MHA Today | May 2, 2016

May 2, 2016
MHA Today: News for Healthcare Leaders


MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet. Connect with us on LinkedIn.

In This Issue
MHA Distributes Wage Index, Occupational Mix Data For Review
MHD Posts Reminder For Inpatient Validation Review
CMS Updates IQR Program Known Issues Document
MO HealthNet Division Requires DiagnosticSite Certification
CMS Releases FY 2018 Quality Measures Document
SSM Health St. Mary’s Hospital – St. Louis Names New President

What You Need To Know This Week

  • There are just two weeks left in the legislative session — stay tuned for possible calls-to-action.
  • National Nurses Week begins Friday, May 6, and National Hospital Week begins Sunday, May 8.

Advocate
state and federal health policy developments


MHA Distributes Wage Index, Occupational Mix Data For Review

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released public use files that will be used to develop the federal fiscal year 2017 Medicare wage index. MHA previously provided preliminary and revised wage index and occupational mix files in September 2014 and February 2015 for hospitals to verify. This is the third occupational mix data release, and also the last opportunity to request changes. Hospitals have until Monday, May 23, to review their hospital-specific data and request any revisions. Any request for revisions must pertain only to the mishandling of the data by the Medicare Administrative Contractor; no new issues may be addressed. Requests and supporting documentation for revision must be submitted to both CMS and the hospital’s MAC.

MHA received the final files for distribution on April 28. Because of the short turnaround time imposed by CMS, MHA has prepared an analysis of the revised hospital wage index and occupational mix data. The analysis includes a comparison of the revised and final 2013 wage data that each hospital submitted to CMS. MHA has posted the files to HIDI Analytic Advantage® for review.

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MHD Posts Reminder For Inpatient Validation Review

Staff Contact: Steve Renne

The MO HealthNet Division requires that all inpatient hospital admissions must be pre-certified as medically necessary by the MHD review authority, Xerox Care and Quality Solutions. Xerox requests records on a quarterly basis for review. Providers have 30 days from the date of the request to submit documentation.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Updates IQR Program Known Issues Document

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has updated the known issues document associated with the Hospital Inpatient Quality Reporting Program. The document has been updated with issue resolutions and newly identified issues, and is available on QualityNet.

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MO HealthNet Division Requires DiagnosticSite Certification

Staff Contacts: Sarah Willson or Steve Renne

On Jan. 15, the MO HealthNet Division released a radiology bulletin outlining the change in the radiology benefit management vendor from EviCore/MedSolutions to HealthHelp. Effective February 2016, each facility was given a 90-day grace period in which to certify. Providers that intend to perform high-tech and/or cardiac imaging procedures for MO HealthNet participants must receive DiagnosticSite certification from HealthHelp by Tuesday, May 31.

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Quality and Population Health


CMS Releases FY 2018 Quality Measures Document

Staff Contact: Dana Dahl

The Centers for Medicare & Medicaid Services has released the CMS Acute Care Hospital Fiscal Year 2018 Quality Improvement Program Measures document. The newly created document provides a list of measures, including National Quality Forum endorsement numbers, measurement periods and a public reporting indicator used in the FY 2018 Hospital Inpatient Quality Reporting Program, Hospital Value-Based Purchasing Program, Electronic Health Record Incentive Program, Hospital-Acquired Condition Reduction Program and the Hospital Readmissions Reduction Program.

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CEO Announcements


SSM Health St. Mary’s Hospital – St. Louis Names New President

Staff Contact: Carol Boessen

Travis Capers was named President of SSM Health St. Mary’s Hospital – St. Louis, effective March 28. Capers previously served as CEO for Ochsner Medical Center in New Orleans. He replaced Kathleen Becker, who was named President of SSM Health Saint Louis University Hospital, effective Sept. 1, 2015. A list of CEO changes is available online.

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Consider This ...

May is Mental Health Awareness Month. One in 5 Americans will be affected by a mental health condition in their lifetime.

Source: National Alliance on Mental Illness