MHA Today | December 28, 2017

December 28, 2017
MHA Today: News for Healthcare Leaders

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December 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
MO HealthNet Modifies Billing Requirements For Lab, Radiology Services
DHHS Invites Suggestions On New Anti-Kickback Safe Harbors
CDC Issues Seasonal Influenza Health Advisory
Hospital Compare Updates Available
Missouri Hospitals Targeted For Theft By Unauthorized Visitors

Regulatory News
the latest actions of agencies monitoring health care


MO HealthNet Modifies Billing Requirements For Lab, Radiology Services

Staff Contacts: Kim Duggan or Brian Kinkade

For dates of service on and after Monday, Jan. 1, 2018, hospital-owned rural health clinics filing MO HealthNet claims for the technical component of lab and radiology services must bill for these services by either using the hospital’s National Provider Identifier on the UB-04 billing form or an active clinic/group NPI using the CMS-1500 billing form. Providers will be reimbursed according to the MO HealthNet Division fee schedule.

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DHHS Invites Suggestions On New Anti-Kickback Safe Harbors

Staff Contacts: Jane Drummond or Daniel Landon

The U.S. Department of Health & Human Services Office of Inspector General is soliciting suggestions about new regulatory “safe harbors” from the anti-kickback law for federal health care programs. The agency also invites suggested topics for its “special fraud alerts” issued to provide compliance guidance to health care providers. Public comments are due Feb. 26, 2018.

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Quality and Population Health


CDC Issues Seasonal Influenza Health Advisory

Staff Contacts: Jackie Gatz or Toi Wilde

The Centers for Disease Control and Prevention published a health advisory on current seasonal influenza activity and treatment recommendations. The advisory provides notice about increased influenza A (H3N2) activity and its clinical implications, a summary of influenza antiviral drug treatment recommendations, an update about approved treatment drugs and supply this season, and background information for patients about influenza treatment. Missouri providers can direct questions to the Missouri Department of Health and Senior Services Bureau of Communicable Disease Control and Prevention at 573/751-6113 or 800/392-0272.

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Hospital Compare Updates Available

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services updated the Hospital Compare website with new quality and cost information for the Ambulatory Surgical Center Quality Reporting, Hospital-Acquired Condition Reduction, Hospital Readmissions Reduction Program, Hospital Value-Based Purchasing, Inpatient Psychiatric Facility Quality Reporting, Inpatient Quality Reporting, Prospective Payment System-Exempt Cancer Hospital Quality Reporting, and Outpatient Quality Reporting programs and initiatives. Details are available.

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Noteworthy


Missouri Hospitals Targeted For Theft By Unauthorized Visitors

Staff Contact: Jackie Gatz

All Missouri hospitals and health care providers should be advised of suspicious activity that could occur on their premises, specifically from visitors who attempt to access secured, unauthorized areas. Based on current information, four facilities in Missouri, one in north central Kansas and another in southern Iowa have experienced incidents where unauthorized individuals accessed restricted areas resulting in thefts of billfolds and purses. In addition to stolen cash, credit cards were charged immediately following the incidents. The group may be traveling in a white truck and white van licensed with rental vehicle tags from Tennessee.

Please alert local law enforcement if you encounter these individuals in your facility, and share pertinent details with MHA staff for distribution to our membership. MHA will continue to post BOLO (Be on the Lookout) notices in EMResource as information is available.

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Consider This ...

People who lose weight gradually and steadily (about one to two pounds per week) are more successful at keeping weight off. An adult can accomplish this by avoiding or burning 500 to 1,000 calories per day.

Source: Centers for Disease Control and Prevention