MHA Today | March 18, 2019

March 18, 2019

MHA Today: News for Healthcare Leaders

linkedin twitter facebook
March 18, 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
MedPAC Releases March Report To Congress
MHA Releases Analysis Of Medicare ED Evaluation
CMS Announces IQR Education Session

What You Need To Know This Week

  • This week is the Missouri legislature’s annual spring recess. On Friday, MHA sent suggested topics to discuss with state lawmakers while they are home in their districts.

Regulatory News
the latest actions of agencies monitoring health care


MedPAC Releases March Report To Congress

Staff Contact: Andrew Wheeler

The Medicare Payment Advisory Commission released the March 2019 report to Congress. The report includes information about payment adequacy, recommendations for future payment adjustments, recommendations to streamline Medicare’s pay-for-performance program, and a report on incentives for prescribing opioid and non-opioid pain treatment. Highlights include the following.

  • redesign Medicare’s hospital pay-for-performance program — redesign and consolidate the Hospital Inpatient Quality Reporting, Hospital Readmissions Reduction, Hospital-Acquired Conditions and Hospital Value-Based Purchasing Programs into a single hospital value incentive program
  • hospital inpatient and outpatient services
    • increase payments by 2.8 percent
    • site-neutral payment data — focus on off-campus versus on-campus services
  • reduce home health payments by 5 percent
  • reduce inpatient rehabilitation facility payments by 5 percent
  • increase long-term care hospital payments by 2 percent
Back To Top


MHA Releases Analysis Of Medicare ED Evaluation

Staff Contact: Andrew Wheeler

MHA prepared a utilization report on Medicare fee-for-service emergency department evaluation and management coding. The report reviews Medicare ED visits resulting in an observation stay. The Medicare Payment Advisory Commission and some payers are beginning to look at emergency department E&M coding practices. This report provides a quick reference for hospitals to assess E&M distribution and benchmark results against Missouri and national trends. Policy and analytic studies are available for download to authorized users of HIDI Analytic Advantage®.

Back To Top

 

Quality and Population Health


CMS Announces IQR Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Inpatient Quality Reporting Program and Promoting Interoperability Programs is scheduled at 1 p.m. Wednesday, March 27. The presentation will provide an overview of the changes to the 2019 CMS Quality Reporting Document Architecture Category I Implementation Guide for Hospital Quality Reporting, including changes made from calendar year 2018 to 2019. It also will provide a high-level overview of updates to the Health Level Seven International base standard QRDA Category I IG and a review of available resources. Registration is required.

Back To Top

 


Consider This ...

March is National Kidney Month. It is estimated that 15 percent of U.S. adults — 37 million people — have chronic kidney disease, and nine out of 10 don't know they have it.

Source: Centers for Disease Control and Prevention