The following contains information on new initiatives, ongoing projects, and other related news about and from HFMA. Please bookmark this page as it will be updated periodically.
HFMA Fact Sheet: FY14 IPPS Changes to Certain Cost Reporting Procedures RElated to DSH Uncompensated Care Payments
This overview contains noteworthy information on the interim final rule with comment period revising certain operational considerations for hospitals with Medicare cost reporting periods that span more than one federal fiscal year.
Read the overview.
Survey: ICD-10 Tops Clinical Documentation Priorities
In this survey of hospital CFOs and other senior-level executives, HFMA researchers share industry views on areas of CDI priority, opportunity, common barriers, and use of outsourcing to support more accurate and complete documentation and charge capture. Sponsored by Nuance.
View the results.
Hospitals' Marketplace Enrollment Efforts Continue Amid Problems
As technological failings at federal and state marketplace websites continue to keep most applicants from getting coverage, Kentucky has emerged as an enrollment leader. One health system in that state is contributing to the enrollment push with a customized sign-up strategy.
Norton Healthcare in Louisville, Ky., is undertaking its own enrollment strategy to sign area residents up for coverage under either private insurance coverage offered through the state-run health insurance marketplace, called Kynect, or through Kentucky’s Medicaid program.
The enrollment efforts of the five-hospital, not-for-profit health system are separate and apart from the state’s enrollment push. But the combination of state-led and private enrollment efforts has produced one of the largest sign-up rates in the nation and garnered an endorsement from President Barack Obama as an example for the rest of the nation. More than 40,000 Kentucky residents have enrolled for coverage since Oct. 1.
Norton officials believe they have contributed to the successful enrollment of Kentucky residents—and have done so without utilizing federally funded programs designed to assist in this effort, such as the navigator or certified application counselor programs. Those programs train staff to help people sign up for coverage using the state’s website. The health system plans to use state-provided enrollment kiosks, but those had not arrived by press time.
Government Changes Stance on Insurance Assistance from Hospitals
Hospitals should not help their patients pay for health insurance sold on the new marketplaces—counter to recent indications from federal officials—according to Nov. 4 guidance from the Centers for Medicare & Medicaid Services (CMS).
Although one high-ranking government official had suggested days earlier that hospitals or other healthcare entities could help their patients pay premiums or cost-sharing components of insurance sold through the new public insurance marketplaces, "[The U.S. Department of Health and Human Services] has significant concerns with this practice because it could skew the insurance risk pool and create an unlevel field in the marketplaces," the CMS guidance stated.
The agency stopped short of saying the practice was illegal, but discouraged this practice and urged insurers to reject it as well.
Additionally, CMS said it would monitor whether any provider cost-sharing occurs and "take appropriate action, if necessary."
Publication Date: Monday, December 02, 2013