Finance News

The latest news and updates on federal and state hospital and health system reimbursement policies and procedures.

View OHA's monthly finance alert wrap up - By the Numbers

OHA Partners with Stakeholders to Address Behavioral Health Parity


Parity@10 is a three-year campaign to establish effective models for robust enforcement of the Mental Health Parity and Addiction Equity Act in 10 states, including Ohio, and to disseminate those models across the country. The campaign’s goal is to ensure insurance carriers and state Medicaid programs offer fully parity c Read More . . .

Important Dates for 2018 HCAP


The second and final 30-day window for all hospitals to revise their cost report data will open Monday, April 30. This will be the last time hospitals will have a chance to revise their SFY 2017 cost report data before the cost reports are considered closed. If a hospital wishes to revise its data in this 30-day window, it will be a Read More . . .

Ohio Medicaid Delays Effective Date of Proposed Recalibration, Continues Dialogue with OHA


The Ohio Department of Medicaid last month announced a proposal to recalibrate Medicaid relative weights (both APR-DRG and EAPG). ODM shared a fiscal analysis of the recalibration, which indicated this would reduce hospital payments by $84.4 million per year using 100 percent of fee-for-service pricing, and OHA hosted a March 2 Read More . . .

Senate Committee Takes Up 2 New Health Bills This Week


Barbara Sears, director, Ohio Department of Medicaid, will present an update on behavioral health integration and the Medicaid budget at Thursday's meeting of the Joint Medicaid Oversight Committee, and the Senate Health, Human Services & Medicaid Committee will hold first hearings Tuesday on bills to establish drug and medi Read More . . .

ODM Identifies Glitch in March Newborn Enrollment


OHA received confirmation from the Ohio Department of Medicaid that approximately 2,500 newborns were not enrolled in their mother’s managed care plan for their date of birth if they were both born and scheduled to be enrolled during the month of March. ODM identified the system glitch affecting this population and fixed the p Read More . . .

OHA Reminds Hospitals of Medicaid Reimbursement for Private Rooms


While Ohio Medicaid allows reimbursement for private rooms, OHA has learned many providers are not seeking reimbursement by billing for the services on claims under the following conditions:When a private room is medically necessaryWhen a hospital has no semi-private roomWhen the patient chooses a private room and agrees, in advance Read More . . .

Archive Copy: April 10 OHA Webinar on Medicaid Hospital Reimbursement 101, Franchise Fee Update


OHA’s Health Economics and Policy Team hosted a webinar April 10, " Medicaid Hospital Reimbursement 101, Franchise Fee Update." An archive copy of the webinar is available here. A copy of the PowerPoint presentation for the session is available here.  Read More . . .

CMS Hosting Webinar on overview of the Hybrid Hospital-Wide 30-Day Readmission Measure


The Centers for Medicare & Medicaid Services  will host a webinar, "Hospital Inpatient Quality Reporting (IQR) Program CY 2018 Voluntary Reporting: Hybrid Hospital-Wide 30-Day Readmission Measure Overview" from 2-3 p.m. April 18. This presentation will provide participants with an overview of the hybrid 30-da Read More . . .

Join Us for the 2018 OHA Annual Meeting & Education Summit


Join members of the Ohio hospital community June 4-6 in Columbus for the 103rdAnnual Meeting and Education Summit. The three-day event features more than 80 education sessions, keynote presentations by national leaders and special recognition events. The conference offers approved contact hours for many disciplines, including an Am Read More . . .

EAPG, Budget Monitoring Project Quarterly Reports Releasing in April


The Ohio Hospital Association has been working closely over the past few months with interested hospitals to participate in the EAPG and Ohio Medicaid budget monitoring project. OHA and BKD are on schedule to produce summary reporting for the first two quarters of monitoring later this month and will be reaching out to participating Read More . . .

CMS Releases FAQ on 340B


CMS on April 2 released a seven-page 340B fact sheet that clarifies the $1.6 billion in cuts and how to properly bill using the JG and TB on 340B drugs. The FAQ outlines specific directives impacting 340B reimbursement, depending on each hospital’s Medicare hospital type designation and if hospital outpatient drugs a Read More . . .

340B Drug Ceiling Price Rule Delayed


The Health Resources and Services Administration is expected to propose a further delay in the effective date of a final rule on drug ceiling prices and civil monetary penalties for manufacturers in the 340B drug savings program, according to a notice under review at the Office of Management and Budget. The previous delay set July Read More . . .

OHA Group Defines Metrics to Measure Telehealth Effectiveness


As evidenced by the successful innovation and intervention happening in hospitals across our state, telehealth is providing increased access to care, lowering costs and improving patient satisfaction and clinical outcomes for Ohioans. However, according to the new Hospital Insights published by the Ohio Hospital Association, there a Read More . . .

Ohio Medicaid Proposes Hospital Inpatient/Outpatient Recalibration


During a March 22 meeting with OHA's team, Ohio Department of Medicaid staff and department consultants from Burns & Associates outlined their proposal to recalibrate Medicaid relative weights (both APR-DRG and EAPG weights) to be effective July 1. They also shared a fiscal analysis of the recalibration, which indicated Read More . . .

Register for Medicaid Hospital Reimbursement 101, Franchise Fee Update Webinar


Join the Ohio Hospital Association Health Economics & Policy Team for a webinar covering Ohio Medicaid’s reimbursement programs and a Franchise Fee update 10 a.m. to noon (ET) April 10.  OHA Members may register for the webinar by clicking here. the webinar is free to OHA members. A recording  Read More . . .

CGS Introduces Comparative Billing Report


CGS has introduced the Comparative Billing Report for hospitals via the myCGS Web portal, . The CBR shows providers/suppliers their specific billing pattern data in comparison to peer groups within the state and the CGS jurisdiction. CGS intends the information to be helpful in conducting education and self-audit activity Read More . . .

Buckeye Health Plan Updates On Behavioral Health, EAPGs and TeleHealth!


Buckeye Health Plan met with OHA’s Admitting, Billing & Collection Committee on March 21 and presented updates on Buckeye’s continued focus to support the state of Ohio through their multiple product lines: Medicaid, Medicare, MyCare, Ambetter and Medicare Advantage products. Buckeye updated the ABC Committee on the Read More . . .

ODM Says MITS Fixes Back on Schedule for March 21


The Ohio Department of Medicaid updated OHA that the implementation date for the following MITS fixes will now be implemented on March 21. ODM is fixing:   Incorrect duplicate denials within and across dates of service for pharmaceutical details on outpatient invoice claimsOutpatient crossover claims are not correctly calcula Read More . . .

ODM Guidelines for Hysterectomy, Sterilization and Abortion Certification Forms Published


The Ohio Department of Medicaid on March 14 published its guidance to complete: DM 03197, "Abortion Certifiction Form"ODM 03199, “Acknowledgement of Hysterectomy Information”here for the guidance information. U.S. Department of Health and Human Services Form HHS-687, “Consent for Sterilization&r Read More . . .

Archive Copy: March 13 OHA, KEPRO Webinar on Ohio Medicaid’s Program Integrity Contractor


OHA and KEPRO hosted a webinar March13, "KEPRO: Ohio Medicaid’s Program Integrity Audit Update." An archive copy of the webinar is available here. A copy of the PowerPoint presentation for the session is available here.  Read More . . .

 |<  < 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10  >  >| 
Displaying results 1-20 (of 217)
© 2018 The Ohio Hospital Association. All Rights Reserved.