Finance and Reimbursement

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Finance and Reimbursement
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Hospitals in Kansas and across the nation have been working to develop fair and compassionate policies to help the uninsured and underinsured.
For many Kansas health care organizations, government payment program beneficiaries represent a significant portion of the total patients served each year, and reimbursements for these programs comprise a significant percentage of revenues. KHA closely monitors state and federal budget provisions for these programs, as well as operational issues that affect its members. This site has been developed to provide information on various reimbursement topics that affect Kansas hospitals.
In the 2009 Outpatient Prospective Payment System final rule, the Centers for Medicare and Medicaid Services issued what they called a "clarification and restatement" of an existing policy regarding physician supervision of outpatient therapeutic services that was in place since 2001. Since the adoption of that rule, KHA, AHA and other organizations have pointed out to CMS that their clarification was a change in Medicare policy. In the 2010 OPPS final rule, CMS made some changes, but the changes have not gone far enough. This site contains documents explaining the concerns voiced by member hospitals, as well as a log of actions taken by KHA.
The Centers for Medicare and Medicaid Services (CMS) authorized the Recovery Audit Contractor (RAC) program to identify improper payments in the Medicare and Medicaid programs.  The Medicare RAC program was expanded nationwide in 2010.  The Medicaid RAC program has not been expanded ationwide, however, a State of Kansas fiscal year 2011 budget bill required the State to enter into a contract by Oct. 1, 2010.
Price Transparency

For more information regarding this event, contact Amy Fluke at (785) 233-7436 or afluke@kha-net.org.
For more information on this program, contact Lorri Dean at (785) 233-7436 or ldean@kha-net.org.
For more information on this program, go to http://www.kha-net.org/EducationConventionTS/EducationEvents/d132425.aspx
For more information on this meeting, contact Ronni Anderson at (785) 233-7436 or kanderson@khsc.org.
For more information on this event, contact Chrisy Madden at (785) 233-7436 or cmadden@kha-net.org.