Menu

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
 

Register Today for ODM’s Ohio Comprehensive Primary Care Webinar

08/17/2018

The Ohio Department of Medicaid will host a webinar about the Ohio Comprehensive Primary Care program at 11:30 a.m. Aug. 30 at 11:30. This webinar will include general information about Ohio CPC, as well as details about changes to the program for 2019 and information about upcoming enrollment.  Click here to register. After r Read More . . .

ODM Offers Webinar Series on Episodes, Register Today

08/15/2018

The Ohio Department of Medicaid is hosting a series of webinars on episodes. These webinars will cover a variety of topics that may be useful for principal accountable providers:   Wednesday, Aug. 29, 10-11 a.m. – Update on the Episodes programWednesday, Sept. 26, 10-11 a.m. – Update on Episode reportsTuesday Read More . . .

Archive Copy: Aug. 14 OHA KEPRO Retrospective Claims Review Update Webinar

08/14/2018

OHA’s Health Economics & Policy team on Aug. 14 hosted a webinar, "KEPRO Retrospective Claims Review Update." An archive recording of the webinar is available here along with a copy of the KEPRO presentation.   Please contact Shawn.Stack@ohiohospitals.org with questions. Read More . . .

Comments Due by Aug. 22 on Proposed ODM Rule on Release of Medical Information

08/10/2018

The Ohio Hospital Association is seeking comments on the Ohio Department of Medicaid's new proposed rule and Standard Authorization Forms for the release of medical information from covered entities. For the past several months, the Governor's Office of Health Transformation and ODM have been working on an initiative to cre Read More . . .

Ohio Medicaid Updates Outpatient Hospital Behavioral Health Diagnosis Code List Online

08/10/2018

The Ohio Department of Medicaid’s Policy Team rolled out an updated diagnosis code list today. The new list located here, with a revision date of Aug. 10, 2018, includes a number of new ICD-10CM codes the department updated to be acceptable when providing and billing outpatient hospital behavioral health services. Read More . . .

CareSource Continues Focus on Operational Updates to OHA

08/09/2018

CareSource leadership on Aug. 9 provided further updates on a comprehensive list of outstanding issues OHA has been working on with Ohio’s largest Medicaid managed care payer. The core issues include claim processing breakdowns, covered service discrepancies, inappropriate denials, authorization issues surrounding medical Read More . . .

2018 HCAP Delay

08/09/2018

OHA has been informed by the Ohio Department of Medicaid that assessments and distributions for 2018 HCAP are expected to be delayed until mid-November. The delay is the result of the rule change for rural designation - a hospital will only be considered rural if it exists in a rural county. ODM does not have new dates for assessmen Read More . . .

OHA Publishes Final CY 2019 Medicare IPPS Payment Rule Brief

08/08/2018

The final calendar year 2019 payment rule for the Medicare Inpatient Prospective Payment System was released on Aug. 2. The proposed rule includes annual updates to the Medicare fee-for-service inpatient payment rates as well as regulations that implement new policies. The proposed rule includes:   A rate increase amount (+0. Read More . . .

Member Alert - OHA Transparency Update

08/08/2018

The Ohio Hospital Association filed a lawsuit in December 2016 to prevent an unworkable state law imposing new hospital price transparency requirements from becoming effective in January 2017. To date, OHA has succeeded in preventing the law from going into effect.  The initial court order issued on Dec. 22, 2016 preventing th Read More . . .

Don’t Miss OHA’s Annual Medicare, Medicaid Update Seminar

08/08/2018

Hospital executives, in-house counsel, auditors, controllers and reimbursement and patient financial services team members are invited to attend the “Medicare and Medicaid in 2019” seminar Sept. 20 in Columbus. Please note this seminar was formerly known as the Larry and Larry Show.   Each fall, OHA presents a sem Read More . . .

CMS Releases Final FY 2019 Hospital IPPS Rule

08/03/2018

The Centers for Medicare & Medicaid Services released its Hospital Inpatient Prospective Payment System final rule for fiscal year 2019 on Aug. 2. The rule will increase rates by 1.85 percent in FY 2019 compared to FY 2018, after accounting for inflation and other adjustments required by law. The final rule includes an ini Read More . . .

CMS Releases Final FY 2019 LTCH PPS Rule

08/03/2018

The Centers for Medicare & Medicaid Services released its Long-Term Care Hospital Prospective Payment System Final Rule for fiscal year 2019 on Aug. 2 that will take effect on Oct. 1. The rule will increase rates by a net of 1.0 percent ($35 million), while payment rates for site-neutral cases will increase by a net of 0.4 perc Read More . . .

CMS Releases Final FY 2019 Hospice Rule

08/03/2018

The Centers for Medicare & Medicaid Services released its Hospice Final Rule for FY 2019 on Aug. 2 that will take effect on Oct. 1. The rule will increase both aggregate hospice payments and the statutory annual cap by 1.8 percent ($340 million) from FY 2018 levels, based on a hospital market-basket update of 2.9 percent, minus Read More . . .

CMS Publishes CY 2019 Medicare IRF Facility Payment Final Rule

08/02/2018

The Centers for Medicare and Medicaid Services released the federal fiscal year 2019 final payment rule for the Inpatient Rehabilitation Facility Prospective Payment System on July 31.  The final rule reflects the annual update to the Medicare fee-for-service IRF payment rates and policies. A copy of the final rule Federal Reg Read More . . .

OHA Publishes Proposed CY 2019 Medicare OPPS Payment Rule Brief

08/01/2018

The proposed calendar year 2019 payment rule for the Medicare Outpatient Prospective Payment System was released on July 25. The proposed rule includes annual updates to the Medicare fee-for-service outpatient payment rates as well as regulations that implement new policies. The proposed rule includes policies that will: Change the Read More . . .

OHA Offers KEPRO Retrospective Claims Review Update Webinar

07/27/2018

Join the Ohio Hospital Association for the "KEPRO: Ohio Medicaid Retrospective Claims Review Update" webinar on from 10 – 11:30 a.m. (ET) Aug. 14. The webinar is free to OHA members. After registering at the link here, you will receive a confirmation email containing information about joining the webinar. A recordin Read More . . .

CMS Proposes Updates to CY 2019 Hospital Outpatient Prospective Payment System

07/25/2018

The Centers for Medicare & Medicaid Services today issued a proposal to update the calendar year 2019 hospital outpatient prospective payment system rates by 1.25 over CY 2018 rates. The agency’s release also includes site-neutral payment policy changes that would reduce the payment rate for hospital outpatient clinic visi Read More . . .

Medicare Debuts myCGS Dashboard for Providers to Track Medical Review Requests

07/23/2018

Ohio’s Medicare Administrative Contractor, CGS, has launched the myCGS MR Dashboard for providers to quickly identify medical review additional document requests, or ADRs, sent to the hospital.  Medical Review, or MR, department staff occasionally needs additional documentation from providers in order to process claims.&n Read More . . .

Update: Preliminary 2018 HCAP Model

07/20/2018

The preliminary 2018 HCAP model has been updated and an Excel spreadsheet of the updated model can be found here. This update differs from the June model in the following ways: The program size has decreased as the official federal allotment is now known.The close date for Good Samaritan Hospital (Dayton) has been updated Read More . . .

CareSource Provides Operational Updates to OHA

07/19/2018

CareSource leadership on July 18 provided updates on a comprehensive list of outstanding issues OHA has been working on with Ohio’s largest Medicaid managed care payer. The core issues include claim processing breakdowns, covered service discrepancies, inappropriate denials, authorization issues surrounding medical treatment a Read More . . .

 |<  < 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10  >  >| 
Displaying results 1-20 (of 212)
© 2018 The Ohio Hospital Association. All Rights Reserved.