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
CHA has issued a members-only summary, prepared by Health Policy Alternatives, Inc., of the proposed rule detailing the enforcement provisions related to the No Surprises Act
CHA has issued a detailed summary of the federal fiscal year (FFY) 2022 inpatient prospective payment system (IPPS) final rule. The policy and payment provisions in the final rule are effective for FFY 2022 discharges, beginning Oct. 1.
CHA has submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the calendar year 2022 outpatient prospective payment system (OPPS) proposed rule.
CHA has submitted comments on a request for information on the burden associated with COVID-19 Provider Relief Fund (PRF) reporting released by the Health Resources and Services Administration (HRSA). Comments are due to HRSA by 2 p.m. (PT) on Sept. 24 and should be emailed to [email protected]
The Centers for Medicare & Medicaid Services issued the following updates this week:
On Sept. 10, the U.S. Department of Health and Human Services (HHS) announced it will make available $25.5 billion in additional COVID-19 Provider Relief Funds. To detail the updates to the fund, CHA will host a complimentary, members-only webinar on Sept. 27 from 9 to 10 a.m. (PT).
CHA has issued a members-only summary, prepared by Health Policy Alternatives, Inc., of the federal fiscal year (FFY) 2022 long-term care hospital (LTCH) prospective payment system final rule issued by the Centers for Medicare & Medicaid Services. The policy and payment provisions in the final rule are effective for FFY 2022 discharges, beginning Oct. 1.
The Centers for Medicare & Medicaid Services (CMS) announced it is rescinding prior audit denials for hospitals that failed to qualify for the “mid-build exception” to the site-neutral payment policy. CMS will review each previously failing provider’s audit findings for compliance with statutory requirements, as well as for accuracy and completeness.
CHA has issued a members-only copy of draft comments on the calendar year (CY) 2022 outpatient prospective payment system (OPPS) proposed rule. CHA encourages members to use the draft as a template for their own comments, which are due to the Centers for Medicare & Medicaid Services (CMS) by 2 p.m. (PT) on Sept. 17.