MHA Today | January 31, 2018

January 31, 2018
MHA Today: News for Healthcare Leaders

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January 31, 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
Legislative Committee Advances Restrictions On Non-Compete Employment Contracts
10 Things To Know About BPCI Advanced
MO HealthNet Releases 2018 Claim Coding Requirements
MO HealthNet Modifies Nursing Facility Cost Reporting Process
February Is American Heart Month
CMS Reminds Hospitals Of eCQM Data Submission Deadline

Advocate
state and federal health policy developments


Legislative Committee Advances Restrictions On Non-Compete Employment Contracts

Staff Contacts: Daniel Landon or Rob Monsees

A Missouri House committee approved a new version of House Bill 2088, which restricts the use of covenants not to compete in employment contracts. The new version loosens the original bill’s ban on most covenants not to compete. The new version would allow tax-exempt 501(c)(3) organizations to use them in employment contracts with health professionals, but the contractual restrictions would lapse after six years of employment.

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10 Things To Know About BPCI Advanced

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a new voluntary episode payment model called the Bundled Payments for Care Improvement Advanced, which will begin October 2018. A summary document outlines the 10 things to know about BPCI Advanced, including three things that hospitals can do to assess participation and identify details that need to be clarified before implementation.

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Regulatory News
the latest actions of agencies monitoring health care


MO HealthNet Releases 2018 Claim Coding Requirements

Staff Contact: Brian Kinkade

MO HealthNet requires providers to use the 2018 CPT and HCPCS codes and modifiers for all claims submitted with dates of services on or after Jan. 1. Claims submitted with dates of service before Jan. 1 must use 2017 CPT and HCPCS codes and modifiers. Claims submitted after Jan. 1 with codes that were deleted from the 2018 HCPCS will be denied, or if paid, recouped. Providers that were paid in January for claims submitted with deleted codes may resubmit or adjust them with corrected coding.

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MO HealthNet Modifies Nursing Facility Cost Reporting Process

Staff Contact: Brian Kinkade

MO HealthNet now requires all nursing facility cost reports that are due on or after Jan. 1 to be filed electronically. The cost report form has been revised, and the new form must be submitted via email to IRU.NursingFacility@dss.mo.gov. Nursing facility cost reports are due the first day of the sixth month following the close of the facility’s fiscal year. Questions can be directed to the MO HealthNet Institutional Reimbursement Unit at the email address above or by calling 573/751-5663.

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Quality and Population Health


February Is American Heart Month

Staff Contact: Mary Shackelford

February is American Heart Month, and National Wear Red Day® is Friday, Feb. 2. The event was established on the first Friday of every February by the American Heart Association and the National Heart, Lung and Blood Institute, to raise awareness about heart disease — the top cause of death for women.

In the U.S., cardiovascular disease kills approximately one woman every 80 seconds. Eighty percent of cardiac events could be prevented with education and lifestyle changes. Risk factors for heart disease include diabetes, hypertension, stroke, atherosclerosis, smoking and obesity. During 2016 in Missouri, 307,743 women were diagnosed with heart disease, with a total of 770,726 diagnosed with heart disease and/or having significant risk factors for the disease. For more information, visit AHA’s Go Red for Women website.

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CMS Reminds Hospitals Of eCQM Data Submission Deadline

Staff Contact: Sherry Buschjost

For hospitals participating in the Inpatient Quality Reporting Program, the deadline to submit calendar year 2017 electronic clinical quality measure data is Wednesday, Feb. 28. For CY 2017 reporting/fiscal year 2019 payment determination, a successful submission is defined as reporting on at least four eCQMs from the CY 2017 available eCQMs utilizing electronic health record technology certified to the 2014 Edition, the 2015 Edition or a combination. Data must be submitted through the QualityNet Secure Portal in any combination of the following: Quality Reporting Document Architecture Category I files, zero denominator declarations and/or case threshold exemptions. Additional details are available.

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Consider This ...

In 2016, there were an estimated 44.7 million adults in the U.S. with "Any Mental Illness." This number represented 18.3 percent of all U.S. adults. AMI encompasses all recognized mental illness.

Source: National Institute of Mental Health