WSHA urges OIC to make changes to rulemaking on alternative authorization processes

On October 3, WSHA staff testified at the Office of the Insurance Commissioner (OIC) stakeholder hearing on regulating alternative authorization processes, otherwise known as “goldcarding.” ... Read More >>

Response needed: Rural health clinics may elect direct payment of encounter rates by Medicaid managed care plans

The Washington Health Care Authority (HCA) is implementing a change to enable a rural health clinics to request to get paid their encounter rate by the Medicaid managed care plans rather than the current combination of plan payment, enhancement payments, and reconciliation process. ... Read More >>

CMS extends date for S-10 uncompensated care corrections to October 31; WSHA provides webinar

The Centers for Medicare and Medicaid Services (CMS) announced it is extending the deadline until October 31, 2017 for correction to the S-10 forms completed by hospitals. ... Read More >>

Hospital licensing fee increase of $15 per bed effective November 30

Hospitals are beginning to receive hospital bed licensure renewals, reflecting the $15 per bed increase WSHA noted in this July FW article.... Read More >>

HCA to revise Medicaid readmissions payment policy!

WSHA and member hospitals are participating a stakeholder group, along with the Medicaid managed care organizations (MCOs) to discuss HCA’s plan to revise its payment policy for potentially preventable hospital readmissions.... Read More >>

WSHA opposes cuts to 340B payments, hospital clinic cuts; supports RHC codes for behavioral health integration

WSHA submitted a comment letter strongly opposing provisions in CMS’s proposed outpatient rule that would reduce by 25 percent payments for outpatient drugs provided by 340B eligible hospitals.... Read More >>

Input needed: HCA to revise Medicaid readmissions payment policy!

The Health Care Authority (HCA) is revisiting its payment policy for potentially preventable readmissions for hospitals and Medicaid managed care organizations (MCOs).... Read More >>

WSHA raises concerns on OIC goldcarding rulemaking

WSHA, as part of the Washington Healthcare Forum, expressed concerns in a letter about a recent proposal from the Office of the Insurance Commissioner (OIC) to issue new rules on... Read More >>

More information now available from HCA on EHR incentive payment audits

At WSHA’s request, HCA and Myers and Stauffer, LLC recently hosted a webinar to provide hospitals with background and additional information on their audit of Medicaid electronic medical records (EHR) incentive payments.... Read More >>

HCA to revise rules for inpatient and outpatient Medicaid payment

HCA recently announced a preliminary notice of rulemaking regarding changes to inpatient and outpatient Medicaid payment.... Read More >>

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