MHA Today | August 2, 2017

August 2, 2017
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.

In This Issue
CMS Announces Medicare IPPS/LTCH Final Regulations
MO HealthNet Gives Advance Notice Of Planned Systems Upgrade
CMS Issues Final Hospice Payment Rate Update For 2018
CMS Releases Survey And Certification Guidance
TJC Revises Medication Management EPs

Advocate
state and federal health policy developments


CMS Announces Medicare IPPS/LTCH Final Regulations

Staff Contacts: Andrew Wheeler or Daniel Landon

The Centers for Medicare & Medicaid Services has issued its final regulations for the Medicare inpatient and long-term care hospital prospective payment systems in fiscal year 2018, along with a fact sheet. The regulatory changes proposed by CMS in April affect a wide range of payment and quality reporting standards. Once available, MHA will publish an issue brief summarizing the changes made by CMS’ final rules. Several highlights emerge, including CMS agreeing to implement a three-year transition to the use of Worksheet S-10 in the calculation of Medicare disproportionate share hospital payments. MHA has advocated for this transition with Congress and CMS, and MHA applauds the decision. The final rule also increases Medicare inpatient PPS payments, including capital payments, by $2.4 billion in FY 2018.

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MO HealthNet Gives Advance Notice Of Planned Systems Upgrade

Staff Contact: Brian Kinkade

MO HealthNet is alerting providers that a planned year-end hardware upgrade will disrupt online eligibility verification, claims submission, and processing and integrated voice response service from Saturday, Dec. 30, through Monday, Jan. 1, 2018. User self-service and new user account setup will be restricted beginning Friday, Dec. 15, through the completion of the upgrade. Additional details will be provided as plans for the upgrade progress are released.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Issues Final Hospice Payment Rate Update For 2018

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released final fiscal year 2018 payment and policy updates for hospices serving Medicare beneficiaries. The final rule updates the hospice payment rates, wage index values and cap amount, and makes revisions to the hospice quality reporting program. CMS estimates that hospices generally will see a 1 percent, or $180 million, increase in their payments for 2018. MHA has published an issue brief with additional information.

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CMS Releases Survey And Certification Guidance

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services recently released three new survey and certification guidance letters addressing fire safety, community mental health centers and oversight of accrediting organizations. The guidance addressing annual testing of fire and smoke doors advises CMS to extend the compliance date for the requirement to Jan. 1, 2018. The community mental health center guidance clarifies the requirement to provide partial hospitalization services. The guidance on AOs and clinical laboratory improvement amendments is a summation of CMS’ required annual report to Congress. The guidance lists the nine AOs currently approved by CMS for deeming status, as well as the seven agencies that can certify for CLIA.


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TJC Revises Medication Management EPs

Staff Contact: Sarah Willson

The Joint Commission has made several changes to its medication management elements of performance that impact several of its accrediting programs. Organizations that are accredited by TJC will be required to enhance policies addressing medication waste, refrigeration, overrides in automatic dispensing cabinets and back-up for essential medications. Pre-publication standards are available online and will be effective Jan. 1, 2018.


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Consider This ...

The percentage of babies who start out breastfeeding increased from 73 percent among babies born in 2004 to 83 percent among babies born in 2014.

Source: Centers for Disease Control and Prevention