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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.

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

CMS issues Transmittal 2 to the Provider Cost Reporting Forms and Instructions, Chapter 43 Form CMS-1984-14

August 7th, 2015 No comments

The Hospice, 1984-14 system was updated to Transmittal 2 by CMS, on June 30, 2015. Transmittal 2 has the same effective date as Transmittal 1, for cost reporting periods beginning on or after October 1, 2014. HFS was approved for Transmittal 2 on August 6, 2015 and the software was released August 7, 2015.

Transmittal 2 changes include:

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

 

CMS issues Transmittal 6 to the Provider Cost Reporting Forms and Instructions, Chapter 33, Form CMS-216-94

July 17th, 2015 No comments

The OPO, 216-94 system was updated to Transmittal 6 by CMS, on June 19, 2015. Transmittal 6 is effective for cost reporting periods that begin on or after May 1, 2014.

The transmittal is available at the CMS website:

http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2015-Transmittals-Items/R6P233.html?DLPage=3&DLEntries=10&DLSort=1&DLSortDir=descending

  • HFS was approved for Transmittal 6 on July 15, 2015.
  • The primary change in Transmittal 6 was the introduction of an adjustment column for the calculation of accumulated costs on Worksheet B-1, column 10.
  • CMS also made clarifications and corrections to the instructions including:
    • Facilities operating both an OPO and Lab with 2 separate CCNs with enter the OPO data on Worksheet S, Part I, line 4 and the Lab information on subscripted line 4.01.
    • On Worksheet A, costs for other acquisition not identified on lines 15 through 18 will be identified on line 19 and subscripts. Line 20 will not be used for cost reporting periods beginning on or after May 1, 2012.
    • Clarified that for cost reporting periods beginning on or after January 1, 2015, Home Office costs should no longer be reported on Worksheet A-5, line 3. Instead they will be reported on Worksheet A-5-1.
    • Clarified that gains and/or losses on the sale of assets are not to be reported on Worksheet A-6, line 6, for cost reporting periods ending on or after December 1, 1997.
    • The Worksheet D, line 6 instructions were clarified to state that sequestration would not be computed, where an amount due to Medicare was computed.

HFS was approved for the Transmittal 6 changes on July 14th, 2015 and the update was made available to the OPO cost report users on July xx, 2015.

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

FY 2017 Preliminary Wage Index PUF Now Available

May 22nd, 2015 No comments

CMS published the Preliminary Public Use File (PUF) for the FY 2017 wage index and occupational mix on 5/15/2015. 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). Hospitals will have until September 2, 2015 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: Cost Report News, Hospitals Tags:

FY 2016 Final Wage Index PUF Now Available

May 4th, 2015 No comments

CMS published the final FY 2016 wage index Public Use File (PUF) on May 1,, 2015. CMS indicated that hospitals will have approximately 1 month to verify their data and submit correction requests to both CMS and their MAC to correct errors due to CMS or MAC mishandling of the final wage and occupational mix data. The updated PUF was published at:

http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Wage-Index-Files-Items/FY-2016-Wage-Index-Home-Page.html

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:

CMS Issues Updated Monthly Inflation Factors to Therapy Guidelines for CAH Providers.

April 21st, 2015 No comments

On February 20th, 2015 CMS issued updated monthly inflation factors to be used to update the Worksheet A-8-3 Therapy Guidelines for CAH providers providing contracted therapy services.  The Transmittal is available on the CMS website at:

 http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2015-Transmittals-Items/R467PR1.html?DLPage=1&DLFilter=therapy&DLSort=1&DLSortDir=ascending

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

 

Categories: General Information, Hospitals Tags:

CMS issues Transmittal 7 to the Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10

March 16th, 2015 No comments

On Friday, March 13th, 2015, CMS issued Transmittal number 7 to the Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10. Transmittal 7 is effective for cost reporting periods ending on or after October 1, 2014.

The transmittal is available at the CMS website:

http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2015-Transmittals-Items/R7P240.html?DLPage=1&DLSort=1&DLSortDir=descending

The major changes reflect Federal Fiscal Year 2015 IPPS Final Rule changes including:

  • The addition of Worksheet S-2, Part I, lines 22.02 and 22.03 to identify newly merged hospitals and hospitals that undergo an involuntary reclassification from urban to rural.
  • The addition of Worksheet-2, Part I, line 40, to identify hospitals that are subject to the Hospital Acquired Condition (HAC) reduction adjustment.
  • The addition of Worksheet E, Part A, lines 22.01, 28.01 and 29.01 to compute the IME adjustment for managed care patients in a teaching hospital and revision to line 49 to add in the IME adjustment amount for managed care patients effective for cost reporting periods beginning on or after October 1, 2014.
  • Instructional revisions to Worksheet E, Part A lines 35, 35.01 and 35.02 to calculate uncompensated care for newly merged hospitals in accordance with the 2015 IPPS Final Rule and Sole Community Hospitals that do not have a hospital uncompensated care payment amount determined by CMS.
  • The addition of Worksheet E, Part A, lines 70.90, 70.91, and 100 through 104 to compute the value based purchasing adjustment amount and the hospital readmissions reduction adjustment amount for Medicare Dependent Hospitals that receive a hospital specific bonus payment amount.
  • Instructional revisions to Worksheet E, Part A, line 34 for hospitals that undergo an involuntary reclassification from urban to rural as a result of CMS’ adoption of new standards for delineating new statistical areas.
  • The addition of Worksheet E, Part A, line 70.99 and Exhibit 5 to reconcile the HAC reduction adjustment amount in accordance with the §3008 of the Patient Protection Affordable Care Act (ACA) of 2010.

Other changes include:

  • The addition of Worksheet S-2, Part I, lines 81, 110 and 171 to identify long term care hospitals that are co-located in another hospital, hospitals that participate in the 410A Demo and hospitals claiming Medicare days for individuals enrolled in 1876 Medicare cost plans.
  • Modified Worksheet E, Part A, lines 1.02, 1.03 and 1.04 to always split Medicare payments for IPPS services at October 1 of each Federal Fiscal year.
  • Clarified instructions to Worksheet E-4, lines 2, 8 and 15 for Direct Graduate Medical Education (GME) FTEs.
  • Revisions to Worksheets E, Part A; E, Part B; E-2; E-3, Parts I through VI; H-4; J-3; and M-3 to add lines for the Pioneer Accountable Care Organization demonstration payment adjustment in accordance with section 3022 of the ACA, effective for discharges occurring on or after April 1, 2014.

HFS is currently programming the software changes for transmittal 7 and anticipates approval in the near future. Once approved, HFS will make the update available to users of the software.

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