Medicare claim reviews have been on hold since 2019 but will soon be resuming. CHA is happy to partner with Livanta to bring members crucial information about the resumption. During this webinar, participants will learn about Medicare’s Beneficiary and Family Centered Care-Quality Improvement Organization (BFCC-QIO) Program and will be introduced to Livanta’s claim review services […]
On Friday, September 10, the U.S. Department of Health and Human Services (HHS) announced it will make available $25.5 billion in additional COVID-19 relief funding. The application portal for the additional funding will open on September 29. Additionally, the agency announced a 60-day grace period for Reporting Period 1 and provided initial details on the […]
With the hospital fee program set to expire at the end of the year, CHA is preparing to work with state officials on the development of the next program, so it can be submitted to the Centers for Medicare & Medicaid Services (CMS) for approval. Ryan Witz, CHA’s Group Vice President, Policy, will share insights on […]
The Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2022 outpatient prospective payment system (OPPS) proposed rule on July 19. CMS estimates that Medicare expenditures under OPPS will increase by $1.35 billion based on changes in the proposed rule. CMS also issued its calendar year (CY) 2022 physician fee schedule (PFS) proposed rule on July 13. CHA is hosting a members-only webinar to discuss updates to these proposed rules […]
On July 26, Gov. Newsom announced new measures to encourage state workers and health care workers to be vaccinated for COVID-19. This includes a new state public health officer order that requires health care and congregate settings, including hospitals, to ensure that unvaccinated personnel undergo at least weekly COVID-19 testing and wear appropriate personal protective equipment (PPE). The new […]
On July 1, the Departments of Health and Human Services, Labor, and Treasury (tri-agencies) released an interim final rule implementing the No Surprises Act. Beginning on Jan. 1, 2022, the Act, among other things, prohibits balance billing by limiting cost sharing to the in-network amount for: Emergency services provided by out-of-network facilities and providers Certain situations where a patient receives care from an out-of-network provider at an in-network facility […]
Crossover claim billing can be an important part of an acute psychiatric hospital’s reimbursement strategy, providing a hospital with a significant cash flow for claims that otherwise wouldn’t be paid. However, navigating the system to collect on these claims can often feel like an upstream battle. Attend this webinar to learn more about federal, state […]
On Friday (6/11), the Department of Health and Human Services (HHS) released updated Provider Relief Fund (PRF) reporting requirements. As requested by CHA and others, the revised guidance extends the time granted to recipients to use the funds. The updated reporting requirements and time frames apply to recipients of General, Targeted, and Skilled Nursing Facility and […]
How familiar are you with “white bagging?” Maybe you’ve heard of it but aren’t sure what it is or how it affects your facility. Here’s a quick explanation: white bagging means payers reimburse third-party pharmacies, which then distribute the medications to outpatient medical providers, removing your ability to make changes to a patients’ medication. This […]