WSHA Comments on Second Balance Billing Stakeholder Draft Rule

August 31, WSHA submitted comments to the Office of the Insurance Commissioner (OIC) on its second stakeholder draft rules for implementation of the Balance Billing Protection Act (BBPA). ... Read More >>

WSHA Releases Regulatory Update

WSHA Releases Regulatory Update • WSHA’s Government Affairs team has published its update to its State Regulatory Issues webpage. Members will find a comprehensive view of state rulemaking activities that affect them. This month, the team is highlighting: ... Read More >>

OIC Proposes Hospitals Must Comply with Quick Notices to Patients for Balance Billing

The Office of the Insurance Commissioner, in its new second stakeholder draft for rulemaking on the Balance Billing Protection Act, is proposing hospitals must comply with quick notices to patients using the emergency department. ... Read More >>

Carriers Respond to Remdesivir Payment and Coverage Questions

The Washington Healthcare Forum website now contains information on carriers’ requirements for coverage and payment for Remdesivir. At WSHA’s request, the Forum recently queried carriers on their policies. ... Read More >>

CMS Clarifies COVID Test Requirements for Medicare COVID Inpatient Enhancement

For hospital inpatient admissions occurring on or after September 1, the Centers for Medicare and Medicaid Services (CMS) has clarified that hospitals will be required to document a positive COVID-19 test in order to obtain the 20 percent add-on to regular MSDRG payment. Hospitals can include positive tests obtained during ... Read More >>

WSHA Releases Regulatory Update

WSHA’s Government Affairs team has published its update to its State Regulatory Issues webpage. ... Read More >>

Hospitals Contracting with DSHS Must Provide Additional Assurances

Hospitals and health systems which contract with Washington State’s Department of Social and Health Services (DSHS) for adult care, mental health, addiction, disability support or youth services are now required to assure that such services will not be disrupted or delayed by economic or industrial actions. ... Read More >>

L&I to Host Webinars on Equal Pay and Opportunities Act

The Washington State Department of Labor & Industries will be hosting educational webinars on the Equal Pay and Opportunities Act. ... Read More >>

HCA Announces 20 Percent Add-on Payment for Medicaid COVID-19 Admissions

WSHA has been in discussions with HCA for several months with a request to increase payment for COVID cases. We are pleased that  August 10, HCA announced  it received CMS... Read More >>

Proposed CMS Outpatient Rule Includes Changes to Inpatient-Only List, 340B Hospital Payment

August 4, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2021 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) proposed rule. Major provisions of the... Read More >>

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