MHA Today | March 6, 2019

MHA Today: News for Healthcare Leaders

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March 6, 2019

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


In This Issue
MHA Opposes Legislation To Expand Authorization Of Concealed Weapons In Hospitals
CMS Issues Revised Immediate Jeopardy Conditions
MHD Corrects RHC Distant Site Telehealth Billing Requirements
Training On Medication First Treatment Of Opioid Use Disorder Available
CMS Reminds Hospitals Of HCAHPS Submission Deadline
CMS Invites Feedback On Draft eCQM Packages

Advocate
state and federal health policy developments


MHA Opposes Legislation To Expand Authorization Of Concealed Weapons In Hospitals

Staff Contact: Bill Anderson or Ted Wedel

Today, a Missouri House of Representatives committee held a hearing on House Bill 258, which would expand the settings and circumstances where concealed weapons are authorized. One change in the bill would allow those with concealed weapons permits to bring their weapons into areas of a hospital accessible to the public. Private hospitals could restrict access by adopting policies and posting signs; governmental hospitals could not. MHA expressed opposition to the measure.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Issues Revised Immediate Jeopardy Conditions

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services issued a significant revision to Appendix Q-Immediate Jeopardy of the State Operations Manual. In addition, CMS created an administrative tool to help inspectors ensure they have the evidence needed to meet immediate jeopardy status. Inspectors will use the administrative tool to clearly convey the immediate jeopardy threat, allowing providers to take the necessary action to mitigate the unsafe situation. The new Core Appendix Q and administrative tools are available on the CMS website, as well as on-demand training for surveyors and nonsurveyors.

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MHD Corrects RHC Distant Site Telehealth Billing Requirements

Staff Contact: Brian Kinkade

The MO HealthNet Division corrected previous telehealth billing guidance to clarify that rural health clinics may use either their RHC provider number or their non-RHC provider number when billing for telehealth services as a distant site provider.

Claims for distant site services previously submitted using the non-RHC provider number can be resubmitted within the timely filing guidelines by submitting claim credits against the original payment and resubmitting the claim using the RHC provider number.

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Quality and Population Health


Training On Medication First Treatment Of Opioid Use Disorder Available

Staff Contact: Shawn Billings or Tiffany Bowman

Leading experts on opioid use disorder research and treatment will speak at a one-day conference, “Medication First Treatment of Opioid Use Disorder: Models Across Care Settings.” The conference takes place Friday, May 10, in St. Louis. Speakers will present their work on low-barrier medical models of care across four settings: hospitals, primary care, corrections and street outreach. Additional details and registration is available online. Continuing education credit will be available.

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CMS Reminds Hospitals Of HCAHPS Submission Deadline

Staff Contact: Sherry Buschjost

The submission deadline for the Hospital Consumer Assessment of Healthcare Providers and Systems patient perspectives on care survey data for fourth quarter 2018 discharges (Oct. 1 – Dec. 31) is Wednesday, April 3. The Centers for Medicare & Medicaid Services strongly encourages all hospitals, whether they self-administer the HCAHPS survey or use a survey vendor, to submit data well before the deadline to allow time to address any submission issues. Inpatient Prospective Payment System hospitals participating in the Hospital Inpatient Quality Reporting Program must collect and submit HCAHPS data to qualify to receive their full Annual Payment Update. Non-IPPS hospitals must meet the same submission deadline for their data to be published on Hospital Compare.

The review and correction period is April 4 – 10, during which time participating hospitals and survey vendors have an opportunity to access and review the HCAHPS data review and correction report. The report includes a summary of the quarterly data accepted into the HCAHPS data warehouse. Errors in data accepted into the warehouse by the April 3 deadline can be corrected. New data are not accepted into the warehouse during the review and correction period.

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CMS Invites Feedback On Draft eCQM Packages

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services invites stakeholders to provide feedback on draft electronic clinical quality measure packages that include logic and header changes for eCQMs under consideration for CMS quality reporting and payment programs. The draft measures are available until Thursday, March 21. Additional information is available.

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Consider This ...

The World Health Organization listed vaccine hesitancy as one of the top 10 global health threats of 2019. Vaccination is one of the most cost-effective ways of avoiding disease — it currently prevents 2-3 million deaths a year, and a further 1.5 million could be avoided if global coverage of vaccinations improved.

Source: World Health Organization