DOH Provides Instructions on New Financial Reporting Requirements

E2SHB 1272, heavily negotiated and passed during the 2021 legislative session, significantly expanded hospital financial reporting requirements. The Department of Health has provided a reporting guide for existing and new... Read More >>

WSHA Comments on No Surprises Act IDR Fees

WSHA will provide comment on a CMS proposed rule that would set filing fees for providers requesting arbitration under the federal No Surprise Act (NSA) Independent Dispute Resolution (IDR) process.... Read More >>

State Medicaid Enrollment Down, But Still Above Pre-Covid Levels

In its most recent report, the Health Care Authority (HCA) shared that approximately 52,000 Washingtonians were disenrolled from the Apple Health program in August due to ineligibility and 22,000 Washingtonians were... Read More >>

OIC Asks for Feedback on Balance Billing Law & Federal Court Puts Hold on No Surprises Act Arbitration

WSHA recently responded to a request for information regarding whether the state Office of the Insurance Commissioner should extend the state’s own dispute resolution process under the state’s Balance Billing... Read More >>

CMS Finalizes FY 2024 Medicare Inpatient Hospital Payment Rule

On August 1, the Centers for Medicare and Medicare Services (CMS) published its final inpatient prospective payment system hospital rule for federal fiscal year 2024. The provisions of the rule... Read More >>

HCA Releases Details on Legislatively Funded Medicaid Provider Rate Increases.

The Washington State Health Care Authority (HCA) recently released an overview, table, and FAQs regarding legislatively mandated Medicaid provider rate increases authorized in the 2023-25 state operating budget effective January... Read More >>

CMS Releases Medicare 2024 Outpatient PPS Proposed Rule, Includes Impacts to Payment and Transparency

The Centers for Medicare and Medicaid Services (CMS) released July 13 its Outpatient Prospective Payment System (OPPS) proposed rule for 2024, which governs Medicare outpatient payment rates for hospitals paid under OPPS... Read More >>

CMS Releases Medicare 2024 Professional Fee Schedule Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) July 13 released its calendar year 2024 proposed rule for the Medicare physician fee schedule. The proposed rule would reduce the conversion factor by... Read More >>

CMS Releases Proposed Remedy to Repay Unlawful 340B Cuts to Hospitals

On July 7, The Centers for Medicare and Medicaid Services (CMS) released its proposed rule to repay hospitals that participate under the 340B program and are paid under the Medicare... Read More >>

WSHA Comments on Medicare IPPS Proposed Rule, Preparing Comments on Proposed Directed Payment Rule

On June 9, WSHA submitted comments on the Centers for Medicare and Medicaid Services’ (CMS) proposed inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS proposed rule for... Read More >>

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