MHA Today | September 10, 2018


MHA Today: News for Healthcare Leaders

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

In This Issue
CMS Releases Updated Guidance For Swing-bed Providers
IQR Specifications Manual Addendum Available

What You Need To Know This Week

  • A hearing by the Joint Committee on Administrative Rules has been scheduled for tomorrow in response to MHA’s challenge to the validity of a recently filed rule proposing to cut Medicaid reimbursement for outpatient services and drugs.
  • The state House of Representatives’ Health and Mental Health Policy Committee has scheduled a hearing tomorrow on Medicaid managed care contracting, reimbursement and provider relations.
  • Today marks the beginning of a special session that will run concurrently with the annual veto session of the Missouri General Assembly. Among other issues, it is expected that the Time Critical Diagnosis program and its funding will be on the agenda.

Regulatory News
the latest actions of agencies monitoring health care

CMS Releases Updated Guidance For Swing-bed Providers

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services recently released updated surveyor guidance for hospitals and critical access hospitals related to long-term care services, otherwise known as swing-beds. These changes are the result of updates to LTC facility requirements effective in 2017. Appendix T has been eliminated and regulations for hospitals now are located in Appendix A, under §482.58. For CAHs, the revised regulations are located in Appendix W at §485.645. The CAH Survey Module was significantly revised as well. MHA has developed a separate document to help guide members through the swing-bed survey changes.

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Quality and Population Health

IQR Specifications Manual Addendum Available

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services and The Joint Commission determined that an addendum is required for the Specifications Manual for National Hospital Inpatient Quality Measures, version 5.4a, for implementation with acute inpatient discharges effective July 1 through Dec. 31, 2018. The addendum adds Appendix A.2, reflecting ICD-10 code updates effective for Oct. 1 through Dec. 31 discharges, related to the following tables.

  • Table 7.01: Mental Disorders
  • Table 12.10: Organ Transplant During Current Hospitalization
  • Table 13.2: Drug Dependence

The updated version is available on QualityNet.

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Consider This ...

About 80 percent of deaths from premature heart disease and stroke could be prevented by changes in physical activity, diet, smoking and management of common medical conditions.

Source: Centers for Disease Control and Prevention