报销咨询

2023年11月更新

CMS issued a Transmittal 18 on December 29, 2022, for the hospital cost reporting Form 2552-10. 本传送文作了几处改动, but what affects almost all hospital providers are the updated Medicare Bad Debt (表现出2) and S-10 (Exhibits 3b and 3c) exhibits below which were made a requirement in this transmittal. These exhibits are required for cost reporting periods ending on or after September 30, 2023.

• 表现出2 – Medicare bad debt log for cost report periods beginning Oct 1, 2022 and after
• 展览3 b -慈善护理费用的S-10日志
• 展览3 c - S-10总账坏账记录

传送文18的更多细节: http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Transmittals/r18p240i

LBMC is prepared to assist all providers regulated by this transmittal and to assist in the preparation of these exhibits.

2023年1月发布

What affects almost all hospital providers are the updated exhibits below which were made a requirement in this transmittal. This transmittal affects providers for cost reporting periods beginning on or after October 1, 2022.

• 展示1 -分配医生报酬
• 附表2 - 2022年10月1日之前开始的成本报告期间的医疗保险坏账日志.
• 表现出2 – Medicare bad debt log for cost report periods beginning Oct 1, 2022 and after
• 展览3 -在符合DSH条件的医院享受医疗补助的天数
• 展览3 b -慈善护理费用的S-10日志
• 展览3 c - S-10总账坏账记录

The 2023 appropriations bill provides for funding levels for several rural health programs.  该法案于2022年12月29日由拜登总统签署.

$5 million was designated in this bill to establish an Office of Rural Health at Centers for Disease Control and Prevention (CDC). This Office of Rural Health at the CDC will enhance implementation of CDC’s rural health portfolio, coordinate efforts across CDC programs and develop strategic plan for rural health.

该法案还支持 乡村医院 以及核心农村卫生保健项目，具体如下:

农村医院项目

• $3.450亿美元 农村社区设施计划 还有200万美元 农村医院技术援助方案 through the United 状态s Department of Agriculture Rural Development (RD) programs.
• $64.300万美元 医疗保险乡村医院弹性补助计划(比2022财年的资金水平增加了200多万美元). 64美元的.3 million includes $21 million for the Small Rural Hospital Improvement Grant Program and $5 million to continue funding the Rural Emergency Hospital (REH) TA Program.

继续实施农村核心卫生保健方案

• $12.国家农村卫生办公室500万美元(一级供资)
• $145 million for the Rural Communities Opioids Response Program ($10 million increase)
• $12.500万美元用于农村居民发展计划(增加200万美元)
• 1.25亿美元用于国家卫生服务团(增加300万美元)
• $8 million for the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program at HRSA ($2 million increase)

2010年法定现收现付法(PAYGO)

The 2010年法定现收现付法(PAYGO) required a mandatory spending and revenue legislation to not increase the federal budget deficit.  The PAYGO sequester was waived through 12/31/22 with the passage of the American Rescue Plan Act.  PAYGO sequester is now deferred until January 2025, which avoids a 4% cut to Medicare reimbursement.

远程医疗

远程医疗的灵活性现在将持续到2024年12月31日. In the FY 2022 omnibus appropriations bill extended telehealth flexibilities for 151 days post-PHE. 该法案扩展了这些关键的公共卫生条款, 包括到12月31日的纯音频灵活性, 2024.

医疗保险支付

• 小容量医院(LVH)和依赖医疗保险的医院(MDH)指定 都延长到2024年9月30日.
• 地面救护车附加付款 延长两年至2024年12月31日.
• 医生附加付款 对于在2023日历年提供的服务，附加付款将为2.医生占5%. 对于在2024日历年提供的服务，附加付款将为1.25%.
• 农村家庭医疗补助 到2023年底，只占1%.

精神健康条文

• Coverage of Marriage and Family Therapists (MFT) and mental health counselors (MHC) under Medicare.
• Inclusion of 200 new residency slots for psychiatry or psychiatry subspecialties. 2026财年, 秘书应开始分配这些名额, 至少有10%的资金流向农村地区的医院.
• 纳入《明升体育app下载》

Here is the link to the American Hospital Association notice regarding this $1.7万亿美元的综合法案.  http://www.aha.org/news/headline/2022-12-30-biden-signs-17-trillion-omnibus-appropriations-bill

成本报告服务

• 准备和/或审查医疗保险和/或医疗补助成本报告.
• 审查和协助临时解决方案, 成本报告审计, 申诉和其他与CMS和mac的通信.
• Review of previously filed cost reports in order to identify potential exposure and reimbursement opportunities.
• Compilations or independent review of various Medicaid and other 状态 Program Reports such as Residential Treatment Centers.

付款人合同和谈判

• Chargemaster评论
• 审查所有当前合同的合规性, 执行并与付款人重新谈判, 适当的, 获得更有利的合同条件和/或费率.
• 审查所有新合同提案并提出接受或拒绝的建议, 根据潜在的表现和符合集团的战略和目标.
• 回顾你所在地区的支付方市场份额和新合同建议.
• Provide telephone and email support to your staff on questions related to payor contracts.
• 对付款人遵守合同的情况进行持续监测.
• 项目环境:医院, ASC, 康复中心, 精神科(住院及门诊), 医生(医院和非医院)和辅助服务.

咨询服务

• Identify and assist with opportunities for Disproportionate Share (DSH) and Low Income (LIP) reimbursement for medical/surgical and rehabilitation hospitals, 分别.
• Assist in compiling and/or review of traditional Medicare Bad Debts and Medicaid “crossover” Bad Debts.
• 为合理的成本分配进行面积分析.

其他发还款项服务

• Assist with Wage Index audits and review for potential Geographic reclassifications.
• 针对提供商的各种问题进行咨询.
• 协助完成和归档职业组合调查.
• Due diligence to assist with opportunities and liabilities with acquisition/merger activities.