Compliance

Compliance is one of the building blocks of the trust and confidence communities must have in hospitals and health systems.

The AHA is committed to providing hospitals and health systems with the very best tools available to help them earn that trust and confidence every day.

On these pages, you'll find resources to assist you, as well as updates and the latest news on compliance-related topics.

HIPAA

There are three types of standards created by HIPAA: privacy, security and administrative simplification (e.g., transaction standards). Taken together, these regulations have a major impact on the day-to-day functioning of the nation's hospitals and affect virtually every department of...

Litigation

Site Neutral Payment Policy Complaint Challenging Site Neutral Payment Policy (December 4, 2018) 340B Delayed Regulations on Transparency and CMPs Memorandum in Opposition to Defendants' Motion to Dismiss and Reply in Support of Summary Judgment (November 21, 2018) Proposed Or...

Clinical Integration

Some hospitals and health systems already are using a broad range of approaches to integrating more closely with physicians and other health care providers.Clinical integration spans the spectrum from initiatives aimed at achieving greater coordination around a single clinical condition...

Tax-Exempt Status

America's hospitals provide compassionate, high quality care 24 hours a day, seven days a week, but their benefit to their communities extends far beyond direct patient care. Not-for-profit community hospitals do more than care for the injured and infirm; they promote and protect th...

Liability Reform

Across the nation, access to health care is being negatively impacted as physicians move from states with high insurance costs or stop providing services that may expose them to a greater risk of litigation. The increased costs that result from the current flawed medical liability syst...

Regulatory Relief

Every day, hospitals, health systems and post-acute care providers confront the daunting task of complying with a growing number of federal regulations. They are constantly challenged to understand and implement new or revised regulations, while maintaining their core mission of providi...

Limited Service Providers

For decades, the Ethics in Patient Referrals Act ("Stark Law") has protected the Medicare program from the inherent conflict of interest created when physicians self-referral their patients to facilities and services in which they have a financial stake. But the Stark Law’s "whole hospi...

Related Resources

Press Releases
Data & Insights
This fact sheet provides the definition of underpayment and technical information on how this figure is calculated on a cost basis for Medicare and Medicaid.
Data & Insights
In 2016, community hospitals have provided more than $38.3 billion in uncompensated care to their patients.
Public
AHA Audit Education Series
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RACs FOR REGION A <
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RAC Contractor Information Connolly Consulting