MHA Today | July 20, 2020

July 20, 2020

 

MHA Today: News for Healthcare Leaders

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July 20, 2020

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


In This Issue
Clinical Lessons From The Northeast Surge
MO HealthNet To Begin Denying Outpatient Pharmacy Claims Without NDC
CMS Announces eCQM Education Session
CMS Releases HSRs For FY 2021 HAC Reduction Program

What You Need To Know This Week

  • Missouri hospitals must report COVID-19 data on bed capacity, utilization, personal protective equipment and in-house laboratory testing to the HHS TeleTracking portal daily, including on weekends. MHA has resources available.


Countdown to Aug. 4

COVID-19 Updates


Clinical Lessons From The Northeast Surge

Staff Contact: Terrie Bauer

MHA partners are invited to join the Northeast Hospital Associations and the Jefferson College of Population Health weekly to learn about approaches to, and solutions for, the clinical dilemmas that arose throughout their COVID-19 surge. Webinar sessions are limited to the first 500 attendees. Recordings of the webinars will be available to all hospitals on the Jefferson Digital Commons. The first topic, “Acute Kidney Injury and Continuous Renal Replacement Therapy for Patients in the Surge,” will be presented at 3 p.m. CST Tuesday, July 21. Registration information is available.

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Regulatory News
the latest actions of agencies monitoring health care


MO HealthNet To Begin Denying Outpatient Pharmacy Claims Without NDC

Staff Contact: Brian Kinkade or Kim Duggan

The MO HealthNet Division will begin denying outpatient pharmacy claims that do not include a National Drug Code and HCPCS codes for claims submitted on and after Sunday, Aug. 30. The requirement that outpatient pharmacy claims include an NDC has been in place for several years; however, MHD did not have the system capability to enforce the requirement in an automated manner.

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Quality and Population Health


CMS Announces eCQM Education Session

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services scheduled an outreach and education webinar for eligible hospitals, critical access hospitals, and eligible clinicians and professionals performing electronic clinical quality measure reporting for the following CMS programs.

  • Hospital Inpatient Quality Reporting Program
  • Medicare and Medicaid Promoting Interoperability Programs
  • Quality Payment Program: The Merit-based Incentive Payment System (MIPS)
  • Advanced Alternative Payment Models
  • APM: Comprehensive Primary Care Plus
  • APM: Primary Care First

The webinar, “Measure Collaborative Workspace Series - Measure Collaboration Workspace and eCQM Flows and Clinical Flow Prototype,” is scheduled at noon, Wednesday, July 29. Registration is required.

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CMS Releases HSRs For FY 2021 HAC Reduction Program

Staff Contact: Sherry Buschjost

The Hospital-Specific Report for the fiscal year 2021 Hospital-Acquired Condition Reduction Program now is available for hospital review on the QualityNet Secure Portal. The 30-day review period ends Tuesday, Aug. 18. The Centers for Medicare & Medicaid Services webinar, “Overview of the FY 2021 Hospital-Acquired Condition Reduction Program,” provides a high-level overview of the FY 2021 HAC Reduction Program, including information on program updates, scoring methodology, HSRs, and the Scoring Calculations Review and Correction process. Additional details are available.

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Consider This ...

Missouri remains one of only 13 states that have not expanded their Medicaid programs to include adults earning up to 138% of the poverty level.

Source: Jefferson City News Tribune