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By Ginger - Site Admin on Monday, June 01, 2015 9:16 AM
Active Shooter Guidance CoverThe updated "Active Shooter Planning and Response in a Healthcare Setting" guidance document, produced by the Healthcare and Public Health Sector Coordinating Council, has been approved and is posted to the FBI Active Shooter resource site: http://www.fbi.gov/about-us/cirg/active-shooter-and-mass-casualty-incidents/active-shooter-planning-and-response-in-a-healthcare-setting.

KHA extends its thanks to Scott...
By Ginger - Site Admin on Wednesday, January 14, 2015 1:54 PM
By a letter dated December 16, 2014, The Department for Medicaid Services (DMS) distributed preliminary reconciliation of the Wrap-around payments made to Rural Health Centers (RHCs) and Federally Qualified Health Centers (FQHCs) for the for dates of service November 1, 2011, through June 30, 2014.  

DMS is unable to provide KHA with a list of hospitals that received the letter, therefore, yesterday KHA sent this correspondence to all Kentucky hospital chief financial officers.   

There are at least three significant problem areas in the reconciliations that DMS distributed to providers: the Coventry Claims for all practical purposes are excluded from the reconciliation, many dental-related claims are not included and Dual Eligibles are understated as a result of the Medicaid managed care organizations (MCOs) initially denying the claims instead of processing them as “Zero Pay” that would have allowed that visit to be included in the volume count.

A 30-day extension will be granted to all hospitals that make a request to DMS. Requests are to be sent to David Dennis and he will forward them to Myers and Stauffer.  E-mailed requests for an extension will be accepted.  David Dennis’ email is:  David.Dennis@ky.gov...
By Ginger - Site Admin on Friday, October 31, 2014 8:56 AM
The Kentucky Department for Medicaid Services (DMS) is conducting Open Enrollment for ALL Medicaid managed care enrollees from October 27 through December 12.  Earlier this week, all chief executive officers and chief financial officers received a legal opinion obtained by KHA from Wyatt, Tarrant & Combs which addressed hospital communication with Medicaid beneficiaries regarding their ability to switch Medicaid managed care organizations (MCOs) during this time.  This legal opinion was also provided to hospitals earlier this year in response to a more limited Medicaid Open Enrollment and, at that time, KHA held a webinar to summarize the information contained in the opinion, as well as to answer member questions.  A replay of that webinar is now available on the Members Only section of the KHA Website.  

If you have any questions about accessing the Members Only section of the KHA Website, please contact Pam Kirchem at KHA (502-426-6220 or 800-945-4542 or via email at pkirchem@kyha.com).

...
By Ginger - Site Admin on Tuesday, February 04, 2014 2:56 PM
The IRS has issued new guidance to assist Section 501(c)(3) nonprofit hospital organizations in complying with the requirements of Section 501(r), enacted by the Affordable Care Act. In Notice 2014-3, the IRS has set out a proposed procedure for hospitals to disclose and correct any violations of Section 501(r) that are not “willful” or “egregious.” A second notice, Notice 2014-2, provides that hospital organizations may rely on proposed IRS regulations under Section 501(r).

Section 501(r) requires a Section 501(c)(3) hospital organization to conduct and implement a community health needs assessment (CHNA) and establish financial assistance and emergency care policies. It also places limits on a hospital organization’s patient charges and billing and collection practices for patients who are eligible for financial assistance. The requirements apply to organizations that operate one or more facilities that are licensed or registered as a hospital under state law.

The IRS issued two sets of...
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