SLIDE 1
FLORIDA UPDATES
EVELYN LEADBETTER, MPA NETWORK SERVICES MANAGER HOMETOWN HEALTH
SLIDE 2 DRG AND EAPG RATE AND CALCULATOR UPDATES
Effective July 1st
To view the updated DRG calculator please visit the Diagnosis
Related Group (DRG) Inpatient Payment Review site at http://ahca.myflorida.com/medicaid/cost_reim/drg.shtml
To view the updated EAPG calculator please visit the Hospital
Outpatient Prospective Payment and Reimbursement methodology/ACS site at http://ahca.myflorida.com/medicaid/Finance/finance/institution al/hoppps.shtml
To view the updated DRG and EAPG provider rates effective
July 1, 2017, please visit the Hospital Rates/ Ambulatory Surgical Centers rates site at
http://ahca.myflorida.com/medicaid/cost_reim/hospital_rates.shtml
SLIDE 3
FLORIDA HEALTH INFORMATION EXCHANGE UPDATE
Audacious Inquiry (Ai)
To learn more about the Florida HIE,
upcoming events, and opportunities, please visit www.florida-hie.net or contact us at FLHII@ahca.myflorida.com. Effective July 1st
SLIDE 4
LOW INCOME POOL PROGRAM
Medicaid Hospital Funding Programs Fiscal Year 2016 – 2017 Medicaid Hospital Funding Conference Report for House Bill 5001 – March 8, 2016
http://ahca.myflorida.com/medicaid/Finance/finance/LIP- DSH/LIP/docs/2016- 17_Medicaid_Hospital_Funding_Conference_Report.pdf
SLIDE 5 2018 ICD-10-CM CODE FILES AVAILABLE
2018 ICD-10 CM and GEMs webpage Addendum files:
- 2018 General Equivalence Mappings (GEMs) will
be posted in August
- 2018 ICD-10-CM guidelines, present on admission
exempt codes, and conversion table will be posted later, once they are finalized and received from the Centers for Disease Control and Prevention
SLIDE 6
IMPROVEMENTS TO THE MEDICARE CLAIMS APPEAL PROCESS AND STATISTICAL SAMPLING CALL THURSDAY, JUNE 29TH 1:00PM – 3:00PM EASTERN
Register for Medicare Learning Network events. For an overview of the Final Rule, see the HHS fact sheet.
SLIDE 7 NEW REQUIREMENT FOR BILLING IMMUNIZATIONS CODES – FL MEDICAID
90460 - Immunization administration through 18 years of age via
any route of administration with counseling by physician or other qualified health care professional first or only component of each vaccine or toxoid administered.
90471 - Immunization administration (includes percutaneous,
intradermal, subcutaneous or intramuscular injections) one vaccine single or combination vaccine/toxoid.
90472 - Each additional vaccine (single or combination
vaccine/toxoid). List separately in addition to code for primary procedure.
90473 - Immunization administration by intranasal or oral route
- ne vaccine single or combination vaccine/toxoid.
90474 - Each additional vaccine single or combination
vaccine/toxoid. List separately in addition to code for primary procedure.
SLIDE 8
ASPR TRACIE HTTPS://ASPRTRACIE.HHS.GOV/
Natural Disasters Topic Collection National Integrated Heat Health Information System EMS Infectious Disease Playbook and Webinar Recording New Resources: Avian Influenza (Including Asian H7N9) HHS Cybersecurity Program compilation of technical information and resources Questions or comments on cyber issues should be directed to CIP@hhs.gov.
SLIDE 9
TELEHEALTH INDUSTRY NEWS
American Hospital Association: FCC Should Expand Telehealth, Broadband to Rural Regions USDA Awards $43.6M to Expand Rural Fiber Broadband in Four States Telehealth Feature: Telepsychiatry Opens a New Window into Behavioral Healthcare Report: HSS Cybersecurity Task Force Spells Out 'Urgent Challenge' of Cybersecurity in Health Care
SLIDE 10 THE IMPORTANCE OF FINANCIAL BENCHMARKS
Kaiser Health News GOP Medicaid Cuts Hit Rural America Hardest, Report Finds http://khn.org/news/gop-medicaid-cuts-hit-rural-america-hardest- report-finds/ Forbes Medicaid’s cracked halo
- https://www.forbes.com/sites/sallypipes/2017/05/30/medicaids-
cracked-halo/#69acbaf810c0 Modern Health Care GOP Plan could doom Medicaid Managed Care
- http://www.modernhealthcare.com/article/20170606/NEWS/17060
9940/-gop-health-plan-could-doom-medicaid-managed-care We May Be Closer to Full Employment Than It Seemed. That’s Bad News.
- https://www.nytimes.com/2017/06/02/upshot/we-may-be-closer-
to-full-employment-than-it-seemed-thats-bad-news.html?_r=0 Dallas Hospital Abruptly Closes: https://www.dallasnews.com/business/health- care/2017/06/06/walnut-hill-medical-center-closed-reason
SLIDE 11
FLORIDAHEALTHFINDER.GOV WEBINAR Please register for the FloridaHealthFinder.gov Webinar on Friday, June 30th at 10:00am Eastern
https://attendee.gotowebinar.com/register/2805 284455140742913
SLIDE 12 PRESTIGE PROVIDER TRAINING SCHEDULE
Click here to access the links associated with the Prestige Provider Training and Education Click here to access the links associated with the Prestige Physician continuing education resources
SLIDE 13
SUNSHINE HEALTH NEWS
Provider Resources Provider News: JUNE: DAILY CARE GAPS NOW AVAILABLE THROUGH SUNSHINE HEALTH'S PAYER SPACE ON THE AVAILITY PORTAL
SLIDE 14
WEBINAR INFORMATION
HomeTown Health Florida Medicaid Information:
http://hthu.net/florida/
