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Final FY 2015 Wage Index PUF Now Available

August 5th, 2014 No comments

CMS published the final wage index Public Use File (PUF) reflecting the Final Rule for the FY 2015 IPPS update on July 31, 2014 at:

 http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Wage-Index-Files-Items/FY-2015-Wage-Index-Home-Page.html

The July 2014 public use file FY 2015 reflects the final rule wage index data.  The effective date of the FY 2015 wage index is October 1, 2014.

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.

CMS issues Transmittal 3 to the Provider Cost Reporting Forms and Instructions, Chapter 42, Form CMS-265-11

July 2nd, 2014 No comments

The ESRD, 265-11 system was updated to Transmittal 3 by CMS, in May 2014. Transmittal 3 is effective for cost reporting periods ending on or after March 31, 2014. HFS was approved for Transmittal 3 on June 24, 2014 and the software will be released July 2, 2014.

Transmittal 3 changes include:

  • Instructional change on Worksheet A-2, indicating that lines 19 and 20 are not to be completed for purchases on or after January 1, 2012.
  • Instructional change for Worksheet B and B-1, clarifying that negative amounts are excluded when allocating A&G and Other Cost.
  • Instructional change to Worksheet E, Part I, line 19 indicating that the sequestration adjustment is not to be computed where negative net reimbursement is reported on line 16.
  • Minor description changes on the following forms:
    • S, Part II
    • S, Part III
    • S-1, line 13.01
    • A-2, lines 19 and 20
    • Worksheet B. Column 1
    • Worksheet B-1, Column 1, 8A, 11A, 13A
    • Worksheet E, Part I, lines 2.01, 2.02, 12, 16
    • Worksheet E-1 note
    • Worksheet F, column 1 description and lines 48 and 49
    • Worksheet F-1, column headings and line 4
    • Description changes for edits: 1060,1005S, 1010S, 1020S, 1000A,
    • New Level One edits: 1022S, 1005A, 1000C, 1010C, 1010D, 1010E

For more information:

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

Categories: Cost Report News Tags:

CMS issues Transmittal 5 to the Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10

March 28th, 2014 2 comments

On Friday, March 28th, 2014, CMS issued Transmittal number 5 to the Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10.  Transmittal 5 is effective for cost reporting periods overlapping or beginning on or after October 1, 2013.

Major Medicare provisions incorporated by Transmittal 5 include:

  • Implementation of Implement of 75% reduction to traditional DSH payments and calculation of Uncompensated Care Payments, in accordance with Section 333 of the Affordable Care Act.
  • Incorporation of Model 4 bundled payments for care improvement (BPCI) initiative paid outside of the bundled payment in accordance with ACA 2010, Section 3023.
  • Update of the low income patient (LIP) adjustment factor and update of the teaching adjustment factor.
  • Inclusion of Medicare labor and delivery days in the calculation of the Medicare patient load ratio used to apportion direct graduate medical education payments in accordance with the Federal Fiscal Year (FFY) 2014 IPPS final rule.

Transmittal 5 also includes two minor clarifications with retroactive application:

  • Clarification to instructions for lines 71 and 72, medical supplies charged to patients and implantable devices charged to patients, respectively.
  • Addition of  line 39.98 to reflect partial or full credits received from manufacturers for replaced devices

HFS has summited a test case for transmittal 5 to CMS and anticipates approval in the near future.  Once approved, HFS will make the update available to users of the software.

In addition, HFS will be hosting two WebEx sessions on the Transmittal 5 changes.  Both WebEx sessions will be held at 11:00 PST on April 1st and 3rd 2014.  Information regarding the sessions will be distributed to all hospital software users.

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

Updated FFY 2015 PUF

February 27th, 2014 No comments

CMS Published revised FY 2015 wage index and occupational mix files as PUFs on the CMS Web site. These data will have been desk reviewed and verified by the FIs/MACs before being published. March 3rd is the deadline for hospitals to submit requests (including supporting documentation) for: 1) corrections to errors in the February PUFs due to CMS or FI/MAC mishandling of the wage index data, or 2) revisions of desk review adjustments to their wage index data as included in the February PUFs (and to provide documentation to support the request). FIs/MACs must receive the requests and supporting documentation by March 3rd. No new requests for wage index and occupational mix data revisions will be accepted by the FIs/MACs at this point, as it is too late in the process for FIs/MACs to handle data that is new in a timely manner.

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.

Preliminary FY 2015 Wage Index PUF Now Available

September 16th, 2013 No comments

The Preliminary Public Use File (PUF) for the FY 2015 wage index and occupational mix has been published on the CMS website at:

http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Wage-Index-Files-Items/FY-2015-Wage-Index-Home-Page.html?DLPage=1&DLSort=1&DLSortDir=descending

This file reflects the Worksheet S-3, Parts II and III wage data from cost reports for Fiscal Year (FY) 2011 (FY Begin Dates from 10/1/10 to 9/30/2011). ◦Hospitals will have until November 21, 2013 to request revisions to the wage data posted in the September 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:

Sequestration and Bad Debt Changes

July 25th, 2013 No comments

Sequestration is effective for Services rendered on or after 4/1/2013. It will be prorated for FYE overlapping 4/1/2013 (e.g. a 6/30/2013 FYE has 91 days of Sequestration, so 91/365, times 2%, will be the reduction percentage, or about .50%). Bad Debt changes are effective for FY Begin 10/1/2012 and after, so a 7/1/2012 to 6/30/2013 FY is not affected.

We are awaiting the Hospital (2552-10) Transmittal #4 from CMS, which is to have the Sequestration and Bad Debt Changes (as well as other changes for the ACA). CMS has not released a draft of T-4 as of 7/25/2013. This will be our Version 4.x.x.x.

We received Transmittal #5 for the 2540-10 (SNF), which incorporated the Sequestration and Bad Debt changes. We have submitted a test case and are awaiting CMS approval of our system. This will be our Version 5.x.x.x.

We received Transmittal #2 for the 265-11 (ESRD), which incorporated the Sequestration and Bad Debt changes. We have submitted a test case and are awaiting CMS approval of our system. This will be our Version 2.x.x.x.

We received Transmittal #16 for the 1728-94 (HHA), which incorporated the Sequestration and Bad Debt changes. We have submitted a test case and are awaiting CMS approval of our system. This will be our Version 16.x.x.x.

We received Transmittal #11 for the 222-92 (RHC/FQHC), which incorporated the Sequestration and Bad Debt changes. We have submitted a test case and are awaiting CMS approval of our system. This will be our Version 11.x.x.x.

We received Transmittal #8/9 for the 2088-92 (CMHC), which incorporated the Sequestration and Bad Debt changes. We have submitted a test case and are awaiting CMS approval of our system. This will be our Version 9.x.x.x.

The 216-94, OPO system, is the only approved system “on the street” with the Sequestration changes incorporated (Bad Debt is N/A). This is our Version 5.4.145.0.

CMS released a Draft of the new Hospice, 1984-14 forms and instructions for industry comments 5/29/2013. This is to be effective for FY Begin 1/1/2014 and after. Once comments are addressed and CMS issues the Final, we will know more about what changes are to be made.

Final FY 2014 Wage Index PUF Now Available

May 7th, 2013 No comments

CMS published the final wage index Public Use File (PUF) reflecting the Proposed Rule for the FY 2014 IPPS update on May 3, 2013 at:

http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Wage-Index-Files-Items/FY_2014_Wage_Index_Home_Page.html

The May 2013 public use files were made available solely for the purpose of identifying any potential errors made by CMS or the fiscal intermediary/MAC in the entry of the final wage index data.  If, after reviewing the May 2013 final public use files, a hospital believes that its wage or occupational mix data are incorrect due to a fiscal intermediary/MAC or CMS error in the entry or tabulation of the final data, the hospital should send a letter to both its fiscal intermediary/MAC and CMS that outlines why the hospital believes an error exists and provide all supporting information, including relevant dates (for example, when it first became aware of the error). CMS and the fiscal intermediaries (or, if applicable, the MACs) must receive these requests no later than June 3, 2013.

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

Continuation of Low Volume Payment Adjustment and Extension of Special Payment Provision for MDH’s

January 11th, 2013 No comments

The American Taxpayer Relief Act passed on January 1, 2013 included Medicare provisions that will impact some hospitals for cost reporting periods ending after September 30, 2012.  Section 605 of the Act extends the current Low Volume Payment adjustment through September 30, 2013. The temporary improvements to the Low Volume Payment Adjustment established by ACA Sections 3125 and 10314 were set to expire for services rendered on or after October 1, 2012.  ACA of 2010,

In addition Section 606 of the Act, extended the Medicare Dependent Hospital (MDH) program for services through September 30, 2013.  The MDH program was set to expire for services on or after September 30, 2012.

Both of these provisions will require changes to the 2552-10 cost reporting instructions and we will incorporate these changes into the software when we receive revised instructions from CMS.  If you have any questions, feel free to contact me at eric@hfssoft.com.

October Provider User Meeting in Orlando

June 11th, 2012 No comments

We will hold our Provider User Meeting in Orlando on October 17-18.  It will be two full days.  The meeting will be held at Disney’s Coronado Resort.    We’ve set up a site with information, registration and the hotel reservation info and link.  This link is also under our Events tab on our website (HFSSOFT.com).

2012 HFS Provider User Meeting 

This meeting will be for Hospitals, SNF’s and HHA’s.  Other provider types are welcome to attend but we will not have industry specific speakers for other provider types.  The fee for the meeting is $500, we will offer 16 CPE credits and the hotel rate is $129 per night.  We hope you can attend.  We are confirming speakers and topics and will keep updating our agenda on the event website.  We really enjoy seeing our users at this meeting and consistently receive comments that we put on a good meeting with great up to date information.  We are going to make this one our best yet.

Categories: Cost Report News Tags:

Eric Swanson Joins Health Financial Systems

June 8th, 2012 No comments

We are pleased to announce that Eric Swanson has joined our team at Health Financial Systems.  Many of you know Eric from his previous employment at Blue Cross Blue Shield Association, where he served as the Managing Director for the Strategic Government Initiatives Department.  He has over 30 years of experience in Medicare Part A and was an established expert within the Blue Cross organization, as well as a technical expert to CMS and the provider community.  Eric successfully managed the Blue Cross and Blue Shield Association Medicare operations including PRRB Appeals, Medicare Cost Report development, and Audit and Reimbursement Policy functions.

He is a Graduate of the University of Illinois and earned his MBA from the Lake Forest Graduate School of Management.

Eric has been a featured speaker at HFS user meetings since 1995. He will work out of the Chicago area and contribute in our support department and Government Relations.  Eric will add another dimension of expertise to the HFS team and he looks forward to working with all of our provider and MAC clients.

Eric can be reached by email at Eric@hfssoft.com or by phone (312)265-8386.