IHA Daily Briefing: Aug. 3

Wednesday, Aug. 3, 2022
Register: IHA Offers Medicare Boot Camp – UR Version
Register: ISHRM Cyber Security Webinar on 8/4
FY 2023 Medicare Payment Rules Finalized
Study: Signals of Early Childhood Conduct Problems
Illinois COVID-19 Update
Briefly Noted

Register: IHA Offers Medicare Boot Camp – UR Version
Industry leader HCPro will offer its rigorous Medicare Boot Camp®– Utilization Review Version course at IHA on Oct. 13-14, focusing on Medicare rules and regulations related to patient status and the role of the utilization review (UR) committee. Registration is now open for the boot camp, with in-person options in Naperville and Springfield and participation virtually via webinar.

Along with untangling complex Medicare regulations, the boot camp’s nationally recognized program will cover recent, major regulatory changes, including:

  • A reversal by the Centers for Medicare & Medicaid Services (CMS) to eliminate the inpatient-only list and instead pursue a new strategy for auditing services removed from the inpatient-only list; and
  • An announcement by the U.S. Department of Health and Human Services’ Office of the Inspector General to start patient status-directed audits for the first time in seven years.

HCPro Medicare and Compliance Director Kimberly A. H. Baker, JD, CPC, will lead the boot camp, each day from 8 a.m.-4:30 p.m. The course is designed for UR coordinators, committee members and physician advisors, as well as utilization management leaders; case managers, care coordinators, nurse managers and nurse auditors; compliance officers, auditors and staff; and revenue cycle and revenue integrity staff.

IHA partnered with HCPro to bring members this highly sought-after course. Members will receive an overall registration discount, along with reduced per-person rates when registering two or more staff members from the same hospital or health system.


Register: ISHRM Cyber Security Webinar on 8/4
With a focus on cyber security, the Illinois Society of Healthcare Risk Management (ISHRM) is offering a webinar this Thursday, Aug. 4, digging into current legal issues surrounding data breach and incident response.

The webinar—“You’ve Been Hacked, Now What?”—will also spotlight how to resolve a ransomware attack and the legal obligations of healthcare entities, as well as review potential risk scenarios. IHA is sponsoring the program, held from noon to 1 p.m.

Expert presenters leading the webinar are:

  • Aaron Turner, CCIC, Practice Group Leader, Management Liability/Risk Advisory Solutions, The Horton Group;
  • Mike Madey, Senior Vice President and Healthcare Group Leader, The Horton Group; and
  • Melissa Ventrone, Leader of Cybersecurity, Data Protection and Privacy Business Unit, Clark Hill.

Continuing education credit is available to fulfill the requirements of the American Society of Health Care Risk Management (ASHRRM) designations of FASHRM (Fellow) and DFASHRM (Distinguished Fellow) and towards Certified Professional in Healthcare Risk Management (CPHRM) renewal. Register today.


FY 2023 Medicare Payment Rules Finalized
On Monday, the Centers for Medicare & Medicaid Services (CMS) posted the fiscal year (FY) 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) final rule. CMS finalized a 4.3% payment update for hospitals paid under the IPPS and will hold hospitals harmless under many of the Medicare inpatient quality programs due to the ongoing COVID-19 pandemic. Hospital-specific estimated financial impact reports are forthcoming. CMS provided a fact sheet summarizing major policy changes for FY 2023.

CMS also finalized its other FY 2023 Medicare payment rules for Hospice, Inpatient Psychiatric Facilities (IPF), Inpatient Rehabilitation Facilities (IRF) and Skilled Nursing Facilities (SNF). CMS increased the final rate updates across these payment rules citing updated data and an acknowledgement of the economic realities hospitals face going into FY 2023. IHA summaries of the Hospice, IPF, IRF and SNF final rules are available on IHA’s Medicare finance webpage, and facility-specific estimated financial impact reports are forthcoming.


Study: Signals of Early Childhood Conduct Problems
In July, the National Institute of Mental Health (NIMH) highlighted a new study published in the Journal of Child Psychology and Psychiatry indicating that children who show callous, uncaring, remorseless behaviors are more likely to have severe conduct problems in later childhood. This behavior can also lead to poor mental health and antisocial behavior in adulthood.

Researchers at the University of Pennsylvania and Boston University found that low motivation for social engagement and bonding may be a sign that identifies children, as young as age 2, who are likely to develop callous-unemotional behaviors. The study’s findings could inform targeted interventions that promote prosocial behaviors, in order to set children on a more positive developmental trajectory.

Investigators used data from a study of 628 children to examine associations between low motivation for social engagement and bonding, callous-unemotional behaviors, and oppositional-defiant behaviors.

The study also looked at whether positive parenting moderated associations over time. Parental positivity was found to reduce the risk of later callous-unemotional behaviors following observed low motivation for social engagement and bonding in children. This finding supports the position that parental positivity can promote affiliative behavior and emotion understanding, providing a foundation for empathy and conscience development. If larger studies confirm that these findings would remain the same at the population level, they may help inform criteria that healthcare providers can use to identify children with low social affiliation.


Illinois COVID-19 Update
The Illinois Dept. of Public Health (IDPH) today reported 5,018 new confirmed and probable COVID-19 cases and 25 COVID-19 deaths.

Most recent IDPH hospitalization data show 1,487 individuals in Illinois were reported to be in the hospital with COVID-19. Of those, 152 patients were in the ICU and 51 patients were on ventilators.

The seven-day rolling average of vaccines administered daily in Illinois is 10,395 doses. IDPH reported that 78.1% of Illinoisans (18 years and older) have been fully vaccinated, while 86.3% have received at least one vaccination dose. For the Illinois population 12 years and older, 77% have been fully vaccinated, while 85% have received at least one vaccination dose. For the Illinois population 5 years and older, 73.6% have been fully vaccinated and 81.3% have received at least one dose.


Briefly Noted
Those living in the U.S. without health insurance coverage reached a record low early this year, according to the U.S. Dept. of Health and Human Services (HHS). Yesterday, HHS reported the national uninsured rate reached 8 percent based on a new report, which also found 5.2 million people have gained health insurance coverage since 2020.