CMS issues Transmittal 7 to the Provider Cost Reporting Forms and Instructions, Chapter 41 Form CMS-2540-10

October 24th, 2016 No comments

The Skilled Nursing Facility, 2540-10 was updated to Transmittal 7 by CMS, on August 19, 2016. Transmittal 7 is effective for cost reporting periods beginning on or after October 1, 2015.

The primary purpose of the transmittal was to incorporate statutory reporting requirements to facilitate hospice payment reforms pursuant to Section 3132 of the Patient Protection and Affordable Care Act (ACA).  In addition, this transmittal requires SNF facilities with FQHC units to file a separate Form 224-14 cost report for cost reporting periods beginning on or after October 1, 2014.

HFS was approved for Transmittal 7 on October 21, 2016. Software is in testing and will be released in the next week.  The full transmittal is available at the CMS website:

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R7PR241.pdf

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

 

Categories: General Information Tags:

W/S S-10 Implementation Delayed Per 2017 IPPS Final Rule

August 4th, 2016 No comments
On Friday July 29, 2016 HFS posted and issued an email highlighting CMS Transmittal number 1681 to Publication 100-20 that provided guidance for accepting FY 2014 amended cost reports from hospitals requesting to revise Worksheet S-10 in light of CMS’s proposal to begin using Worksheet S-10 data to determine uncompensated care payments starting in FY 2018.

On August 2, 2016 CMS published the FY 2017 Final Rule and in this rule they delayed the implementation of using the Worksheet S-10.  Below is an excerpt relating to this with the link to the final rule also shown below.

At this time, we are not finalizing a future transition to using Worksheet S-10 data to determine the amounts and distribution of uncompensated care payments.  Specifically, we had proposed to use a 3-year transition beginning in FY 2018 where we use a combination of Worksheet S-10 and proxy data until FY 2020 when all data used in computing the uncompensated care payment amounts to be distributed would come from Worksheet S-10.  In light of public comments, we believe it would be appropriate to institute certain additional quality control and data improvement measures to the Worksheet S-10 instructions and data prior to moving forward with incorporation of Worksheet S-10 data into the calculation of Factor 3. Consequently, we are not finalizing our proposal to begin to incorporate Worksheet S-10 data into the computation of Factor 3 for FY 2018. In light of the significant concerns expressed by commenters regarding the Worksheet S-10 data, we are postponing the decision regarding when to begin incorporating data from Worksheet S-10 and proceeding with revisions to the cost report instructions for Worksheet S-10. We expect data from the revised Worksheet S-10 to be available to use in the calculation of Factor 3 in the near future, and no later than FY 2021. With regard to how Factor 3 will be computed in FY 2018 and subsequent years, we intend to explore whether there is an appropriate proxy for uncompensated care that could be used to calculate Factor 3 until we determine that data from the revised Worksheet S-10 can be used for this purpose. We will undertake further notice-and-comment rulemaking to address the issue of the appropriate data to use to determine Factor 3 for FY 2018 and subsequent fiscal years.

https://s3.amazonaws.com/public-inspection.federalregister.gov/2016-18476.pdf

If you have any questions or problems with the above, please contact support@hfssoft.com.

 

 

 

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Categories: Hospitals Tags:

CMS issues Transmittal 1681 to Publication 100-20

July 19th, 2016 No comments

On Friday, July 15th, 2016, CMS issued Transmittal number 1681 to Publication 100-20.

Major Medicare provisions incorporated by this Transmittal include:

  • Instructions notifying Medicare Administrative Contractors (MACs) of the availability of updated data and instructions on how to access such data for determining the disproportionate share adjustment for IPPS hospitals and the low income patient (LIP) adjustment for IRFs as well as payments as applicable for LTCH discharges for Federal Fiscal Year 2014 Cost Reports.
  • Instructions that also provide guidance for accepting FY 2014 amended cost reports from hospitals requesting to revise Worksheet S-10 (i.e., cost reports starting on or after October 1, 2013 and prior to October 1, 2014) in light of CMS’s proposal to begin using Worksheet S-10 data to determine uncompensated care payments starting in FY 2018. This Transmittal will require providers to submit any S-10 amended data by September 30, 2016.

The full Transmittal is available at https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R1681OTN.pdf

If you have any questions, feel free to contact Eric Swanson at eric@hfssoft.com.

FY 2018 Preliminary Wage Index PUF Now Available

May 20th, 2016 No comments

CMS published the Preliminary Public Use File (PUF) for the FY 2018 wage index and occupational mix on 5/16/2016. This file reflects the Worksheet S-3, Parts II and III wage data from cost reports for Fiscal Year (FY) 2014 (FY Beginning from 10/1/13 to 9/30/2014). Hospitals will have until September 2, 2016 to request revisions to the wage data posted in the May PUF.

An HFS Wage Index Verification Tool is available from the software menu under “Tools|Wage Index Verification” to assist providers in identifying any errors.

Comma separated files of the PUF and a Quick Start Guide for use with the Wage index Verification Tool are available at http://www.hfssoft.com/iFrame/Support/iWageVerify.aspx.

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

Categories: General Information, Hospitals Tags:

FY 2017 Final Wage Index PUF Now Available

April 22nd, 2016 No comments

The Centers for Medicare & Medicaid Services (CMS) released the final FY 2017 wage index data public use files (PUFs) on April 21, 2016. The files are available for the limited purpose of identifying any potential data entry or transmission errors made by CMS or the A/B Medicare Administrative Contractors (MACs), NOT for the initiation of new revision requests. Hospitals have the right to request corrections to their wage index data files if they can establish that the A/B MACS or CMS made a data entry or transmission error in the final FY 2017 wage index data files. A hospital requesting a correction must submit its request, by hard copy and email, along with complete, appropriate detailed documentation, to both its A/B MACS and CMS, no later than May 23, 2016.

An HFS Wage Index Verification Tool is available from the software menu under “Tools|Wage Index Verification” to assist providers in identifying any errors.

Comma separated files of the PUF and a Quick Start Guide for use with the Wage index Verification Tool are available at http://www.hfssoft.com/iFrame/Support/iWageVerify.aspx.

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

Categories: General Information Tags:

CMS issues Transmittal 9 to the Provider Cost Reporting Forms and Instructions, Chapter 40 Form CMS-2552-10

March 31st, 2016 No comments

The Hospital, 2552-10 was updated to Transmittal 9 by CMS, on March 18, 2016. Transmittal 9 is effective for cost reporting periods beginning on or after October 1, 2015.

Significant Transmittal 9 changes include:

  • Addition of Worksheet S-2, Part I, line 37.01 and instructional changes to Worksheet E, Part A, to implement special payment provisions for Medicare-Dependent, Small Rural Hospitals (MDH) eligible for transitional hospital-specific payments. The November 13, 2015, Outpatient PPS Final Rule identified 8 MDH hospitals that were re-designated as Urban based on the adoption, of the new OMB delineations, however did not qualify to apply for rural status.  These hospitals will qualify for a transitional HSP payment as follows:

o    Discharges 1/1/2016 – 9/30/2016 – Federal rate plus two-thirds of 75% of the amount by which the Federal rate payments is exceeded by the HSR

o    Discharges 10/1/2016 – 9/30/2017 – Federal rate plus one-third of 75% of the amount by which the Federal rate payments is exceeded by the HSR

  • Worksheet S-2, Part I, line 122 was added to identify cost reports that contain “state health or similar taxes” and the location of those taxes on Worksheet A.

HFS is reviewing the changes and will submit a revised system for approval when a CMS test case is available.  Transmittal 9 will not be required for full cost reporting periods ending 12/31/2015.

The full Transmittal is available at the CMS website:

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2016-Transmittals-Items/R9P240.html?DLPage=1&DLEntries=10&DLSort=1&DLSortDir=descending

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

Categories: Cost Report News Tags:

HFS Hospital Provider User Meeting, October 13-14, 2016, Denver, Colorado

March 23rd, 2016 No comments

HFS_Hospital_Provider

We are excited to announce this year’s HFS Hospital Provider User Meeting will be in Denver, Colorado on October 13th and 14th. There will be a total of 16 CPE credits offered and registration will be $600 per person.

This meeting will be held at the Sheraton Denver Downtown Hotel. If you book your hotel room before September 9, 2016 and let them know you are with the Health Financial Systems group, you will receive the special room rate of $189 (plus tax).

Click here to book a room at the Sheraton Denver Downtown Hotel or call (303)893-3333. The room rate is good until September 9, 2016.

We look forward to seeing you in Denver, Colorado in October!

CLICK HERE TO REGISTER

Click here for a look at the proposed Agenda.

NEW: Download Presentations Online Before the Event

To conserve resources and protect the environment, HFS will no longer provide printed materials at our events free of charge. The materials will be available online for download before the event and may be viewed on your laptop/tablet. A link for downloading will be provided to attendees prior to the meeting. Hard copies can be ordered at time of registration but there will be an additional charge.

Please register for the meeting as soon as possible as we do have limited space. Contact us at support@hfssoft.com if you have any questions or comments regarding the upcoming HFS Hospital Provider User Meeting.

 

 

Beta System for 224-14 FQHC Cost Report Now Available

March 9th, 2016 No comments

HFS has developed Beta software incorporating the draft forms and anticipates that CMS will release final forms and instructions in the spring of 2016. While no extension date has been established, MACs have been instructed not to request impacted cost reports until further notice.

HFS is working to make this a smooth transition. We currently have a beta system available for download at our website or through check for updates for clients that identified themselves as FQHC in the survey distributed 1/27/2016. Once CMS finalizes the forms we will submit for, hopefully, a quick approval and get you an approved system as soon as possible.

Please note that you can use the beta system to start 224-14 cost reports and that any data entered into the beta system will be retained when the system is updated for the approved version.

The HFS Beta System was developed based on the Draft forms published on the CMS website:

https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing-Items/CMS-224-14.html?DLPage=1&DLEntries=10&DLFilter=cost%20report&DLSort=1&DLSortDir=descending

The new draft form is CMS-224-14 and will be effective for cost reporting periods beginning on or after October 1, 2014. This effective date reflects the implementation date of the new FQHC PPS, required under the Affordable Care Act.

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

FY 2017 Revised Wage Index PUF Now Available

February 2nd, 2016 No comments

CMS published a revised Public Use File (PUF) for the FY 2017 wage index and occupational mix on 1/29/2016. This file reflects the Worksheet S-3, Parts II and III wage data from cost reports for Fiscal Year (FY) 2013 (FY Beginning from 10/1/12 to 9/30/2013). This data has been desk reviewed and verified by the MACs before being published.

An HFS Wage Index Verification Tool is available from the software menu under “Tools|Wage Index Verification” to assist providers in identifying any errors.

Comma separated files of the PUF and a Quick Start Guide for use with the Wage index Verification Tool are available at http://www.hfssoft.com/iFrame/Support/iWageVerify.aspx.

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

Categories: General Information Tags:

CMS Issues Draft Revisions to HHA Cost Reporting Forms

September 25th, 2015 No comments

On September 4, 2015, CMS issued a Federal Register notice releasing a draft of revisions to the HHA Cost Report. The new draft form revisions are being proposed to accommodate the statutory requirement for hospice payment reform and the statutory requirement establishing a prospective payment system for Federally Qualified Health Centers in the ACA.

This draft was recently made available at the CMS website:

https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing-Items/CMS-1728-94.html?DLPage=1&DLEntries=10&DLSort=1&DLSortDir=descending

Major proposed changes include:

  • CMS is proposing that effective for cost reporting periods beginning on or after October 1, 2014, HHA-based FQHCs would be required to complete the proposed free-standing Form CMS-224-14.
  • CMS is proposing to add a Worksheet S-2-1, to replace the current requirement to file a separate Form CMS-339.
  • CMS is proposing to eliminate the J Series, previously used for the reporting of Home Health based CORF services.
  • CMS is proposing to add Worksheet S-5, Parts III and IV, to implement the new reporting for Hospice services effective for cost reporting periods beginning on or after October 1, 2015.
  • CMS is proposing to add an O Series of Worksheets, to implement the new reporting for Hospice services effective for cost reporting periods beginning on or after October 1, 2015.

If you wish to comment on this draft, you may do so until November 3, 2015 at the following website:

http://www.regulations.gov/#!documentDetail;D=CMS_FRDOC_0001-1767