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CMS Provides Guidance on Medicaid DSH Calculations

State Medicaid program accounting for hospital uncompensated care when calculating hospital-specific Medicaid disproportionate share limits is the subject of new guidance from the Centers for Medicare & Medicaid Services. In the guidance, the Centers for Medicare & Medicaid Services explains that because of several court rulings, states can decide for themselves whether to offset third-party payer payments from costs in their Medicaid DSH calculations for periods prior to June 2, 2017 but that beginning with that date,  CMS will enforce its own interpretation of the policy. In new guidance, CMS presents two methodologies for accounting for its mid-year policy change [...]

Feds Delay Stark Rule, Anti-Kickback Update

An update of regulations that limit the ability of doctors to refer patients for care to sources in which those doctors have a financial interest will wait as long as another year, according to the Centers for Medicare & Medicaid Services. CMS had previously proposed regulations updating current guidelines, essentially easing them, but provider comment was so great – often, saying that the easing of the guidelines did not go far enough – that the agency decided to step back and review the situation. In a public inspection version of a notice to be published in the Federal Register, CMS [...]

Coronavirus Update for Thursday, August 27

The following is the latest COVID-19 information from the federal government as of 2:30 p.m. on Thursday, August 27. Centers for Medicare & Medicaid Services CMS has provided new guidance on completing Medicare reports: specifically, how providers should report Provider Relief Fund payments, uninsured charges reimbursed through the uninsured program administered by HHS’s Health Resources and Services Administration, and Small Business Administration loan forgiveness amounts.  The new information can be found in CMS’s updated COVID-19 FAQ on Medicare fee-for-service billing, in questions 2 through 8 on pages 99-102. The Families First Coronavirus Response Act waives cost-sharing under Medicare Part B [...]

2020-08-28T06:00:39-04:00August 28, 2020|Coronavirus, COVID-19|

Coronavirus Update for Wednesday, August 26

The following is the latest COVID-19 information from the federal government as of 2:30 p.m. on Wednesday, August 26. Provider Relief Fund The deadline to apply for General Distribution Phase 2 Provider Relief Funds for Medicaid, CHIP, dental, and certain Medicare providers, previously this Friday, August 28, has been extended to September 13.  Entities that received payments from the initial $30 million distribution and the subsequent $20 million distribution are eligible to apply for additional funding if those payments do not equal at least two percent of their annual net patient revenue.  Go here for information about the extension of the application deadline and [...]

2020-08-27T06:00:23-04:00August 27, 2020|Coronavirus, COVID-19|

Coronavirus Update for Monday, August 24

The following is the latest COVID-19 information from the federal government as of 2:30 p.m. on Monday, August 24. Provider Relief Fund:  A Reminder The deadline to apply for General Distribution Phase 2 Provider Relief Funds for Medicaid, CHIP, dental, and certain Medicare providers is this Friday, August 28.  Entities that received payments from the initial $30 million distribution and the subsequent $20 million distribution are eligible to apply for additional funding if those payments do not equal at least two percent of their annual net patient revenue.  Go here for information about eligibility and how to apply.​ Department of Health and Human Services [...]

2020-08-25T06:00:14-04:00August 25, 2020|Coronavirus, COVID-19|

Coronavirus Update for Friday, August 21

The following is the latest COVID-19 information from the federal government as of 3:00 p.m. on Friday, August 21.  Centers for Medicare & Medicaid Services CMS had updated its COVID-19 emergency declaration blanket waivers and flexibilities for health care providers. Among those flexibilities, CMS has postponed the September 1, 2020 deadline to submit wage index reclassification applications to the Medicare geographic classification review board  due to COVID-19. The deadline has been pushed back until 15 days after the public display date of the FY 2021 IPPS/LTCH final rule by the Office of the Federal Register. See page 10 for details. [...]

2020-08-24T06:00:11-04:00August 24, 2020|Coronavirus, COVID-19|

Coronavirus Update for Wednesday, August 19

The following is the latest COVID-19 information from the federal government as of 3:00 p.m. on Wednesday, August 19. Provider Relief Fund HHS has updated its Provider Relief Fund FAQ with five new questions that which address the application process for the new children’s hospital and safety-net providers targeted distribution. The new questions can be found on pages 30, 31, 41, and 42 of the FAQ; new questions and answers are dated 8/17/2020 and 8/18/2020.   Department of Health and Human Services HHS has issued a third amendment under the Public Readiness and Emergency Preparedness Act (PREP Act) to expand [...]

2020-08-20T06:00:26-04:00August 20, 2020|Coronavirus, COVID-19|

Coronavirus Update for Friday, August 14

The following is the latest COVID-19 information from the federal government as of 2:30 p.m. on Friday, August 14. Provider Relief Fund HHS announced that it will distribute $1.4 billion in CARES Act Provider Relief Fund grants to nearly 80 free-standing children’s hospitals.  Qualifying children’s hospitals must be either an exempt hospital under CMS’s Medicare inpatient prospective payment system or be a HRSA-defined Children’s Hospital Graduate Medical Education facility.  Eligible hospitals will receive 2.5 percent of their net revenue from patient care.  Qualifying free-standing children’s hospitals will begin receiving grants next week.  Learn more from this HHS news release. Department [...]

2020-08-17T06:00:42-04:00August 17, 2020|Coronavirus, COVID-19|

Health Care Workers Inadequately Protected by March Legislation

Many health care workers sickened by COVID-19 are not receiving the paid sick leave anticipated by a federal law passed in March, according to a new report by the U.S. Department of Labor’s Office of the Inspector General. Under the Families First Coronavirus Response Act, new protections were to be established to ensure that health care workers and others had access to additional paid sick leave for COVID-19-related illnesses.  According to the OIG, however, the Labor Department’s stated exemptions to the March law are overly broad, leaving as many as nine million health care workers without the paid sick leave [...]

2020-08-14T06:00:58-04:00August 14, 2020|Congress, Coronavirus, COVID-19|

Coronavirus Update for Tuesday, August 11

The following is the latest COVID-19 information from the federal government as of 2:30 p.m. on Tuesday, August 11. Provider Relief Fund Eligible providers may now apply for Provider Relief Fund phase 2 general distributions. These are providers that are being given another opportunity to receive Provider Relief Fund payments after missing the June 3, 2020 deadline to apply for funding equal to two percent of their total patient care revenue from the $20 billion portion of the $50 billion phase 1 general distribution; this group also includes Medicaid, Children's Health Insurance Program (CHIP), dental providers with low Medicare revenues, [...]

2020-08-12T06:00:23-04:00August 12, 2020|Coronavirus, COVID-19|
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