MHA Today | May 12, 2016

May 12, 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
American College Of Surgeons Releases New Statement On Principles
MO HealthNet Allows Separate Payment For Long-Term Contraceptive Devices
CMS Releases RHC Billing Requirements
MLN Connects Provider eNews Available
CMS Announces OQR Webinar
Chicago Real Estate Investment Group Sues Illinois Hospitals Over Tax-Exemptions

Regulatory News
the latest actions of agencies monitoring health care


American College Of Surgeons Releases New Statement On Principles

Staff Contacts: Sarah Willson or Jim Mikes

A recent report of surgeons leaving an operation before it is fully completed has led to further discussion around why those circumstances might occur. The American College of Surgeons has released a revised statement on principles addressing the issue. The revision addresses such circumstances in which a primary surgeon may leave an operation and steps that should be taken in the event it occurs. The American Hospital Association and the Association of American Medical Colleges encourage hospitals to review the statement and ensure their policies and procedures adequately address the changes.

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MO HealthNet Allows Separate Payment For Long-Term Contraceptive Devices

Staff Contacts: Daniel Landon or Steve Renne

The MO HealthNet Division has published a bulletin announcing the availability of a separate Medicaid hospital payment for the insertion of a long-acting reversible contraception device during an inpatient stay for childbirth. The bulletin outlines billing procedures.

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CMS Releases RHC Billing Requirements

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services has yet again issued guidance as it relates to the new rural health clinic billing requirements. In today’s MLN Connects newsletter, CMS has acknowledged a problem in how coinsurance amounts are calculating for claims with multiple revenue lines for medical services. A system fix was implemented on May 9 to correct the issue. CMS further acknowledges that some RHCs are unable to implement the billing requirements effective April 1. As a result, CMS is asking clinics that have problems to contact each respective Medicare Administrative Contractor.

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services issues updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • updates to data initiatives increase transparency of the Medicare program
  • teaching hospitals: submitting Medicare graduate medical education affiliation agreements
  • billing requirements for rural health clinics
  • coinsurance correction for certain RHC claims
  • durable medical equipment, prosthetics, orthotics and supplies competitive bidding program fact sheet revisions


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Quality and Population Health


CMS Announces OQR Webinar

Staff Contact: Sherry Buschjost

The next outreach and education webinar for hospitals participating in the Hospital Outpatient Quality Reporting Program is scheduled for Wednesday, May 18. The webinar, titled “Tracking Quality Improvement by Using Hospital OQR Data,” is offered at 9 a.m. and 1 p.m. Registration is required.

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Noteworthy


Chicago Real Estate Investment Group Sues Illinois Hospitals Over Tax-Exemptions

Staff Contacts: Jennifer Graham or Jane Drummond

An Illinois real estate investment group has filed a class action lawsuit against a group of Illinois hospitals located in Cook County, alleging that the plaintiffs have suffered higher property tax rates as a result of the tax revenue shortfall created by hospitals’ exemptions and are seeking repayment from the hospitals. The complaint stemmed from a January ruling of the Illinois Fourth District Appellate Court, finding that an Illinois state law granting a property tax exemption to non-profit hospitals is unconstitutional. The Cook County treasurer and clerk’s office also have been named as defendants in the lawsuit.

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Consider This ...

May is Stroke Month. African Americans have nearly two times the risk for a first-ever stroke as Caucasians.

Source: American Stroke Association