Finance & Reimbursement

About Finance & Reimbursement

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.  

CMS Updates for the Week of April 12

The Centers for Medicare & Medicaid Services issued the following updates this week:​​​​ CMS Releases FY 2022 Hospital VBP Mortality and Complication Measure HSRs April 27: CMS QRDA Category I Implementation Guide Changes for CY 2021 Hospital Quality Reporting Webinar April 29: MCReF Provider Training Session Outpatient Quality Reporting Program: Claims-Detail Reports for OP-32, OP-35, […]

House Passes Extension of Medicare Sequester Moratorium Through 2021

On April 13, the House of Representatives passed legislation extending the moratorium on the Medicare sequester until the end of 2021. The sequester is a 2% reduction to all Medicare payments. The cuts were scheduled to take effect on April 1 after the moratorium initially passed in the Coronavirus Aid, Relief, and Economic Security Act […]

HRSA to Host April 13 Webinar on COVID-19 Uninsured Program

The Health Resources and Services Administration will host a webinar on April 13 at 11 a.m. (PT) on the COVID-19 Uninsured Program, which reimburses providers for testing, treating, and administering COVID-19 vaccines to uninsured individuals. More information is available in a frequently asked questions document. 

Reminder: CHFFA Survey Seeking Input from 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. 

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 […]

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 […]