The California Department of Public Health has issued All Facilities Letter 19-01 reminding hospitals of the new law requiring that they try to coordinate homeless patients’ discharge to appropriate area shelters or other community-based services. To help hospitals comply with the law, CHA has developed a guidebook titled Discharge Planning for Homeless Patients.
Noridian has placed Medicare Part A claims with dates of service on or after Jan. 1, 2019, on a 15-day hold while pricing files are installed into the Fiscal Intermediary Shared System. The hold will allow claims to be verified for correct pricing to ensure proper payment. All claims held during this time will be released no later than Jan. 15.
CHA DataSuite has issued hospital-specific analyses intended to show providers how Medicare fee-for-service payments will change from calendar year (CY) 2018 to 2019 based on the CY 2019 Medicare home health prospective payment system final rule.
The Centers for Medicare & Medicaid Services (CMS) has issued Part I of its 2020 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part D Payment Policies, including proposed updates to the risk adjustment model for capitated payments for MA plans, as required by the 21st Century Cures Act.
Last week, a federal judge ruled that the Department of Health and Human Services (HHS) exceeded its authority in the 2018 outpatient prospective payment system (OPPS) by substantially reducing reimbursements under the 340B Drug Pricing Program.
A new law that takes effect in 2020 requires all physicians obtaining a California license to have at least three years of post-graduate training, rather than the current one year of training.
The California Department of Public Health reminds health care providers that, effective Jan. 1, they must make plant-based meal options — without meat, poultry, fish, dairy or eggs — available to patients, in accordance with their physician’s orders. For more information about the law, see page 15 of CHA’s 2018 Report on Legislation.
The Centers for Disease Control and Prevention has updated its health alert addressing a multistate outbreak of coagulopathy — a bleeding disorder that impacts the way blood clots — that has been linked to synthetic cannabinoid use.
The Centers for Medicare & Medicaid Services (CMS) has issued a rule finalizing significant changes to the Medicare Shared Savings Program (MSSP), intending to accelerate the timeline for accountable care organizations (ACOs) to take on downside risk.
CHA has issued a summary of the Centers for Medicare & Medicaid Services’ final rule addressing rate updates and policy changes to the Medicare outpatient prospective payment system (OPPS) and ambulatory surgical center payment system for calendar year (CY) 2019.