Even before the COVID-19 pandemic, many California hospitals’ financial situations were challenging — nearly 40% operated in the red. Hospitals strive to contain costs while delivering essential care to their communities in the most cost-effective manner. CHA provides direction to hospitals on the diverse issues that affect their financial performance, and advocates for them to ensure that much-needed programs retain their funding. In addition, CHA offers tools such as DataSuite to help hospitals analyze government reimbursement changes, and the potential impact of regulatory and legislative actions on hospitals.
About Finance & Reimbursement
CMS Updates for the Week of April 5
The Centers for Medicare & Medicaid Services issued the following updates this week: Hospital Quality Reporting User Experience Feedback Sessions CMS Skilled Nursing Facilities/Long Term Care Open Door Forum — April 15, 11 a.m.-noon (PT) Dial: (888) 455-1397; Conference Passcode: 8604468 PEPPERs for LTCHs, CAHs, IRFs, IPFs, Hospices, & SNFs Hospice Aide Services: Enhancing RN […]
Learn about OSHPD Supplier Diversity Requirements During CHA Webinar
On April 22 from 1:30 to 2:30 p.m. (PT), CHA will host a complimentary, members-only webinar on how to comply with the new Office of Statewide Health Planning and Development (OSHPD) supplier diversity regulations. The statutes require hospitals to report on their minority, women, LGBT, and disabled-veteran business enterprise procurement efforts by July 1.
Medi-Cal SNF Rates Updated
The Department of Health Care Services (DHCS) has updated Medi-Cal rates for hospital-based skilled-nursing facilities (SNFs). Rates for the 2020-21 rate year, which began Aug. 1, were implemented for dates of service effective March 22. DHCS has informed CHA that retroactive adjustments to the beginning of the rate will be made in early June. Additional information is available […]
CMS Issues FY 2022 Inpatient Rehabilitation Facility Prospective Payment System Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) has issued its fiscal year (FY) 2022 inpatient rehabilitation facility (IRF) prospective payment system (PPS) proposed rule. Comments on the proposed rule are due by 2 p.m. (PT) on June 7.
CMS Issues FY 2022 Inpatient Psychiatric Facility Prospective Payment System Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) has issued its proposed rule updating the inpatient psychiatric facility (IPF) prospective payment system (PPS) for fiscal year (FY) 2022. Comments on the proposed rule are due by 2 p.m. (PT) on June 7.
Public Comment Period for CalAIM Demonstration Ends May 6; Two Public Hearings Scheduled
The Department of Health Care Services (DHCS) has begun a 30-day public comment period for the California Advancing & Innovating Medi-Cal (CalAIM) Section 1115 demonstration (or waiver). It began on April 6 and will end on May 6. The public comment materials can be found on the CalAIM 1115 Demonstration & 1915(b) Waiver web page. […]
Supply Chain Diversity – How to Comply with New OSHPD Statutes Webinar
CMS Recoupment of Medicare Advanced Payments Began March 30
Claims recoupment for providers that received a Medicare Advanced and Accelerated Payment (AAP) will begin on the one-year anniversary from the date the provider received the payment. The Centers for Medicare & Medicaid Services (CMS) recently announced that the earliest recoupments for the first providers to receive an AAP payment began on March 30. In […]
Updates for the Week of March 29
The Centers for Medicare & Medicaid Services issued the following updates this week: Hospital Outpatient Quality Reporting Checklist May 2021 Quarter 4 2020 Hospital Outpatient Quality Reporting Clinical Data Due May 3 Submission of Calendar Year 2020 Outpatient Web-based Measure Data Due May 17 Medicare Part A Cost Report: Easier File Uploads for e-Filing in […]
CHFFA Issues Survey for Eligible Hospitals
The California Health Facilities Financing Authority (CHFFA) has convened a COVID-19 Task Force comprised of health facility association representatives as well as financing team members (including bond counsels, underwriters, and financial advisors) who have worked on previous CHFFA debt financings.