MHA Today | May 21, 2018

May 21, 2018

MHA Today: News for Healthcare Leaders

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May 21, 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
OIG Cites MO HealthNet For Failing To Recoup Hospital Payments For Preventable Conditions
Missouri Conducts Second Survey Of Rural Concerns
Scholarship Program Targets Psychiatric-Mental Health Field

What You Need To Know This Week

  • MHA’s annual end of session report will be distributed to members tomorrow.

Regulatory News
the latest actions of agencies monitoring health care


OIG Cites MO HealthNet For Failing To Recoup Hospital Payments For Preventable Conditions

Staff Contact: Kim Duggan

The Department of Health and Human Services Office of Inspector General issued a report that cited the MO HealthNet Division for not having procedures in place to prohibit Medicaid payments for inpatient hospital services related to treating certain provider preventable conditions in violation of federal Medicaid policy. In its response to the report, MO HealthNet states that it has reviewed questionable claims identified by OIG for the period of July 2012 through June 2015 and found improper payments of $220,000. The improper claims will be recouped by Sunday, July 1. MO HealthNet has contracted with Conduent to review and quarterly adjust hospital claims for treatments related to preventable conditions that have been improperly submitted. MHA reviewed the report and recoupment process and found it to be fair and efficient.

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Noteworthy


Missouri Conducts Second Survey Of Rural Concerns

Staff Contact: Jim Mikes

The Missouri Department of Economic Development’s Office of Rural Development, Missouri Rural Development Partners and the University of Missouri Extension are conducting a second survey of rural residents to assess the status of Missouri’s rural communities. The first survey produced the 2017 Missouri Survey Report. This year’s survey will ask residents to comment on issues related to community, health care access, economic development and workforce.

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Workforce News


Scholarship Program Targets Psychiatric-Mental Health Field

Staff Contact: Jill Williams

In 2018, as much as 50 percent of NURSE Corps Scholarship Program funds will be allocated for nurse practitioners. Specifically, as much as 20 percent of this funding targets NPs specializing in psychiatric-mental health. This change reflects Health Resources & Services Administration’s commitment to mental and behavioral health, including the opioid epidemic. Learn more about the NURSE Corps Scholarship Program.

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Consider This ...

A third of treated recreational waterborne disease outbreaks during 2000 through 2014 occurred in hotel pools or hot tubs. The 493 outbreaks reported during this period resulted in at least 27,219 illnesses and eight deaths.

Source: Centers for Disease Control and Prevention