MHA Today | September 18, 2018

September 18, 2018
MHA Today: News for Healthcare Leaders

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September 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
U.S. Senate Approves Opioid Legislation
AHA Releases 340B Good Stewardship Principles
MHA Distributes Analysis To Final Rule For FFY 2019 IPF PPS
Issue Brief: CMS Proposes To Lift Unnecessary Regulations And Ease Burden On Providers
MHD Increases Reimbursement For Dental, Optical, Audiology And Therapy Services
TJC Releases Specifications Manual Addendum 2018A1


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Chargemaster Coding Updates and Implementation for 2019

Two Opportunities:
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Jefferson City, Mo.
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Advocate
state and federal health policy developments


U.S. Senate Approves Opioid Legislation

Staff Contact: Daniel Landon or Leslie Porth

The U.S. Senate approved its version of legislation concerning opioid abuse prevention and treatment. The Senate and House of Representatives are expected to convene conference committee negotiations to resolve the differences between the two versions. The major differences involve restrictions on Medicaid payments to “Institutions of Mental Disease,” and resolving discrepancies in privacy standards under HIPAA and substance abuse laws. The Senate summarized its version.

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AHA Releases 340B Good Stewardship Principles

Staff Contact: Andrew Wheeler

The American Hospital Association released new principles for ensuring good stewardship of the 340B program. AHA states that the principles “will strengthen the 340B program by increasing transparency while helping 340B hospitals better communicate the immense value of the program for vulnerable patients and communities.” The principles include the following.

  • communicate the value of the 340B program
  • disclose hospitals’ 340B estimated savings
  • continue rigorous internal oversight
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MHA Distributes Analysis To Final Rule For FFY 2019 IPF PPS

Staff Contact: Andrew Wheeler

MHA has prepared an analysis illustrating the financial effect of the final rule to the Medicare inpatient psychiatric facility prospective payment system updates for federal fiscal year 2019. In aggregate, Missouri will see an increase of 1.5 percent, amounting to $1.25 million. However, this rate increase does not take into account the Medicare sequestration payment reductions. The analysis, which is available online for authorized users of HIDI Analytic Advantage®, contains a summary for the nation, Missouri, health systems and individual hospitals. Contacts for each IPF have been notified by email with the location of these reports within HIDI Analytic Advantage®.

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Regulatory News
the latest actions of agencies monitoring health care


Issue Brief: CMS Proposes To Lift Unnecessary Regulations And Ease Burden On Providers

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services recently released a proposed rule to relieve the burden on providers by removing unnecessary, obsolete or excessive Medicare compliance requirements for facilities. MHA published an issue brief with additional details.

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MHD Increases Reimbursement For Dental, Optical, Audiology And Therapy Services

Staff Contact: Brian Kinkade

The MO HealthNet Division increased reimbursement for dental, optical, audiology and hearing aid, and therapy and rehabilitation services by 1.5 percent for dates of service on and after July 1 in accordance with the state budget adopted for fiscal year 2019. Providers will be paid the lesser of their usual and customary charge, or the MO HealthNet rate. MHD automatically will adjust paid claims for services delivered after July 1 to include the rate increase.

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Quality and Population Health


TJC Releases Specifications Manual Addendum 2018A1

Staff Contact: Sherry Buschjost

The Joint Commission released an addendum to the Specifications Manual for Joint Commission National Quality Measures. Version 2018A1 is effective with discharges beginning Oct. 1 and is available on The Joint Commission Performance Measurement System Extranet Track (PET). The addendum updates include the following.

  • Appendix A to address changes to the ICD-10 master code tables
  • sampling and data transmission sections to clarify the addition of the acute stroke ready outpatient measures
  • outpatient clinical XML file layout
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Consider This ...

A school-based survey shows nearly one in 11 U.S. students have used marijuana in electronic cigarettes, meaning 2.1 million middle and high school students have used them to get high.

Source: AP