Medicare News
Medicare Payment
- Medicare 2012 Long Term Care Hospital PPS Final Rule (September 2011)
- Medicare Federal Fiscal Year 2012 SNF Final Rule (September 2011)
- Medicare Federal Fiscal Year 2012 IRF Final Rule (August 2011)
- Medicare Federal Fiscal Year 2012 IPPS Final Rule (August 2011)
- HIP Analysis of Medicare 2012 HH Proposed Rule (August 2011)
- HIP Analysis of Medicare 2012 OPPS Proposed Rule (August 2011)
- Medicare Long Term Care Hospital 2012 Proposed Rule (June 2011)
- Medicare Federal Fiscal Year 2012 SNF Proposed Rule (June 2011)
- Medicare Rate Year 2012 IPF PPS Final Rule (June 2011)
- Medicare FFY 2012 IRF PPS Proposed Rule (June 2011)
- Analysis of Regional Variation in Utilization and Cost (April 2011)
- Differences Between the HIP and the AHA VBP Tools (February 2011)
- Financial Impacts of Value-Based Purchasing Program (February 2011)
- EHR Incentive Program Registration (January 2011)
- Final Medicare CY 2011 Home Health PPS Rule Published (December 2010)
- Final Medicare CY 2011 OPPS Rule Published (December 2010)
- Medicare Advantage Enrollee Losses By County (November 2010)
- Hospital Electronic Health Record Incentive Payment & Penalty Estimator (September 2010)
- CAH Electronic Health Record Incentive Payment & Penalty Estimator (September 2010)
- Long-Term Care Hospital PPS 2011 Final Rule Analysis (September 2010)
- Medicare PPS for Skilled Nursing Facilities 2011 Final Rule (September 2010)
- Medicare Federal Fiscal Year 2011 IPPS Final Rule (August 2010)
- Medicare Home Health PPS Proposed Rule (August 2010)
- Medicare Rehabilitation Inpatient PPS Final Rule (August 2010)
- Medicare Calendar Year 2011 OPPS Proposed Rule (July 2010)
- Medicare Inpatient Psychiatric Facility Update Notice for RY 2011 (June 2010)
- IPPS WSHA Comment Letter to CMS (June 2010)
- Medicare Federal Fiscal Year 2011 IPPS Proposed Rule (June 2010)
- Health Care Reform Tools For PPS Hospitals (May 2010)
- Medicare Federal Fiscal Year 2011 Proposed Hospital Inpatient Rule (May 2010)
- Medicare 2010 OPPS Analyses (April 2010)
- Detailed Medicare OPPS Analyses (July 2009)
- American Recovery and Reinvestment Act of 2009 - Summary (PDF)
- Health Information Technology Incentive Payment under ARRA (PDF)
- MedPAC FY 2010 Payment Recommendations to Congress (PDF)
- Impact of the Medicare Federal Fiscal Year 2010 Inpatient Rehabilitation Facility PPS Proposed Rule on Washington Hospitals (May 2009)
- Medicare Federal Fiscal Year 2010 Inpatient Psychiatric PPS Rules (May 2009)
Lobbying Expenses and Association Dues, Medicare Cost Reports
- Bulletin 4017 - May 7, 2010
- Fiscal Watch - March 5, 2009
- Bulletin 3983 - March 4, 2009
Recovery Audit Contractors in Washington
The Medicare Recovery Audit Contractor program is coming to Washington in August. WSHA is working to give hospitals the information they need to prepare for this change.
Medicare Advantage and Private Fee For Service Plans
- CMS Selects PFFS Payment Dispute Contractor
Fiscal Watch - March 20, 2009 - CMS Link to Medicare Advantage Enrollment Reports
TRICARE
TRICARE Outpatient Hospital Prospective Payment System (OPPS)
- Federal Register / Vol. 73, No. 63 / Tuesday, April 1, 2008 / Proposed Rules
AHA Special Bulletin on IPPS Rule
- AHA Bulletin - August 1, 2008
RAC Evaluation Report
- Evaluation Report
- AHA Bulletin - July 11, 2008
AHA Bulletin on Proposed Outpatient Prospective Payment System
- AHA Bulletin - July 7, 2008
Washington To Get New Medicare Claims Processor
Medicare Cost Report Changes Needed?
CMS Proposes New Rules On Implants
- Fiscal Watch - May 9, 2008
Proposed Medicare Inpatient Prospective Payment System Rule
- Fiscal Watch - April 18, 2008
Webcast, May 19, 2008, 12-1 PM
Medicare Recovery Audit Contractors: What You Need to Know Now
Staff from WSHA and the American Hospital Association (AHA) will host a webcast on Medicare Recovery Audit Contractors (RACs). Hear the latest on what your hospital can expect as the RACs begin operation in our area (potentially scheduled for January 2009). The webcast will discuss:
- What has been the experience so far where RACs are operating?
- What can your hospital do to be prepared?
- What are the tools that can be used to minimize possibility of future denials?
- What is AHA doing on the political front to make this new audit process more reasonable?
Click here to view the AHA Advisory. Go to the Webcasts & Presentations page for more information.
Lobbying Expenses and Association Dues, Medicare Cost Reports
- Bulletin 3955 - March 5, 2008
New Information Available on Medicare Outpatient Payment Projections
- Special Edition Fiscal Watch - Feb 5, 2008
- Attachment (PDF): Washington State Summary: Comparison of 2006 Outpatient PPS Payments to Estimated Payments for 2007 and 2008
Medicare Payment in 2009 Subject to Present on Admission Screening
- Bulletin 3953 - Jan 10, 2008
Final Changes to the Medicare Inpatient Payment System
- Bulletin 3946 - August 22, 2007
- Attachment 1: A WSHA analysis of the proposed changes for your hospital (contact Andrew Busz for a copy of the specific data)
- Attachment 2 (PDF): A WSHA analysis of the proposed changes for Washington State
MedPAC's Recommended Changes in the Wage Index Calculations
- Bulletin 3944 - July 9, 2007
- Attachment (Excel): Estimated Impact of MedPAC Wage Index Method
Revised Medicare Impact Analysis and DRG Expansion Analysis
- Bulletin 3940 - May 31, 2007
- Attachment 1: A WSHA analysis of the proposed changes for your hospital (contact Andrew Busz for a copy of the specific data)
- Attachment 2 (PDF): A WSHA analysis of the proposed changes for Washington State
Proposed Changes to the Medicare Inpatient Payment System
- Bulletin 3937 - April 26, 2007
- Attachment 1 (PDF): A description of the major proposed changes
- Attachment 2: A WSHA analysis of the proposed changes for your hospital (contact Andrew Busz for a copy of your hospital-specific data)
- Attachment 3 (PDF): A WSHA analysis of the proposed changes for Washington State
- Attachment 4 (PDF): The methodology used to model the proposed changes
2008 Medicare Wage Index Data
- Bulletin #3935 (March 2, 2007)
- The hard copy of this bulletin contained confidential hospital-specific data. For an additional copy of your hospital's data, contact Andrew Busz.
March 7 Conference Call: Information Session on New Medicare Group Appeal
- Bulletin #3934 (February 28, 2007)
Lobbying Expenses and Association Dues, Medicare Cost Reports
- Bulletin #3932, (February 12, 2007)
President Bush's Budget Proposal Impacts
- CMS Medicaid/SCHIP Proposals (PDF)
- CMS Medicare Proposals (PDF)
- Bulletin #3293: Facility Specific Impact of President's FFY 2008 Budget Proposal, (February 13, 2007)
MedPAC Recommends Medicare Payment Cuts
2005 Medicare Outpatient PPS Report Set Materials (January 11, 2007)
- CPT Mapping (Excel)
WSHA Analyzes Medicare Inpatient Diagnosis Related Group Weight Changes and Occupational Mix Adjustments
- Bulletin #3928 (October 17, 2006)
- Attachments:
Analysis of Change in Hospital Inpatient Operating Rates and Payments Federal Fiscal Year (FFY) 2006 Rule Compared to FFY 2007 Rule
download PDF
Hospital Specific Data: Hard copy bulletin contained confidential data specific to individual hospitals. If you need an additional copy of your hospital's data, please contact Andrew Busz.
Data Used for Federal Fiscal Year 2008 Medicare Wage Index Calculations
- Bulletin #3927 (October 16, 2006)
- Attachments:
Analysis of Preliminary Wage Index Data for the Development of the Federal Fiscal Year (FFY) 2008 Wage Index Report Description
download PDF
Changes in Total Salaries and Benefits - Final 2003 versus Preliminary 2004 (Wage Index State Summary)
download PDF
WSHA Analysis of Medicare Outpatient Payments Rates
- Bulletin #3926 (October 6, 2006)
- Attachments:
Outpatient Prospective Payment System (OPPS) Analysis of Proposed Change in Clinic and Emergency Department Visit APCs
download PDF
Outpatient Prospective Payment System (OPPS) Analysis of Hospital Financial Exposure Related to the Proposed Ambulatory Surgery Center (ASC) Payment Expansion
download PDF
Fiscal Year 2007 Medicare Inpatient Payment Rates
- Bulletin: #3924 (August 10, 2006)
- Attachment:
Hospital Specific Data: The information was mailed to Chief Financial Officers at Medicare PPS Hospitals in Washington. If you need an additional copy of your hospital's data, please contact Andrew Busz.
