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
Reminder: Provider Relief Fund Reporting Grace Period Ends Nov. 30
CHA reminds hospitals that the Provider Relief Fund (PRF) reporting grace period for Reporting Period 1 ends Nov. 30. In September, the Health Resources and Services Administration gave providers who received more than $10,000 in PRF funds between April 30 and June 30, 2020, until Nov. 30, 2021, to comply with the original reporting requirements before recouping the funds or taking […]
New ICD-10 Codes for Reporting COVID-19 Therapeutics, Vaccination Status Effective April 1
The Centers for Disease Control and Prevention will implement three new ICD-10 diagnosis codes for reporting COVID-19 vaccination status, effective April 1, 2022. Additionally, the Centers for Medicare & Medicaid Services (CMS) will implement seven new ICD-10 procedure codes for COVID-19 therapeutics and vaccines, effective April 1, 2022.
Updates for the Week of Nov. 15
The Centers for Medicare & Medicaid Services issued the following updates this week:
No Surprises Act Rule Released, Requires Health Plans to Report Prescription Drug and Health Care Spending Data
On Nov. 17, the Departments of Health and Human Services, Labor, and Treasury (tri-agencies) released an interim final rule implementing provisions of the No Surprises Act.
Hospitals Encouraged to Preview January 2022 Public Reporting Data by Nov. 18
CHA reminds providers that the deadline to preview the January 2022 public reporting hospital data released by the Centers for Medicare & Medicaid is Nov. 18. CHA encourages hospitals to thoroughly review the data, as it will be publicly reported on the Care Compare website in January 2022. The preview period is for hospitals and facilities participating in the hospital inpatient quality reporting, hospital […]
Provider Relief Fund Reporting Grace Period Ends Nov. 30
CHA reminds hospitals that the Provider Relief Fund (PRF) reporting grace period for Reporting Period 1 ends Nov. 30. In September, the Health Resources and Services Administration gave providers who received more than $10,000 in PRF funds between April 30 and June 30, 2020, until Nov. 30, 2021, to comply with the original reporting requirements before recouping the funds or taking […]
FEMA Funding for Eligible COVID-19 Costs Extended Through April 1, 2022
President Biden has announced that the Federal Emergency Management Agency will continue to provide 100% federal reimbursement for eligible costs associated with ongoing COVID-19 recovery efforts and vaccine initiatives through April 1, 2022. The funding will be available to local, state, tribal or territorial governments, and certain non-profit organizations. The policy was set to expire on Dec. 31.
Updates for the Week of Nov. 8
The Centers for Medicare & Medicaid Services issued the following updates this week:
CHA Issues Summary of CY 2022 End Stage Renal Disease PPS Final Rule
CHA has issued a members-only summary, prepared by Health Policy Alternatives, Inc., of the final rule released by the Centers for Medicare & Medicaid Services (CMS) updating the end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year 2022.
National Pledge on Billing Will Affirm CA Hospitals’ Commitment
California’s hospitals are recognized nationwide for their longstanding work to ensure that care is accessible for everyone, because our state’s hospital leaders instinctively know that health care is a basic human need.