Bulletin Board
Bulletin Board
Financial Outlook Weak as Non-Profit Hospitals Face Challenging 2021
Non-profit hospitals face numerous challenges to their financial health in 2021, according to a recent analysis by Moody’s, the bond-rating company. Among those challenges are weak cash flow caused by reduced non-urgent procedures; weak demand; a shift of patients to lower-cost, lower-revenue outpatient settings; changes in payer mix as Medicaid enrollment continues to rise and more patients lose their health insurance; and COVID-19-related expenses that continue to drive up costs. Learn more about Moody’s outlook for non-profit hospitals in 2021 in the Fierce Healthcare article “Moody’s: Not-for-profit hospitals face major [...]
Coronavirus Update for Monday, December 14
The following is the latest COVID-19 information from the federal government as 2:30 p.m. on Monday, December 14. Centers for Medicare & Medicaid Services CMS has updated its payment and HCPCS Level I CPT code structure with specific COVID-19 vaccine information. Among other things, it notes that providers should only bill the vaccine administration codes when they submit claims to Medicare and should not include vaccine product codes when the vaccines are free. CMS has updated its data on Medicare Accelerated and Advance Payments Program payments to providers. The data [...]
GAO: CMS Should Pay More Attention to States’ Financing of Medicaid
The federal government does not adequately monitor how states finance their Medicaid programs. It also lacks a sufficiently clear understanding of how they pay providers of Medicaid-covered services. These are among the conclusions in a new study on Medicaid financing and payments by the U.S. Government Accountability Office. According to the GAO report, GAO estimated that states’ reliance on provider taxes and local government funds decreased states’ share of net Medicaid payments (total state and federal payments) and effectively increased the federal share of net Medicaid payments by 5 percentage [...]
Coronavirus Update for Thursday, December 10
The following is the latest COVID-19 information from the federal government as 3:00 p.m. on Thursday, December 10. Centers for Medicare & Medicaid Services CMS has updated its FAQs for Medicare fee-for-service billing with 20 new or updated questions, all marked “12/8/2020,” that address payments for monoclonal antibody treatments and vaccines, including billing and payments for skilled nursing facilities and non-excepted off-campus provider-based departments; requirements for providing antibodies through infusion therapy; and “hospital without walls” flexibilities. Find the new and updated questions between pages 122 and 135. CMS has posted [...]
MedPAC Meets
Last week the Medicare Payment Advisory Commission met in Washington, D.C. to discuss a number of Medicare payment issues. MedPAC’s proposed Medicare 2021 payment recommendations dominated the December agenda, including: hospital inpatient and outpatient payments ambulatory surgical center payments physician and health professional payments hospice payments home health care payments inpatient rehabilitation facility payments long-term care hospital payments In addition, MedPAC discussed Medicare’s policy for transfers between post-acute-care facilities and hospice and received a staff update on the Medicare Advantage program. MedPAC is an independent congressional agency that advises Congress [...]