FLORIDA UPDATES EVELYN LEADBETTER, MPA NETWORK SERVICES MANAGER HOMETOWN HEALTH
DRG AND EAPG RATE AND CALCULATOR UPDATES Effective July 1st To view the updated DRG calculator please visit the Diagnosis Related Group (DRG) Inpatient Payment Review site at http://ahca.myflorida.com/medicaid/cost_reim/drg.shtml To view the updated EAPG calculator please visit the Hospital Outpatient Prospective Payment and Reimbursement methodology/ACS site at http://ahca.myflorida.com/medicaid/Finance/finance/institution al/hoppps.shtml To view the updated DRG and EAPG provider rates effective July 1, 2017, please visit the Hospital Rates/ Ambulatory Surgical Centers rates site at http://ahca.myflorida.com/medicaid/cost_reim/hospital_rates.shtml
FLORIDA HEALTH INFORMATION EXCHANGE UPDATE Effective July 1st Audacious Inquiry (Ai) To learn more about the Florida HIE, upcoming events, and opportunities, please visit www.florida-hie.net or contact us at FLHII@ahca.myflorida.com.
LOW INCOME POOL PROGRAM http://ahca.myflorida.com/medicaid/Finance/finance/LIP- DSH/LIP/docs/2016- 17_Medicaid_Hospital_Funding_Conference_Report.pdf Medicaid Hospital Funding Programs Fiscal Year 2016 – 2017 Medicaid Hospital Funding Conference Report for House Bill 5001 – March 8, 2016
2018 ICD-10-CM CODE FILES AVAILABLE 2018 ICD-10 CM and GEMs webpage Addendum files: • 2018 General Equivalence Mappings (GEMs) will be posted in August • 2018 ICD-10-CM guidelines, present on admission exempt codes, and conversion table will be posted later, once they are finalized and received from the Centers for Disease Control and Prevention
IMPROVEMENTS TO THE MEDICARE CLAIMS APPEAL PROCESS AND STATISTICAL SAMPLING CALL THURSDAY, JUNE 29 TH 1:00PM – 3:00PM EASTERN Register for Medicare Learning Network events. For an overview of the Final Rule, see the HHS fact sheet.
NEW REQUIREMENT FOR BILLING IMMUNIZATIONS CODES – FL MEDICAID 90460 - Immunization administration through 18 years of age via any route of administration with counseling by physician or other qualified health care professional first or only component of each vaccine or toxoid administered. 90471 - Immunization administration (includes percutaneous, intradermal, subcutaneous or intramuscular injections) one vaccine single or combination vaccine/toxoid. 90472 - Each additional vaccine (single or combination vaccine/toxoid). List separately in addition to code for primary procedure. 90473 - Immunization administration by intranasal or oral route one vaccine single or combination vaccine/toxoid. 90474 - Each additional vaccine single or combination vaccine/toxoid. List separately in addition to code for primary procedure.
ASPR TRACIE HTTPS://ASPRTRACIE.HHS.GOV/ Natural Disasters Topic Collection National Integrated Heat Health Information System EMS Infectious Disease Playbook and Webinar Recording New Resources: Avian Influenza (Including Asian H7N9) HHS Cybersecurity Program compilation of technical information and resources Questions or comments on cyber issues should be directed to CIP@hhs.gov.
TELEHEALTH INDUSTRY NEWS American Hospital Association: FCC Should Expand Telehealth, Broadband to Rural Regions USDA Awards $43.6M to Expand Rural Fiber Broadband in Four States Telehealth Feature: Telepsychiatry Opens a New Window into Behavioral Healthcare Report: HSS Cybersecurity Task Force Spells Out 'Urgent Challenge' of Cybersecurity in Health Care
THE IMPORTANCE OF FINANCIAL BENCHMARKS Kaiser Health News GOP Medicaid Cuts Hit Rural America Hardest, Report Finds http://khn.org/news/gop-medicaid-cuts-hit-rural-america-hardest- report-finds/ Forbes Medicaid’s cracked halo • https://www.forbes.com/sites/sallypipes/2017/05/30/medicaids- cracked-halo/#69acbaf810c0 Modern Health Care GOP Plan could doom Medicaid Managed Care • http://www.modernhealthcare.com/article/20170606/NEWS/17060 9940/-gop-health-plan-could-doom-medicaid-managed-care We May Be Closer to Full Employment Than It Seemed. That’s Bad News. • https://www.nytimes.com/2017/06/02/upshot/we-may-be-closer- to-full-employment-than-it-seemed-thats-bad-news.html?_r=0 Dallas Hospital Abruptly Closes: https://www.dallasnews.com/business/health- care/2017/06/06/walnut-hill-medical-center-closed-reason
FLORIDAHEALTHFINDER.GOV WEBINAR Please register for the FloridaHealthFinder.gov Webinar on Friday, June 30 th at 10:00am Eastern https://attendee.gotowebinar.com/register/2805 284455140742913
PRESTIGE PROVIDER TRAINING SCHEDULE Click here to access the links associated with the Prestige Provider Training and Education Click here to access the links associated with the Prestige Physician continuing education resources
SUNSHINE HEALTH NEWS Provider News: JUNE: DAILY CARE GAPS NOW AVAILABLE THROUGH SUNSHINE HEALTH'S PAYER SPACE ON THE AVAILITY PORTAL Provider Resources
WEBINAR INFORMATION HomeTown Health Florida Medicaid Information: http://hthu.net/florida/
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