23 Jan 2024
Adopting a Financial Assistance Policy for Your Hospital or Health System
Expand your healthcare organization’s compliance program library with this template from Lexis Practical Guidance – Healthcare. Define your hospital or health system’s eligibility criteria and application process for patient financial assistance to ensure your organization complies with federal laws, including Internal Revenue Code § 501(r)(4), requiring that tax-exempt, non-profit hospitals and health systems establish a widely publicized financial assistance policy that applies to all emergency and other medically necessary care.
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Prepare a healthcare compliance program training presentation for any type of healthcare organization, including hospitals, health systems, provider groups, and health insurance plans. The Affordable Care Act (ACA) requires that healthcare organizations participating in Medicare, Medicaid, and other federal healthcare programs implement compliance programs. Explain the importance having an effective compliance program, identify the federal agencies that oversee healthcare compliance, and review applicable federal laws. - Physician-Hospital Contracts
Learn about specific health law issues that arise in the context of physician-hospital contracts. Navigate state and federal government regulations, both of which perceive a legitimate community interest that requires legislative protection (e.g., licensing issues designed to maintain quality of care, and reimbursement issues designed to both support healthcare and maintain fiscal integrity). - ACA Nondiscrimination Rules for Health Programs and Activities (ACA Section 1557)
Review ACA section 1557, which prohibits health programs and activities that are either federally funded or administered by the Department of Health and Human Services from discriminating against individuals based on protected characteristics under major federal antidiscrimination laws, including race, color, national origin, sex, age, and disability.
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