MHA Today | September 6, 2016

September 6, 2016

MHA Today: News for Healthcare Leaders

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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.

Information about the Nov. 8 election is available on the Your Vote Matters page of MissouriHealthMatters.com. Hospitals can help educate their communities about the election using the resources on MHAnet.

In This Issue
DOJ Finalizes New Higher Civil Monetary Penalties
CMS Announces ICD-10 Flexibility Period Deadline
Board Of Pharmacy Provides Sterile Compounding Emergency Rule Resources

What You Need To Know This Week

  • Register today for MHA’s 94th Annual Convention. Program books were distributed last week.
  • Your Vote Matters! Before you vote in November, learn the candidates’ positions on the health care issues that matter to you. Information is available on Missouri Health Matters’ website.
  • On Sept. 1, the White House Office of Management and Budget began reviewing the Health Resources and Services Administration's guidance on the 340B Drug Discount Program. The proposed guidance defines a 340B patient and touches on contract pharmacy arrangements, audit procedures and ways to avoid duplicate discounts.

Regulatory News
the latest actions of agencies monitoring health care


DOJ Finalizes New Higher Civil Monetary Penalties

Staff Contact: Daniel Landon

The U.S. Department of Justice has issued a final rule to revise its schedule of civil monetary penalties to reflect inflation adjustments, which, in some cases, had not been implemented for decades. Among many other changes, the rule revises the minimum and maximum penalties for claims submitted in violation of the federal Civil False Claim Act and the maximum penalty for violating federal anti-kickback laws. The new penalties took effect Aug. 1 and will apply to violations occurring after Nov. 2, 2015. The inflation adjustments were authorized by Congress in 2015.

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CMS Announces ICD-10 Flexibility Period Deadline

Staff Contacts: Sarah Willson or Jim Mikes

In July 2015, the Centers for Medicare & Medicaid Services announced a joint agreement with the American Medical Association to allow a flexibility period for full specificity of ICD-10 coding. The flexibility period did not delay implementation of ICD-10, rather provided practitioners with the time needed to understand the amount of specificity required. During the transition, physician and non-physician providers were assured that there would not be a denial of claims based on diagnosis as long as the ICD-10 code assigned was in the correct family of codes. On Aug. 22, CMS released an FAQ document and reminder that the flexibility period ends Friday, Sept. 30.

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Board Of Pharmacy Provides Sterile Compounding Emergency Rule Resources

Staff Contacts: Sarah Willson or Jim Mikes

On July 25, the Missouri Board of Pharmacy proposed an emergency rule to cover needed changes in sterile compounding practices. The Board of Pharmacy has numerous resources available for pharmacies regarding the rules, which went into effect Aug. 4. Among the resources are an implementation guide and two pre-recorded webinars and handouts.

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Consider This ...

Nearly 44,000 cases of West Nile virus disease have been reported in the U.S. since 1999. Of those, more than 20,000 people have had infections of the brain or spinal cord and more than 1,900 people have died.

Source: Centers for Disease Control and Prevention