OIG reviews mental health center billing for partial hospitalization services   08/21/2012
About half of community mental health centers had questionable billing for Medicare Partial Hospitalization Program services in 2010, the Department of Health and Human Services' Office of Inspector General concludes in a report released today. OIG identified community mental health centers with unusually high billing for beneficiaries with nine characteristics and plans to refer the centers to CMS to determine if the services billed were inappropriate or fraudulent. Among other actions, the report recommends that CMS include the nine characteristics in its fraud prevention programs; finalize Medicare conditions of participation for community mental health centers and survey for compliance; and enforce the Medicare requirement that certifying physicians be listed on the PHP claim.
Hospitals support Medicaid expansion in Ohio   08/21/2012
The Ohio Hospital Association today voiced support for implementing the Patient Protection and Affordable Care Act's Medicaid expansion in Ohio. "Ohio hospitals strongly support the responsible implementation of Medicaid expansion," said OHA President and CEO Mike Abrams. "Ohio's hospitals recognize expanding Medicaid is a complex undertaking and look forward to continuing to work with the administration of Gov. John Kasich to expand access to Medicaid in Ohio." In June, the U.S. Supreme Court ruled the ACA's Medicaid expansion constitutional, but said that the federal government could not withhold all existing Medicaid funds from a state that refuses to participate in the Medicaid expansion. The federal government will pay 100% of the cost for expanding Medicaid eligibility through 2016, with a gradual reduction to 90% thereafter. The federal government currently pays 63% of Medicaid costs in Ohio.
AHE names members to board of directors   08/21/2012
The Association for the Healthcare Environment, an AHA personal membership group representing professionals responsible for the care of the patient environment, has appointed Gregory May, director of environmental services at the University of California San Diego Health System, to a three-year term as board member at large beginning Jan. 1. In addition, AHE reappointed Robert (Bob) Hodnik, director of facilities for the University of Pittsburgh Medical Center Health Plan, to a second term as board member at large. The board also approved a nominating committee recommendation to form a task force to explore member engagement and future action related to board service. For more information, contact AHE at (312) 422-3860 or ahe@aha.org.