Medicare utilizes several mechanisms to pay for services
provided to their beneficiaries. Throughout the last few years, the Centers for
Medicare & Medicaid Services has begun tying payments to certain quality
metrics. The following series of on-demand webinars serve as an
educational instrument that will help the listener gain an high level of understanding
about the programs, as well as have the opportunity to listen and see
simulations about how the pay-for-performance calculations effect
payment. Each session is designed to be short in nature, typically lasting
10 minutes. The exception is the value-based purchasing 201 session,
which is about 30 minutes.
Presentation have been updated for 2019.
MHA Issue Briefs Examine Final PPS Regulations
The Centers for Medicare & Medicaid Services has issued final versions of its regulatory changes for Medicare’s fiscal year 2019 PPS. MHA has published issue briefs on the following rules.
At this site, users can search for Medicare information in the "Documents" section.
MHA has developed resources on self-assessment checklists
and Medicare Conditions of Participation
for hospitals to use in complying with Medicare regulations. MHA also has quality resource guides
for acute care hospitals, critical access hospitals and specialty services (located under the resources tab on the Quality Initiatives webpage
The Medicare Recovery Audit Contractor Program was
established by the Centers for Medicare & Medicaid Services to correct
Medicare fee-for-service payments made to providers. CMS awarded
new FFS RAC contracts as of Oct. 31, 2016. The RAC covering Region 2,
which includes the entire state of Missouri, is now Cotiviti, LLC. The
following is a listing of resources available about the RAC Program.
American Hospital Association Resources
Missouri Hospital Association Advocacy Materials – latest white paper
the U.S. Congressional Delegation