MHA Today | June 2, 2016

June 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 Analysis For Proposed Updates To 2017 SNF PPS
MO HealthNet Restores Dental Benefits For Medicaid Managed Care
CMS Updates IQR Program Known Issues Document
MO HealthNet Issues Bulletin Regarding Telehealth Reimbursement
MLN Connects Provider eNews Available
AHA Releases Report To Help Hospitals Strengthen Behavioral Health Workforce

Advocate
state and federal health policy developments


MHA Distributes Analysis For Proposed Updates To 2017 SNF PPS

Staff Contact: Andrew Wheeler

MHA has released an analysis illustrating the estimated financial effect of the proposed federal fiscal year 2017 updates to the Medicare skilled nursing facility PPS. In aggregate, Missouri SNFs are projected to receive an increase of 2.1 percent. The analysis does not include effects caused by high-cost outliers, payment for managed care patients or the 2 percent Medicare sequestration. Facility-specific results will vary based on RUG utilization. Comments on the proposed rule are due to the Centers for Medicare & Medicaid Services by Monday, June 20. The analysis is posted online for authorized users of HIDI Analytic Advantage®. Current subscribers with questions about downloading files should contact HIDI.

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Regulatory News
the latest actions of agencies monitoring health care


MO HealthNet Restores Dental Benefits For Medicaid Managed Care

Staff Contact: Steve Renne

MO HealthNet has restored dental benefits to adults effective Jan. 1, 2016. Clients served in the fee-for-service program can bill for adult dental services normally. Clients served in Medicaid managed care will be covered by the plans effective July 1. Services provided to managed care clients between January and June should be billed to MO HealthNet using paper dental claim forms.

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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 Issues Bulletin Regarding Telehealth Reimbursement

Staff Contact: Steve Renne

MO HealthNet has issued a provider bulletin detailing reimbursement protocols for originating site reimbursement for rural health and federally qualified health clinics.

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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.

  • skilled nursing facility quality reporting program provider training
  • ICD-10 resources: clinical concepts series
  • Medicare’s “big data” tools fight and prevent fraud to yield more than $1.5 billion in savings
  • July 2016 average sales price files available


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Workforce News


AHA Releases Report To Help Hospitals Strengthen Behavioral Health Workforce

Staff Contact: Meredith Kenyon

A new report by the American Hospital Association provides information to help hospitals and health systems develop their behavioral health care workforce to meet future needs. The report highlights how hospitals are bridging the gap between the need for behavioral health care in their communities and a shortage of trained specialists. It also offers examples of how to integrate behavioral and physical health in new and innovative ways, and seven steps to spark dialog among stakeholders on the issue.

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Consider This ...

June is Cataract Awareness Month. Cataracts are the leading cause of blindness in the world. There are close to 22.3 million Americans age 40 and older with cataracts. More than half of all Americans will have cataracts by age 80.

Source: preventblindness.org