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The Centers for Medicare & Medicaid Services (CMS) has posted quality reporting program quick reference guides for several post-acute care settings, including long-term care hospitals, inpatient rehabilitation facilities, home health agencies and hospice. The guides include frequently asked questions, information on help desks and links to additional resources.
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The House narrowly passed the Senate’s fiscal year 2018 budget resolution, House Concurrent Resolution 71, by a vote of 216-212 with 20 Republicans voting “no.” The budget resolution allows Congress to use the reconciliation process, which only requires a majority vote, to move forward on a tax reform bill that could increase the deficit by $1.5 trillion. CHA will continue to monitor tax reform legislation, expected to be unveiled in the coming weeks.
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The Centers for Medicare & Medicaid Services (CMS) has extended the deadline for hospitals to submit amended cost reports for federal fiscal years (FFY) 2014 and 2015 to account for recently issued changes to the instructions for Worksheet S-10. CMS has instructed Medicare administrative contractors to accept revised cost reports until Jan. 2, 2018. Previously, CMS required hospitals to submit this information by Oct. 31. Worksheets received by Dec. 2 will be reflected in the cost report data file that would typically be used to develop FFY proposed rules. However, if a hospital submits data after Dec. 2 but by Jan. 2, 2018, the data will be reflected in the cost report data file that is typically used to develop the FFY final rules.
CHA recently held an executive briefing, featuring faculty from Toyon Associates, to explain the revised instructions to Worksheet S-10 and provide hospitals with the information needed to make decisions on how best to position themselves to improve performance under the revised instructions. A recording of the executive briefing and additional resources on Worksheet S-10 are available on CHA’s website.
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The Centers for Medicare & Medicaid Services (CMS) has notified hospitals participating in the Comprehensive Care for Joint Replacement (CJR) Model that they must make selections to participate in either Track 1 or Track 2 of the model by Oct. 24 at 5 p.m. (PT). Track 1 of the CJR model is considered an Advanced Alternative Payment Model (APM) under requirements of the Medicare Access and CHIP Reauthorization Act (MACRA). Participation in Track 1 requires hospitals to attest to the use of Certified Electronic Health Record Technology, as defined in 42 CFR Section 414.1305, to document and communicate clinical care to their patients or other health care providers, and to submit a financial arrangement list of CJR collaborators. CJR collaborators of the Track 1 participant hospitals and the practice collaboration agents of CJR collaborators are eligible to earn a 5 percent APM incentive payment under the Quality Payment Program, provided they achieve threshold levels of participation in Advanced APMs to attain qualifying APM participant (QP) status for a year.
CMS also notes that hospitals that previously selected Track 2 participation may revise their election to Track 1. Track selection can be made by filling out the attached Excel spreadsheet and sending it to CJRSupport@cms.hhs.gov. A document providing additional instructions is attached.
Carmela Coyle began her tenure as President & CEO of the California Hospital Association, the statewide leader representing the interests of more than 400 hospitals and health systems in California, in October 2017.
Previously, Coyle led the Maryland Hospital Association for nine years, where she played a leading role in reframing the hospital payment system in Maryland and moving to a value-based methodology. Maryland is now considered a national leader in health care policy and innovation.
Prior to 2008, Coyle spent 20 years in senior policy positions with the American Hospital Association (AHA), including 11 years as the senior vice president of policy, where she served as a national media spokesperson and led AHA’s policy development and strategy planning activities. Earlier in her career, she worked for the Congressional Budget Office in Washington, D.C., advising members of Congress and their staff on the economic and budgetary implications of legislative policy.
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CHA’s annual members-only Labor and Employment Law Seminar begins Monday in Sacramento. Also held Oct. 25 in Costa Mesa, the program will cover a diverse array of topics impacting human resources personnel, legal counsel and risk managers, nursing directors and others. Participants will learn about the latest developments in wage and hour law, wrongful discharge and employment discrimination, determining exempt status for hospital information technology staff, and co-employment issues.
In addition, program faculty will discuss how to conduct effective workplace investigations and update attendees on federal and state legislation. For complete information and to register, visit www.calhospital.org/labor-employment.
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The Centers for Medicare & Medicaid Services (CMS) formally has formally withdrawn a number of proposed rules, including the Medicare Part B Prescription Drug Model that was opposed by CHA and not finalized by the Obama Administration. In addition, CMS withdrew a proposed rule that would have specified qualifications practitioners must meet to furnish and fabricate prosthetics and custom-fabricated orthotics. In comments on the proposed rule, CHA urged CMS to withdraw the proposal and is pleased to see the agency do so.
Finally, CMS also withdrew a proposed rule that would have revised certain conditions of participation for health care providers, conditions for coverage for suppliers, and requirements for long-term care facilities to revise certain definitions and patients’ rights provisions to ensure they are consistent with the Supreme Court decision in United States v. Windsor. CMS believes that a subsequent Supreme Court decision on same-sex marriage, Obergefell v. Hodges, “has addressed many of the concerns raised” in the original rule.
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FFY 2019 Uncompensated Care Payments to Come From 2014, 2015 Worksheet S-10 Data: Worksheet S-10 audits have begun for select hospitals (September 2018)
S-10 Audit Letters
CHA Executive Briefing (October 16, 2017)
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Attached are the PowerPoint slides from the October 3 CHA Member Forum on the proposed rule cancelling EPMs and making revisions to CJR.
Background
On October 6, 2014, the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) was signed into law. The Act requires post-acute care (PAC) providers — including long-term care hospitals (LTCHs), skilled-nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs) and home health agencies (HHAs) — to submit standardized data using specific reporting tools.
