the years in question. 

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Topics: Regulations, Medicare

Jul 2, 2014 10:00:00 AM

Not All HIPAA Violation Cases Make the News, Here's Why

The recent $4.8 million HIPAA settlement story about New York and Presbyterian Hospital (NYP) and Columbia University (CU) caught my eye for a number of reasons. It’s the largest HIPAA settlement to date and the cause was unusual.

In the NYP and CU case, the breach was caused by a physician who owned a server in a data network where the network and firewall are shared and administered by the two medical centers. Bring your own device (BYOD) policies carry certain technology risks along with it, but those risks are magnified when the device in question is a network server!   

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Topics: Regulations, HIPAA