MHA Today | November 7, 2016

November 7, 2016

MHA Today: News for Healthcare Leaders

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In This Issue
Changes Proposed For Medical Residency Programs
CMS Provides Details About Hospital Appeals Settlement Process For 2016
TJC Releases Addendum To Specifications Manual
Webinars Scheduled For National Rural Health Day

What You Need To Know This Week

state and federal health policy developments

Changes Proposed For Medical Residency Programs

Staff Contact: Daniel Landon

The Accreditation Council for Graduate Medical Education has released proposed revisions to its accreditation standards for medical residency and fellowship programs in the U.S. The organization will gather public comments about the proposed changes for 45 days. Implementation is slated for the 2017-2018 academic year. One proposed change would allow first-year medical residents to work a 24-hour shift; the current limit is 16 hours. ACGME has posted an overview of its rationale for the changes.

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Regulatory News
the latest actions of agencies monitoring health care

CMS Provides Details About Hospital Appeals Settlement Process For 2016

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services has released details about another settlement opportunity for claims that were denied because of inpatient status denials with dates of service before Oct. 1, 2013. Hospitals would receive 66 percent of the net allowable amount of the claim. If a hospital chooses to settle, all administrative appeals for inpatient denials that are pending Administrative Law Judge or Medicare Administrative Council would be settled and withdrawn. The settlement process will become available on Thursday, Dec. 1, with a deadline for hospitals to submit an expression of interest by Jan. 31, 2017. CMS is hosting a call at 12:30 p.m. Wednesday, Nov. 16, with additional details.

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Quality and Population Health

TJC Releases Addendum To Specifications Manual

Staff Contact: Sherry Buschjost

The Joint Commission has released an addendum to the Specifications Manual for Joint Commission National Quality Measures. The version 2016B1 manual addresses changes to the ICD-10 master code tables beginning with Jan. 1, 2017, discharges, including data elements, Appendix A, the hospital clinical data XML file layout and the hospital ICD population XML file layout. The manual is available on TJC’s website.

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Webinars Scheduled For National Rural Health Day

Staff Contact: Jim Mikes

The National Organization of State Offices of Rural Health is providing a series of webinars to celebrate National Rural Health Day. The webinars will be held Thursday, Nov. 17, and will cover the following topics. Registration is required.

  • clinical care improvement
  • total farmer health
  • strategies for reversing out-migration
  • where Decision 2016 leaves health care reform for families in rural America
  • using big data to make small changes in population health

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Consider This ...

November is Lung Cancer Awareness Month. Lung cancer causes more deaths than the next three most common cancers combined (colon, breast and prostate).

Source: American Lung Association