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 >>

Approaching year’s end, Congress to face important health care issues

Yesterday Congress passed — and President Trump will soon sign — sweeping changes to the nation’s tax code. The final outcome for hospitals and health care is mixed. The congressional calendar remains packed for the remainder of the year with items important to the hospital community, including extending CHIP, preventing deep cuts to the 340B program and finalizing Medicare payment extensions.... 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 >>

State health insurance marketplace signups break record

The Washington Health Benefit Exchanged announced that more than 230,000 customers selected health plans through Washington Healthplanfinder by the December 15 deadline to enroll in coverage that begins January 1. The number represents a 35 percent increase over the same point in time last year.... Read More >>

WSHA extends best wishes for retiring member hospital chief financial officer

Kelly Wallace, Chief Financial Officer at Seattle Children’s Hospital, retired earlier this month.... Read More >>

NEW MEDICAID POLICY FOR READMISSIONS: EFFECTIVE JANUARY 1, 2018

To view the recording, please click this link, register, and you will be granted access Effective January 1, 2018, HCA will be increasing payment rates for those facilities that were... Read More >>

Verification of State’s Data in All Payer Claims Database

We are emphasizing the importance of your participation in the review process being offered by the state’s All Payers Claims Database (APCD). This is your chance to review and reconcile data that will be made public on the “cost” and quality of your facility and the quality of your primary care practices.... Read More >>

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