November 28, 2017
MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.
In This Issue
New Federal Legislation Would Repeal Medicare Wage Index Manipulation
MO HealthNet Issues Billing Requirements For Hospital Inpatient Consultations
Missouri Register Releases Emergency Rules And Proposed Rules Related To Abortions
2018 Joint Commission Accreditation Update for Hospitals and Critical Access Hospitals
Wednesday, Dec. 6, and Thursday, Dec. 7
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state and federal health policy developments
Staff Contact: Daniel Landon
U.S. Senators Claire McCaskill (D-Mo.) and Richard Burr (R-N.C.) introduced legislation to repeal the law authorizing the “Bay State Boondoggle.” If enacted, the change would take effect April 1, 2018. The Missouri Hospital Association and its members support eliminating this manipulation of the Medicare wage index system.
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the latest actions of agencies monitoring health care
Staff Contact: Brian Kinkade
MO HealthNet issued a bulletin with billing requirements for inpatient consultations. For dates of service on and after Nov. 1, MO HealthNet will allow only one claim per inpatient event to be billed under CPT codes 99221 – 99223 as an initial consultation by the admitting physician. Other physicians must bill initial consultations under codes 99251 – 99255. Only one initial consultation per physician is allowed during the inpatient event. A statement of medical necessity is required if a particular physician must bill more than one initial consultation for the stay. Subsequent physician visits during the inpatient stay are to be billed under codes 99231 – 99233.
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Staff Contacts: Sarah Willson or Jane Drummond
As a result of the Missouri General Assembly passing Senate Bill 5 in 2017, the Dec. 1 copy of the Missouri Register contains two emergency rules and numerous proposed rules related to abortions.
The emergency rules address complication plans for certain drugs given to induce termination of a pregnancy in a hospital, ambulatory surgical center and abortion facility. These rules were effective Nov. 3 and will expire May 1, 2018.
Included were proposed rules and amendments related to definitions and procedures for licensing abortion facilities, standards of operation, physical standards for abortion facilities and complication plans, as well as proposed rules for reporting patient abstract data and health care-associated infection rates by abortion facilities. Proposed rules and amendments also were included relating to induced abortion reporting, complication reporting for post-abortion care, and content and filing of tissue reports.
There is a 30-day comment period beginning Friday, Dec. 1..
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Fifteen percent of people with HIV don't know they have the virus, and about 40 percent of new HIV infections come from them.
Source: Centers for Disease Control and Prevention