MHA Today | December 12, 2016

December 12, 2016

MHA Today: News for Healthcare Leaders

twitter linkedin MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

In This Issue
CMS Releases CJR SNF Three-Day Rule Waiver Guidance
CMS Provides Update To Patient Status Denial Settlement Opportunity

What You Need To Know This Week

  • The MHA Community Investment Report preview period begins today and runs through Sunday, Dec. 18. A notice was sent to CEOs and community benefit contacts today.
  • MHA encourages adoption of emergency department guidelines for opioid prescribing that were distributed earlier this year.

Regulatory News
the latest actions of agencies monitoring health care


CMS Releases CJR SNF Three-Day Rule Waiver Guidance

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released information about the three-day rule waiver for certain skilled nursing facilities treating qualified comprehensive care for joint replacement patients. CMS instructs SNFs to use demonstration code 75 beginning on or after Jan. 1, 2017, to identify patient stays eligible for the waiver. SNFs that are eligible to take advantage of the program must score three out of five stars.

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CMS Provides Update To Patient Status Denial Settlement Opportunity

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services previously announced an opportunity to settle claims that were denied because of inpatient status denials. Since then, CMS has hosted national provider calls with details about how to apply. Today, CMS held another provider call and also provided an updated FAQ document. CMS also has published two slide decks with additional details. Hospitals have until Jan. 31, 2017, to submit an expression of interest.

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Consider This ...

In 2014, U.S. doctors wrote 240 million prescriptions for opiates, enough for every adult to have their own bottle of pills. The Centers for Disease Control and Prevention estimates that about 2.1 million Americans are addicted to legal narcotics.

Source: The Washington Post