MHA Today | April 5, 2019

April 5, 2019
MHA Today: News for Healthcare Leaders

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April 5, 2019

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


Herb Kuhn, MHA President & CEO Next week, a group of hospital leaders will be in Washington, D.C., to attend the American Hospital Association Annual Meeting and meet with members of Missouri’s congressional delegation and their staff. There are several items on our agenda — including discussion of policies that would help hospitals and those that we want lawmakers to oppose. Meeting with lawmakers and their staff helps us translate national policy decisions into real world examples of how their actions influence our ability to serve Missouri’s communities.

That last line is important.

This week, in partnership with the Missouri Foundation for Health, MHA updated the exploreMOhealth website. With the growing demands on hospitals to demonstrate community health improvement and improved population health management, better data means better and more targeted investments. The site helps hospitals understand the social determinants of health that often lead to poor health outcomes, and helps inform data-driven community health needs assessments.

The April version of HIDI HealthStats “Miles Away, Worlds Apart: Assessing Community Health Needs with exploreMOhealth,” delves into the makeup of the site, and provides examples of how a hospital, health system and stakeholder organization are engaging with the content.

Although the target audience remains health improvement stakeholders, the site is designed for all audiences. Users can easily identify their county’s top health concerns while viewing the top- and bottom-ranked ZIP codes within the county. They also can identify the most pressing health and social issues within those top and bottom ranked ZIP codes and where a community ranks against other ZIP codes statewide. Obviously, there must be a top and bottom ZIP code for ranking purposes. Less obviously, often these extremely disparate ZIP codes are within miles of one-another. An understanding of this micro-geographic variation allows hospitals to shift community-based improvement from broad generic programs with minimal reach and impact to specific programs for targeted ZIP codes and populations.

As the health care system demands more from hospitals, these are the types of tools we’ll need to demonstrate our ability to identify, target and deliver value.

At the same time, as policymakers work to increase the value of the health system, it’s also fair to ask them to support policies that provide the revenue and innovation space needed to help in systemwide transformation. In our discussions, we’re going to be underscoring the importance of the 340B prescription drug discount program and warning that substantial cuts to the Medicaid disproportionate share hospital payment system will harm safety net care.

We’ll be sharing information about regulatory oversight as well. Our region has been overrepresented in immediate jeopardy citations, and — as with advocacy on behalf of workplace violence — we need federal regulators to set and consistently enforce fair and clearly defined standards.

Finally, Missouri’s delegation — especially Sen. Roy Blunt — has been very helpful in delivering policies and resources to address the behavioral health and opioid crisis in the state. We’ll be providing updates and thanking them for their ongoing support.

What happens in Washington, D.C., is important because it influences how hospitals care for communities they serve. Tools like the exploreMOhealth website allow us to better understand health needs at the hyper-local level. And, they make it clear that new thinking about the causes of poor health, and better policies that retool hospitals and other stakeholders to address those causes, are needed.

That’s what we’ll be talking about next week.

Let me know what you think.

P.S. — Sen. Blunt will address the AHA Annual Meeting next week. We’ll update you on his remarks in MHA Today.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
CMS Issues Bad Debt Accounting Classification For Medicare-Medicaid Crossover
MLN Connects Provider eNews Available
CMS Announces OQR Education Session

Regulatory News
the latest actions of agencies monitoring health care

CMS Issues Bad Debt Accounting Classification For Medicare-Medicaid Crossover

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services issued instructions about correctly classifying unpaid deductible and coinsurance amounts for Medicare-Medicaid crossover claims. These instructions are effective for cost reporting periods beginning on or after Oct. 1, 2019. They state, “Providers claiming Medicare bad debt must meet 42 CFR 413.89 and all requirements from Chapter 3 of the Provider Reimbursement Manual. Correctly classify unpaid deductible and coinsurance amounts for Medicare-Medicaid crossover claims in your accounting records. For bad debt amounts:

  • Do not write off to a contractual allowance account.
  • Charge to an expense account for uncollectible accounts (bad debt).

Effective for cost reporting periods beginning on or after Oct. 1, providers must comply with these longstanding Medicare bad debt requirements.”

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services issues updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • New Part D policies address opioid epidemic
  • Open payments: review and dispute data by May 15
  • Qualified Medicare beneficiary billing requirements
  • Medicare-Medicaid crossover bad debt accounting classification
  • PEPPERs for hospices, LTCHs, SNFs, IRFs, IPFs and CAHs

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Quality and Population Health

CMS Announces OQR Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Outpatient Quality Reporting Program has been scheduled on Wednesday, April 17. The webinar, “Checking All the Boxes: Ensuring a Successful Submission,” is offered at 9 a.m. and 1 p.m. Registration is required.

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Did You Miss An Issue Of MHA Today?

April 1, 2019
Updated exploreMOhealth Data Available For 940 Missouri ZIP Codes
MHA Releases Medical Marijuana Resources
HIDI Releases First Quarter FFY 2019 Inpatient, Outpatient, Databases
CMS Posts Resources For CY 2019 eCQM Reporting Period

April 2, 2019
Infection Control Legislation Advances
Senate Committee Considers CNA Training Changes
Legislators Review Medicaid Restrictions On Anti-Psychotic Drugs
MHA Releases Enacted And Possible Additional Medicare Cuts Analysis
Medicare Advantage And Part D Rate Announcement, Final Call Letter Available
CMS Releases 4Q2018 Submission Checklists

April 3, 2019
Senate Postpones Medicaid Managed Care Reform Hearing
GAO Finds Limited Research On Costs Of Untreated Behavioral Health Conditions
MHA Announces Approaching Award Deadlines
Black River Medical Center To Convert To Urgent Care Center
DEA Announces National Drug Takeback Day

April 4, 2019
Senate Committee Advances PDMP Legislation
Prompt Credentialing Legislation Advances
CMS Issues Bad Debt Accounting Classification For Medicare-Medicaid Crossover
Analysis Of S-10 Data And Medicare DSH Implications Available
CMS Provides Outpatient Claims Detail Reports
TJC Announces Direct Data Submission Webinar
BNDD Promotes National Drug Takeback Day

Consider This ...

In data collected by the Centers for Disease Control and Prevention there has been an annual increase in measles cases. Last year, 15 states, Missouri included, reported a total of 372 measles cases. As of March 14, the same states reported 268 cases.

Source: AP