MHA Today | January 18, 2018

January 18, 2018
MHA Today: News for Healthcare Leaders

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January 18, 2018

MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

In This Issue
Plaintiffs In 340B Challenge File Motion For Expedited Review
CMS Issues Home Health Appendix Change Memo
CMS Releases Survey Memo On Deemed Status Removal
MLN Connects Provider eNews Available
CMS Updates Inpatient CART

Health Law Insight


Plaintiffs In 340B Challenge File Motion For Expedited Review

Staff Contact: Jane Drummond

The American Hospital Association, America’s Essential Hospitals, the Association of American Medical Colleges and three hospital plaintiffs have asked the court of appeals to expedite review of their challenge to reductions in the 340B program. The plaintiffs appealed the federal district court’s dismissal of their suit and are now asking the District of Columbia Circuit to fast track that review. They are seeking an expedited briefing schedule and oral argument as soon as possible upon completion of the briefing. Plaintiffs argue that the court should hear the case as quickly as possible because there is no injunction in place to keep the reductions from going into effect, which will cause irreparable harm to hospitals. According to their motion, the Centers for Medicare & Medicaid Services was unwilling to consent to the motion or the proposed briefing schedule.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Issues Home Health Appendix Change Memo

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services released a survey and certification memo regarding revisions to Appendix B – Home Health Agency Survey Protocol. The appendix, which has not yet been updated online, has been revised pursuant to recent updates to the home health Conditions of Participation, which went into effect Jan. 13. Providers will find new ASPEN tags related to each standard and condition, revised Level I and Level II standards, and changes to the surveyor process to reduce surveyor pre-survey preparation time. There is not an identified timeframe for Appendix B to be updated online. Please use the memo as the most current reference to changes.

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CMS Releases Survey Memo On Deemed Status Removal

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services released a survey memo, “Clarification of the Accrediting Organization’s Role When a Provider or Supplier’s Deemed Status Has Been Temporarily Removed.” In the memo, CMS explains when state or federal surveyors identify conditional-level non-compliance, they may temporarily remove deemed status of the provider or supplier and place them under State Agency jurisdiction. CMS notes its responsibility to notify the accrediting organization, that CMS will not accept any accreditation findings during the period in which the state agency has jurisdiction, that removal of deemed status is an acceptable reason to delay a triennial survey, and that the accrediting organization must allow enough time to pass after the provider or supplier regains deemed approval to maintain the integrity of an unannounced triennial survey.

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

Updates to MLN Connects Provider eNews were issued by the Centers for Medicare & Medicaid Services. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • 2018 value modifier results and payment adjustment factor
  • new Medicare card project special open door forum – Tuesday, Jan. 23
  • final durable medical equipment, prosthetics, orthotics and supplies quality standards for therapeutic shoe inserts
  • low-volume appeals settlement call: audio recording and transcript now available
  • comparative billing report on opioid prescribers webinar – Wednesday, Feb. 21

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Quality and Population Health


CMS Updates Inpatient CART

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services released inpatient version 4.20.2 of the CMS Abstraction and Reporting Tool. The release reflects ICD-10 code updates to Appendix A of the Specifications Manual for National Hospital Inpatient Quality Measures, addendums 5.2b and 5.3a, and is effective for discharges Jan. 1 through June 30, 2018. Additional information, including installation instructions, is available on QualityNet.

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Consider This ...

Cervical cancer is a serious disease that affects women, but it only accounts for 38 percent of cancers caused by HPV infection. While there is screening for cervical cancer, there is no routine screening for the other 20,000 cases of cancer caused by HPV infections each year in the U.S.

Source: Centers for Disease Control and Prevention