Revenue forecast indicates short term gains, long term challenges

The revenue forecast released by the Washington State Economic and Review Forecast Council on November 18 indicated short term revenue increases, but a cautious longer range outlook. The forecast, including... Read More >>

PPS 340B hospitals must resubmit 2022 claims for drug payment correction

Earlier this year, the US Supreme Court overturned cuts made by the Centers for Medicare and Medicaid Services to PPS hospitals for hospital administered drugs under the 340B program. For... Read More >>

Rebilling HCA for Naloxone may be needed

Recently, Health Care Authority (HCA) staff alerted WSHA  HCA corrected an error in the fee schedule amount for Naloxone for Medicaid enrollees and uninsured patients. The previous fee schedule incorrectly... Read More >>

WSHA comments on BBPA rulemaking

Last week, WSHA submitted comments to the Washington State Office of the Insurance Commissioner’s (OIC) CR-102 draft rule to implement E2SHB 1688, which aligns portions of the state’s Balance Billing Protection Act... Read More >>

CMS delays enforcement of combined Good Faith Estimate requirement

Last week, the Centers for Medicare & Medicaid Services (CMS) released new guidance extending an enforcement delay of the uninsured/self-pay good faith estimate convening provider requirements until further rulemaking to... Read More >>

Final CMS 2023 outpatient rule includes 3.8% marketbasket increase, restores payment to 340B hospitals

On November 1, the Centers for Medicare & Medicaid Services (CMS) posted its calendar year (CY) 2023 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule. WSHA is... Read More >>

Post-PHE Medicaid redeterminations coming! Encourage your Apple Health patients to update their contact information.

The Washington State Health Care Authority (HCA) will begin the Medicaid redetermination process for clients upon expiration the of public health emergency – scheduled to expire January 11, 2023. Medicaid... Read More >>

WHS industry partners offer cyber insurance and tactics webinar November 17

Join Washington Hospital Service Industry Partners Sensato and Parker Smith & Feek for a complimentary webinar: What You Need to Know About Cyber Insurance and Tactics to Improve Security and... Read More >>

WSHA updates regulatory rulemaking page

WSHA’s Government Affairs team recently published an update to its Top Priority Rules Tracker, which shows the highest-priority ongoing state rulemaking activities impacting hospitals and health systems as part of its State... Read More >>

Online web form available for federal No Surprises Act dispute resolution submissions

The federal agencies overseeing the federal No Surprise Act (NSA) released an online form for providers, facilities, and insurers to submit claims to the federal independent dispute resolution (IDR) process.... Read More >>

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