MHA Today | July 22, 2020

July 22, 2020
MHA Today: News for Healthcare Leaders

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July 22, 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
CMS To Resume Audits Beginning Aug. 3
CMS Cancels Claims Detail Reports For Certain Measures
Revised Privacy Protections Modernize Care Coordination For Americans Seeking SUD Treatment
Boone Hospital Center Names New CEO
Mercy Hospital Lebanon Names New Administrator



VIRTUAL SPEAKER SERIES — COMPLIMENTARY
Leadership and Resilience: Beyond COVID-19
All events will be held every other Thursday from noon to 1 p.m. until Sept. 17. Registration is limited to the first 300 participants. Recordings will be available for two weeks after the event for those unable to attend the live event.

UPCOMING TOMORROW — Thursday, July 23
The Post-COVID Health Care Landscape: Implications for Strategy

Speaker: Jeff Goldsmith

 

 

Countdown to Aug. 4

 

COVID-19 Updates


COVID-19

For the latest updates and most current information on coronavirus disease 2019, visit MHA's website.



Regulatory News
the latest actions of agencies monitoring health care


CMS To Resume Audits Beginning Aug. 3

Staff Contact: Andrew Wheeler

Because of the COVID-19 pandemic, the Centers for Medicare & Medicaid Services announced in March that auditing health care providers’ Medicare claims would be suspended. The suspension included pre- and post-payment medical reviews by the Medicare Administrative Contractors, Supplemental Medical Review Contractors and Recovery Audit Contractors. CMS released a notice that the auditing process will resume on Monday, Aug. 3.

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Quality and Population Health


CMS Cancels Claims Detail Reports For Certain Measures

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services canceled the release of September 2020 claims detail reports for the following measures, including some newly reported measures.

  • Colonoscopy (ASC-12), Orthopedic Surgery (ASC-17), and Urology Surgery (ASC-18) measures for calendar year 2022 payment determination under the Ambulatory Surgical Center Quality Reporting Program
  • Colonoscopy (OP-32), Chemotherapy (OP-35) and Hospital Outpatient Department Surgery (OP-36) measures for CY 2022 payment determination under the Outpatient Quality Reporting Program

The decision to cancel the release of the September 2020 CDRs does not impact future CDR or facility-specific report releases for the measures and payment determination years described above. Additional details are available.

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Revised Privacy Protections Modernize Care Coordination For Americans Seeking SUD Treatment

Staff Contact: Shawn Billings

The 42 CFR Part 2 regulations have been revised to advance the integration of health care for individuals with substance use disorders while maintaining critical privacy and confidentiality protections. More information can be found on this fact sheet and by joining an upcoming webinar, “Best Practices in Navigating HIPAA and 42 CFR Part 2: A Client, Family and Organizational Perspective.” The webinar is Thursday, July 30 at 1 p.m. CST. Registration is required.

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CEO Announcements


Boone Hospital Center Names New CEO

Staff Contact: Carol Boessen

Troy Greer has been named CEO of Boone Hospital Center in Columbia, effective Tuesday, Sept. 1. Greer currently is CEO of Lovelace Medical Center and Heart Hospital in Albuquerque, N.M., where he has worked since 2007. Greer will succeed Jim Sinek, who is retiring Dec. 31, after having served as president since August 2013. Greer will be working with the Boone Hospital Center trustees as they continue planning for the departure from BJC and the establishment of an independent hospital. Sinek will remain the BJC President of Boone Hospital Center overseeing day-to-day operations through BJC’s lease which ends Dec. 31. A list of CEO changes is available online.

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Mercy Hospital Lebanon Names New Administrator

Staff Contact: Carol Boessen

Nicki Gamet was named Administrator at Mercy Hospital Lebanon effective July 20. Gamet has served as Administrator at Mercy Hospital Aurora and Cassville since December 2017 and will continue in those roles until a successor is named. She replaces Brent Hubbard at Lebanon who had been serving as Interim Administrator and returns to his permanent role as President of Mercy Hospital Springfield. A list of CEO changes is available online.

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Consider This ...

Currently in Missouri, adults with dependent children only are eligible for Medicaid if their household income doesn’t exceed 22% of poverty level. This is about $381 a month for a family of three.

Source: HealthInsurance.org