Search News
News by Topic
event (205)
education (180)
cms (106)
meeting (102)
advocacy (68)
webinar (66)
quality (62)
convention (61)
EHR (47)
deadline (44)
Medicaid (37)
AHA (35)
comments (32)
survey (29)
Sponsorship (28)
CAH (24)
registration (24)
KHA Annual Convention (23)
patient safety (23)
ACHE (22)
awards (21)
report (21)
data (20)
KHA Convention (20)
Solutions Group (20)
award (19)
Medicare (19)
340B (18)
CON (18)
chfs (17)
MCO (17)
Affinity Partner (16)
announcement (15)
K-HEN (15)
meaningful use (14)
EHR Incentive Program (13)
KHA Solutions Group (13)
legislation (13)
kipsq (12)
newsletter (12)
Annual Meeting (11)
Attestation (11)
district meeting (11)
hhs (11)
ICD-10 (11)
ACA (10)
emergency preparedness (10)
Health Care Leadership Conference (10)
Joint Commission (10)
AHRQ (9)
conditions of participation (9)
kshprm (9)
Patient Safety Hero (9)
PPS (9)
proposed rule (9)
testing (9)
careLearning (8)
certificate of need (8)
conference (8)
electronic health record (8)
Kentucky Trustee (8)
KHA (8)
LTACH (8)
Patient Safety Hero Award (8)
qio (8)
regulation (8)
rural hospitals (8)
trustees (8)
general assembly (7)
infection prevention (7)
K-HIIN (7)
legislative session (7)
managed care (7)
nursing (7)
opps (7)
pso (7)
reports (7)
save the date (7)
state health plan (7)
summer series (7)
workforce (7)
DSH (6)
ebola (6)
HIT (6)
kentucky general assembly (6)
KHA Board (6)
PAC (6)
prescriptions (6)
ratings (6)
readmissions (6)
seminar (6)
study (6)
SunRx (6)
training (6)
website (6)
Circle of Friends (5)
cybersecurity (5)
EED (5)
forum (5)
health insurance exchange (5)
incentive program (5)
IRS (5)
IT (5)
mental health (5)
RAC (5)
reimbursement (5)
resources (5)
safety (5)
Sponsor Spotlight (5)
staffing (5)
utilization (5)
Washington (5)
Affinity Partner Program (4)
app (4)
asc (4)
Board (4)
CDC (4)
continuum of care (4)
CoP (4)
critical access hospital (4)
DMS (4)
faq (4)
funding (4)
grants (4)
guidance (4)
hardship exception (4)
health and welfare committee (4)
HFMA (4)
HMO (4)
insurance (4)
ipps (4)
irf (4)
KEPRO (4)
long-term care (4)
LTCH (4)
MACRA (4)
MIPS (4)
obituary (4)
pharmacy (4)
political action committee (4)
post-acute care (4)
presumptive eligibility (4)
regulations (4)
security (4)
SHP (4)
small rural (4)
Small Rural and CAH Forum (4)
sponsor (4)
swing beds (4)
volunteers (4)
waiver (4)
work plan (4)
aha advisory (3)
alert (3)
automated payments (3)
Board Chair (3)
breastfeeding (3)
brochure (3)
bundled payments (3)
chip (3)
coding (3)
Comer (3)
Commerce Bank (3)
compliance (3)
critical access (3)
cyber security (3)
Day at the Legislature (3)
deaf (3)
Environment of Care (3)
EOC (3)
federal advocacy (3)
governance (3)
Governance Award (3)
grant (3)
Guthrie (3)
hard of hearing (3)
Healthcare Staffing Solutions (3)
heroin (3)
home health (3)
hospital compare (3)
hotel (3)
HRET (3)
improvement (3)
information technology (3)
KHA comments (3)
KHA Quality Awards (3)
kshe (3)
kynect (3)
lbmc (3)
legislative priorities (3)
LEP (3)
licensure fees (3)
MAC (3)
marketing (3)
MedPAC (3)
mobile (3)
mom and baby (3)
nominations (3)
oig (3)
organ donation (3)
outpatient (3)
PE (3)
post acute care (3)
proposed changes (3)
public relations (3)
publication (3)
Quality Conference (3)
recognition (3)
Rural (3)
rural health (3)
SANE (3)
small hospitals (3)
solutions (3)
state auditor (3)
taxes (3)
TB (3)
teamSTEPPS (3)
thoroughbred awards (3)
trauma (3)
travelers (3)
Two-Midnight Rule (3)
U.S. News and World Report (3)
VBP (3)
ACO (2)
ADE (2)
AHA Annual Meeting (2)
AHA Annual Survey (2)
AHA Regulatory Advisory (2)
analysis (2)
anthem (2)
antibiotics (2)
APM (2)
appeals (2)
application (2)
audits (2)
Awards Luncheon (2)
behavioral health parity (2)
behavioral health services (2)
Best Hospitals (2)
Best Places to Work in Kentucky (2)
Blackhawk Down (2)
book signing (2)
CAUTI (2)
CEO Dashboard (2)
cesarean (2)
CGS (2)
civil rights (2)
CLABSI (2)
claims (2)
CNO (2)
community benefits (2)
conference call (2)
co-op (2)
court ruling (2)
cyber attack (2)
DataGen (2)
DEA (2)
delay (2)
Diamond Sponsor (2)
Directory (2)
dme (2)
donation (2)
download (2)
drug prevention (2)
eLearning (2)
emerency preparedness (2)
expansion (2)
extension (2)
facility manager (2)
federal (2)
federal issues (2)
federal legislation (2)
forums (2)
Get Smart about Antibiotics (2)
HAC (2)
hardship applications (2)
HCAHPS (2)
HCLC (2)
Health Care Governance Leadership Award (2)
healthcare coalition conference (2)
hearing (2)
HIPAA (2)
home care (2)
honor (2)
HOPD (2)
hospice (2)
hospital board (2)
hotel reservation (2)
hrsa (2)
human resources (2)
incentive (2)
information security (2)
inpatient rehabilitation facility (2)
Joint Commission Update (2)
Kentucky Senate (2)
keynote speaker (2)
KHA Data Center (2)
KHA Solutions Group Affinity Partner (2)
KHREF (2)
KONL (2)
lawsuit (2)
LBMC Security Services (2)
legal advisory (2)
Legislative Committee (2)
limited English proficient (2)
listening session (2)
litigation (2)
managed care organizations (2)
Massie (2)
materials management (2)
MCOs (2)
MDH (2)
Meciare (2)
medicare advantage (2)
mental health parity (2)
MOON (2)
Most Wired (2)
news (2)
nurse leaders (2)
office closed (2)
ONC (2)
opiods (2)
opioids (2)
palliative care (2)
parity (2)
patient safety organization (2)
payment adjustment (2)
payment cuts (2)
payment program (2)
payment systems (2)
payments (2)
PHI (2)
policy change (2)
Press Conference (2)
psychiatric (2)
public health (2)
QRP (2)
Qualivis (2)
ranking (2)
rankings (2)
ransomware (2)
REC (2)
rehab (2)
reimbusement (2)
reporting requirements (2)
Republic Bank (2)
results (2)
Rogers (2)
safe table meetings (2)
salary (2)
salary survey (2)
SANE-Ready Hospital (2)
Section 1557 (2)
Sequentia (2)
settlement (2)
sexual assault (2)
sexual assault response (2)
SGR (2)
SIM project (2)
site-neutral payments (2)
small and rural (2)
SNF (2)
soar (2)
social media (2)
Special Operations Warrior Foundation (2)
Sponsors (2)
statistics (2)
technology (2)
transition of care (2)
transitional care (2)
trustee report (2)
two midnight rule (2)
u.s. congress (2)
Utilization Trend Report (2)
Workforce Survey (2)
Yarmuth (2)
#123forEquity (1)
#HAVhope (1)
1115 (1)
1115 waiver (1)
2 Midnight Rule (1)
21st Century Cures Act (1)
501(c)(3) (1)
95x96 (1)
abstract (1)
abuse (1)
access to care (1)
Accountable Health Communities (1)
accreditation (1)
action alert (1)
active shooter (1)
activism (1)
acute care (1)
AD&D (1)
addiction (1)
addiction medicine (1)
adverse drug event (1)
adverse drug events (1)
adverse events (1)
AHA Annual Conference (1)
AHA Survey (1)
AHAPAC (1)
AHCA (1)
alternative payment method (1)
alternative payment model (1)
Andy Barr (1)
antibiotic resistance (1)
Antibiotics Awareness Week (1)
Appalachia (1)
appeal (1)
appointment (1)
ASPR (1)
assistance program (1)
auxilians (1)
auxiliary (1)
Award of Excelence (1)
baby (1)
Baby Friendly Hospital (1)
background check (1)
bank (1)
Baptist Health (1)
Behavioral Health (1)
besthospitals (1)
BiBA of 2015 (1)
bill signing (1)
billing (1)
blind (1)
blog (1)
Bluegrass Care Navigators (1)
Board of Governors Exam (1)
Board of Trustees (1)
BOG (1)
bonds (1)
Bost Health Policy Forum (1)
breast cancer (1)
Broadband Access (1)
business impact analysis (1)
bylaws (1)
bypass surgery (1)
C Diff (1)
Call for Measures (1)
campaign (1)
cancellation (1)
candidates (1)
carbon monoxide (1)
cardiac telemetry (1)
CareChex (1)
Caretenders (1)
CEHRT (1)
Center for Health Statistics (1)
ceremony (1)
certification (1)
CEU (1)
chief executive officer (1)
chief medical officer (1)
child abuse (1)
children's behavioral health (1)
CIGNA (1)
Civil Rights Act (1)
CJR (1)
CLE (1)
CLIK (1)
CME (1)
coalition to protect america's health care (1)
code (1)
comment period (1)
commentary (1)
CommerceVantage (1)
community engagement (1)
Community of Practice (1)
community service (1)
Compdata (1)
compensation (1)
Compensation and Benefits Survey (1)
competition (1)
Compliance Deadline (1)
Comprehensive Joint Replacement (1)
Consumer Checkbook (1)
consumer reports (1)
contingency planning (1)
continuing legal education (1)
cost sharing (1)
costs per day (1)
court decision (1)
CPHQ (1)
credentialing (1)
critical access hospitals (1)
cuts (1)
cybercrime (1)
dashboard (1)
data center (1)
dating violence (1)
death rate (1)
dental care (1)
designation (1)
dietician (1)
Direct Messaging (1)
disability (1)
disaster (1)
disclaimer statement (1)
discount (1)
discrimination (1)
disproportionate share hospital (1)
Distinguished Service Award (1)
Dobson/DaVanzo (1)
DOL (1)
domestic violence (1)
DPH (1)
draft forms (1)
DRG (1)
drug coding (1)
drug overdose (1)
drug shortage (1)
early bird registation (1)
ED (1)
Effective Communication in Hospitals (1)
effective communications (1)
EITC (1)
election (1)
eligible hospital (1)
eligible professional (1)
emergency care (1)
emergency department (1)
emergency room (1)
employment (1)
EMS (1)
EMTALA (1)
energey (1)
engineer (1)
engineering (1)
engineers (1)
enrollment (1)
enterovirus (1)
environmental manager (1)
EP (1)
Ephraim McDowell (1)
equality (1)
ER (1)
Excellence Award (1)
Excellence in Rural Healthcare (1)
executive position (1)
Facebook (1)
facilities (1)
facility managers (1)
Facts Book (1)
Fall Volunteer Conference (1)
FAQs (1)
fda (1)
federal policy (1)
Federal Poverty Guidelines (1)
Federal Register (1)
FEMA (1)
fentanyl (1)
FFS (1)
final rule (1)
final rules (1)
finance (1)
financial officer (1)
financial report (1)
financial services (1)
Flex Grant (1)
Flex program (1)
FLSA (1)
FMLA (1)
foundation directors (1)
Foundation for a Healthy Kentucky (1)
FPL (1)
fraud alert (1)
GAO (1)
Gatlinburg (1)
gift shop managers (1)
governing council (1)
Governor (1)
Governor Begin (1)
Governor Bevin (1)
grant opportunity (1)
guidelines (1)
Hal Rogers (1)
HANDS (1)
HANDS Award (1)
HANYS (1)
hard stop policy (1)
HCAHPS Star Ratings (1)
HCUP (1)
health (1)
health care (1)
health care attorney (1)
health care disparities (1)
health care engineers (1)
health care information technology (1)
health care law (1)
Health Care Quality Week (1)
health care workforce (1)
health information exchange (1)
health information technology (1)
health insurance (1)
Health IT (1)
health literacy (1)
Health Subcommittee (1)
Healthcare Staffing Services (1)
heart collaborative (1)
hemophilia (1)
HEN (1)
hepatitis c (1)
HH&N (1)
HHS OIG (1)
HIE (1)
High Risk Hospitalization (1)
HIIN (1)
HMPAC (1)
holiday (1)
hospital attorneys (1)
Hospital Claims Settlement (1)
hospital costs (1)
hospital discharges (1)
Hospital Engagement Network (1)
hospital engineers (1)
hospital heroes (1)
Hospital Improvement Act (1)
hospital payment update (1)
hospital scores (1)
hospital week (1)
HospitalCompare (1)
Hospitals and Health Networks magazine (1)
HRH (1)
human trafficking (1)
Hurricane Harvey (1)
icd-9 (1)
IIPW (1)
IMD Exclusion (1)
immunization (1)
improper payments (1)
incentive payment (1)
infant mortality (1)
infections disease (1)
infosuite (1)
inpatient (1)
insurance marketplace stabilization (1)
Interapt (1)
International Infection Prevention Week (1)
interpretation (1)
interpreter (1)
interpretive rule (1)
interpretors (1)
IPF (1)
IQR (1)
JAMIA (1)
job offer (1)
job post (1)
joint comission (1)
KAHA (1)
KBN (1)
KCHIP (1)
KCN (1)
KCSP (1)
Kentucky (1)
Kentucky Board of Licensure and Certification for Dieticians and Nutritionists (1)
Kentucky Center for Nursing (1)
Kentucky Health Cooperative (1)
Kentucky Hospital Statistics (1)
Kentucky Immunization Coalition (1)
Kentucky Oral Health Program (1)
Kentucky Regional Extension Center (1)
Kentucky Rural Health Association (1)
Kentucky Supreme Court (1)
Kentucky Tonight (1)
KET (1)
KGA (1)
KHA App (1)
KHA Awards (1)
KHA Board of Trustees (1)
KHA Day at the Legislature (1)
KHA District Meeting (1)
KHA Health Care Governance Leadership Award (1)
KHA Quality Award (1)
KHA victory (1)
KHA website (1)
KHA Workforce Survey (1)
KODA (1)
KORH (1)
KPAP (1)
KRHA (1)
KYDPH (1)
KYHC (1)
LabCorp (1)
laboratory services (1)
laboratory tests (1)
LanguageLine (1)
laws (1)
leadership (1)
Lean (1)
Lean Health Care (1)
lean management (1)
Leapfrog (1)
leave management (1)
legal issues (1)
legal update (1)
Legionellosis (1)
legislative contacts (1)
legislative victory (1)
liability reform (1)
license procedures (1)
life expectancy (1)
life insurance (1)
Life Safety (1)
limited English proficiency (1)
limited services clinics (1)
liquidation (1)
longitudinal analysis (1)
long-term acute care hospital (1)
long-term care hospital (1)
long-tern care hospital (1)
LoVol (1)
LVH (1)
MACs (1)
malpractice (1)
mandatory reporting (1)
margin improvement (1)
measure trends analysis (1)
measures (1)
media (1)
Medicaid DSH (1)
Medicaid Meaningful Use Assistance (1)
Medicaid Oversight and Advisory Committee (1)
Medicaid Waiver (1)
medical liability (1)
medical practice (1)
medical review panels (1)
medical transport (1)
Medicare Quality Based Programs (1)
medication safety (1)
member news (1)
MHNet (1)
Mid-South CAH Conference (1)
milestone (1)
Mitch McConnell (1)
mobile app (1)
mobile device (1)
mortality (1)
motion to intervene (1)
MRP (1)
National Health Care Surveys (1)
National Hospital Care Survey (1)
national hospital week (1)
National Patient Safety Week (1)
National Provider Call (1)
new administrator (1)
newborn screening (1)
NH-ISAC (1)
NIST EHR Randomizer Application (1)
nondiscrimination (1)
NOSORH (1)
NOTICE Act (1)
NPSW (1)
nutritionist (1)
observation (1)
obstetrics (1)
occupational therapy (1)
Office of Health Policy (1)
OHP (1)
OMB (1)
OMHA (1)
opa (1)
op-ed (1)
Open Door Forum (1)
Open World Program (1)
opioid (1)
opioid crisis (1)
OQR (1)
oral health (1)
ORP (1)
overdoses (1)
overtime (1)
PAB (1)
patien (1)
patient care (1)
patient experience (1)
patient origin reports (1)
patient safety checklist (1)
patient status denials (1)
patient tracking (1)
payment adjustments (1)
payment bundle (1)
payment reduction (1)
PBR (1)
pediatrics (1)
penalties (1)
pharmacists (1)
PHI Air Medical (1)
phshing (1)
physical theray (1)
physician (1)
physician compensation (1)
physician fee schedule (1)
physician groups (1)
physician supervision (1)
physician track (1)
physicians (1)
pilot program (1)
Pink Glove Dance (1)
plan of correction (1)
Platinum Sponsor (1)
pledge (1)
policy (1)
population health (1)
Post Acute Care Forum (1)
postacute care (1)
poverty (1)
prescription drugs (1)
presentations (1)
preview period (1)
prior authorization (1)
proclamation (1)
proposed bill (1)
ProPublica (1)
prospective payment system (1)
provider support program (1)
provider-based rules (1)
psych/cd (1)
Public Health and Clinical Data Registry (1)
public health notice (1)
public reporting (1)
QHP (1)
QI (1)
QSource (1)
Quality Advisory (1)
Quality Awards (1)
quality director (1)
quality improvement (1)
quality reporting (1)
quality reporting program (1)
QualityNet (1)
Quorum (1)
recap (1)
reception (1)
recerification (1)
recertification (1)
recommendations (1)
reconsideration form (1)
recording (1)
recovery audit contractor (1)
Recovery Audit Contractors (1)
recruiting (1)
recycling (1)
Region 3 (1)
Regional Extention Center (1)
relief fund (1)
Reportable Diseases (1)
reservation (1)
Resource Bridge (1)
resources for the blind (1)
resources in Spanish (1)
restraint (1)
review (1)
risk issues (1)
Ronan Tynan (1)
rule (1)
rules (1)
rural hospital (1)
Rural Hospital Flexibility Program (1)
SAFE Act (1)
safe table (1)
safe tables (1)
SB 4 (1)
SB 42 (1)
schedule change (1)
seclusion (1)
Section 501(r) (1)
Senate Finance Committee (1)
sepsis (1)
sequestration (1)
Sevierville (1)
sexual assault evidence kits (1)
sexual assault nurse examiner (1)
short stay policies (1)
short stay reviews (1)
SIM (1)
site-neutral payment (1)
skilled nursing facilities (1)
sleep center (1)
sleep lab (1)
small and rural hospitals (1)
small rural hospitals (1)
smoke free (1)
smoke-free kentucky (1)
speakers (1)
speech therapy (1)
staff (1)
staff management (1)
stage 2 (1)
Stage 3 Meaningful Use (1)
star ratings (1)
state board (1)
state issues (1)
state legislation (1)
State Legislature (1)
Stats Book (1)
strategic plan (1)
strategic planning (1)
stroke (1)
subsidies (1)
substance abuse (1)
supply chain (1)
surgery (1)
survey results (1)
swing bed program (1)
tabletop exercise (1)
tax-exempt hospitals (1)
technical assistance (1)
TechSolve (1)
telehealth (1)
telemedicine (1)
telemetry (1)
television (1)
temporary staffing (1)
Tennessee (1)
testimony (1)
Texas (1)
Thomas Massie (1)
tips (1)
tissue donation (1)
tobacco prevention (1)
toolkit (1)
Top Performers (1)
town hall (1)
Transitions of Care (1)
translators (1)
transparency (1)
trauma center (1)
trauma center designation (1)
trauma system (1)
traveler (1)
trends (1)
trip (1)
U.S. Antibiotics Awareness Week (1)
UK Public Health Hall of Fame (1)
United for Patient Safety (1)
Update (1)
updates (1)
US House (1)
US News and World Report Best Hospitals (1)
va (1)
value based care (1)
value based reimbursement (1)
value-based purchasing (1)
video (1)
violence (1)
violence prevention (1)
visual impairment resources (1)
visually impaired (1)
vulnerable adult abuse (1)
warning (1)
waste management (1)
Ways and Means (1)
weather (1)
webcast (1)
webinar series (1)
wildfires (1)
winners (1)
Women's Choice Awards (1)
workforce shortage (1)
workplace violence (1)
workshop (1)
Zika (1)
 
By Ginger - Site Admin on Wednesday, July 09, 2014 8:19 AM
In an apparent attempt to address the significant backlog of Medicare administrative appeals at the Administrative Law Judge (ALJ) level, the Department of Health & Human Services (HHS) Office of Medicare Hearings and Appeals (OMHA) recently posted information about two pilot programs that providers with Medicare appeals pending before an ALJ may use to resolve claims. The first, a Settlement Conference Facilitation Pilot, is an alternative dispute resolution process applicable only to Medicare Part B claims. At least 20 claims or $10,000 must be at issue. This pilot is not likely applicable to most hospital appeals. The second program, more directly relevant for most hospital appeals, is a Statistical Sampling Pilot, under which a provider would agree to allow OMHA to adjudicate a group of appeals using statistical sampling. Details about the Statistical Sampling Pilot are included below.

OMHA announced earlier this year a temporary suspension of assignment of new Medicare appeals to an ALJ for...
Recent Comments
There are no recent comments on this blog.
Contact Us

Post Office Box 436629
Louisville, Kentucky 40253-6629
Phone: 502-426-6220
Fax: 502-426-6226

KHA Staff
E-mail Us

Connect
Copyright 2014 by KHA   |  Privacy Statement