MHA Today | October 16, 2017

October 16, 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
MO HealthNet To Begin Denying Claims For Unregistered OPR Providers
MedPAC Updates Its Payment Basics Series
VA Proposes Prosthetic And Rehabilitative Device Rules


What You Need To Know This Week

  • Register now for the 95th Annual MHA Convention and Trade Show. A full agenda is available online. Join hospital leaders from throughout the state at Tan-Tar-A Resort in Osage Beach, Mo., from Wednesday, Nov. 1, to Friday Nov. 3.

Advocate
state and federal health policy developments


MO HealthNet To Begin Denying Claims For Unregistered OPR Providers

Staff Contact: Brian Kinkade

The Missouri Medicaid Audit and Compliance Unit has given notice that beginning Wednesday, Nov. 1, claims for durable medical equipment, home health, independent laboratories and radiology (imaging) will be denied unless the National Provider Identifier of the ordering, prescribing or referring provider is listed on the claim and the OPR provider is actively enrolled with MO HealthNet. OPR providers must be enrolled in Medicaid even if they do not participate in the Medicaid program directly. OPR providers not currently enrolled in Medicaid can do so at the MMAC website.

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MedPAC Updates Its Payment Basics Series

Staff Contact: Daniel Landon

MedPAC, the Medicare Payment Advisory Commission, has updated its Payment Basics series. The publications provide overviews of twenty Medicare payment models.

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Regulatory News
the latest actions of agencies monitoring health care


VA Proposes Prosthetic And Rehabilitative Device Rules

Staff Contacts: Daniel Landon or Andrew Wheeler

The U.S. Department of Veterans Affairs proposed regulatory changes regarding its standards for covering prosthetics and other rehabilitative devices and services. Public comments regarding the proposed rule are due on or before Friday, Dec. 15.

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Consider This ...

About 3,700 infants died of Sudden Infant Death Syndrome or other sleep-related causes in the U.S. in 2015. Babies who sleep on their backs are much less likely to die of SIDS than babies who sleep on their sides or stomachs.

Source: Centers for Disease Control and Prevention