2018 Legislative Session Underway, Many Issues Affecting Hospitals

The 2018 legislative session has been underway for about a week and a half, and WSHA is already deeply involved in a number of key issues affecting hospitals. ... Read More >>

Reminder: Hospitals Now Receive Charity Reporting Bill Directly from DOH

About six months ago, the Washington State Department of Health (DOH) changed the method of collecting hospital payments for charity care assessments.... Read More >>

WSHA comments on Geographic Rating Areas Rule

The Washington Office of the Insurance Commissioner (OIC) is in the process of revising rules regarding the geographic rating areas used for premiums for the small group and individual health insurance markets. ... Read More >>

HCA to Update Medicaid Inpatient Hospital Payment Grouper Version

On April 1, the Health Care Authority (HCA) will be updating the APRDRG grouper used for pricing Medicaid inpatient hospital claims from the current version 31 to version 33. ... Read More >>

Governor releases supplemental budget

Late last week, Governor Jay Inslee released his proposed 2018 supplemental budget.... Read More >>

WSHA urges hospitals to review all payer claims database (APCD) information

In mid-January, hospitals will have a short period to review the data that will be in the state’s all payer claims database regarding the allowed amounts for commercial claims for specific services. ... Read More >>

Reminder: New HCA preventable readmissions payment policy effective January 1

The Health Care Authority (HCA) and the Medicaid managed care plans will implement a new payment policy impacting Medicaid readmissions within 14 days after discharge. ... Read More >>

OIC allows Coordinated Care to resume sales of individual plans under network adequacy consent agreement

On December 12, the Washington Office of the Insurance Commissioner (OIC) ordered Coordinated Care Corporation to stop all new sales of individual health plans due to concerns regarding network adequacy.... Read More >>

Payment reductions and new coding requirements for 340B hospitals go into effect January 1. CMS provides set of FAQs.

Unless prevented by Congressional action or a successful lawsuit in the next few weeks, the payment cuts for Medicare 340B drugs in the final Medicare outpatient rule will go into effect January 1, 2018. ... Read More >>

Correction deadline for S-10 data ends January 2

Hospitals have until January 2 to correct the data on Worksheet S-10 of the Medicare cost report.... Read More >>

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