The Office of Management and Budget (OMB) posted that they concluded their review of the 340B Program Omnibus Guidelines (Mega-Guidance) on August 17, 2015. If you remember, the Health Resources and Services Administration (HRSA) sent the 340B Mega-Guidance to the OMB on May 6, 2015 and on August 4, 2015, the OMB posted that the review of the Mega-Guidance was extended.
Topics: Industry Updates, 340B
The 2016 IPPS Final Rule was published in the Federal Register on August 17, 2015 and will be effective October 1, 2015. Below is SCA’s “as brief as we can make it” summary on the rule as it affects disproportionate share hospitals (DSH). We will be rolling out more detailed analysis in the coming weeks with our take on the impact to Uncompensated Care Reimbursement (UC).
Topics: Medicare DSH Reimbursement, uncompensated care, Industry Updates, S-10
In case you haven't heard, on June 30, 2015, the Provider Reimbursement Review Board (PRRB) issued ALERT 11 - REVISION OF PRRB RULES REINSTATEMENTS AND WITHDRAWALS (see pages 44-46 in link) notifying Providers about amendments to PRRB Rules 46 and 48, which were effective July 1.
Topics: Industry Updates
The 2016 IPPS Proposed Rule for Acute Care Hospitals was put on display on April 17, 2015. All comments to the rule were to be submitted by June 16, 2015. As in past years, Southwest Consulting Associates (SCA) performed extensive analysis of the Proposed Rule and submitted detailed comments in response to CMS’ 2016 IPPS Notice of Proposed Rulemaking (NPRM). SCA’s comments primarily related to the proposed changes to the Payment Adjustment for Medicare Disproportionate Share Hospitals (DSH) including the Uncompensated Care (UC) payment component.
Topics: Medicare DSH Reimbursement, uncompensated care, Industry Updates, S-10
As we wrap up the 2014 calendar year, it is important to remember that the HHS Office of Inspector General is already well into their 2015 fiscal year. On October 31, 2014, the HHS Office of Inspector General (OIG) issued its fiscal year 2015 work plan. The plan in its entirety can be accessed on the OIG’s website via the following link:
https://oig.hhs.gov/reports-and-publications/workplan/index.asp.
Some items to be aware of include:
Topics: Industry Updates