WSHA sent an email to hospital CFOs and legal counsel with information about the Department of Health’s charity care rulemaking. ... Read More >>

WSHA recently provided comments to the State Office of the Insurance Commissioner (OIC) on its new draft legislation on billing and payment for out-of-network services.... Read More >>

At WSHA’s request, the Washington State Department of Health (DOH) recently completed rulemaking to remove an obsolete requirement that hospitals submit estimated annual budgets to the department.... Read More >>

January 1, 2019, the Health Care Authority (HCA) will expand integrated managed care (IMC) to five additional regions.... Read More >>

The Health Care Authority recently published an updated Physician-Related Services Billing Guide which is available on the agency’s Provider billing guides page.... Read More >>

In our letter WSHA strongly urged the Centers for Medicare and Medicaid Services’ to withdraw its proposed sixty percent payment cut to office visit services provided at off-campus hospital-based clinic locations.... Read More >>

The Health Care Authority (HCA) changed its Medicaid payment policy regarding preventable readmissions effective January 1, 2018. WSHA has been told by HCA that some hospitals are not responding to Medicaid managed care organizations’ (MCO) records requests to allow the MCOs to review the readmission... Read More >>

WSHA recently sent a bulletin to members detailing changes to the state charity care law, RCW 70.170. The new law, Senate Bill (SB) 6273, takes effect October 1, 2018 ...... Read More >>

WSHA recently urged Centers for Medicare and Medicaid Services’ to withdraw its proposed changes in the Physician Fee Schedule rule. ... Read More >>

The Centers for Medicare and Medicaid Services (CMS) is requiring the Medicare Administrative Contractor (MAC) for each region to audit the S-10 forms that are submitted by hospitals as part of their Medicare cost report. ... Read More >>