Health Financial Systems Presentation for SW OH HFMA

Health Financial Systems Presentation for SW OH HFMA

Health Financial Systems Presentation for SW OH HFMA Luke DiSabato [email protected] 1 Objectives Major Cost Report Changes Hospital - Review of 2552-10 T-8 FQHC PPS (Final 224-14) New Hospice Cost Report 1984-14 Potential issues for other provider types SNF 2540-10

HHA 1728-94 ESRD 265-11 RHC 222-92 CMHC 2088-92 OPO 216-92 2 Recent Cost Reporting Changes Hospital 2552-10 T-8 Changes Worksheet S-2 Instructions for Lines 3 17 clarified to better define PPS/TEFRA/Other. Adds sub clause II LTCH provider type to TEFRA

One known LTCH identified and will be paid similar to TEFRA with no bonus/incentive payment. Transmittal 8 3 Form Changes Worksheet S-2 Use Columns 1 and 2 for 10/1 split for 12/31/2015 report Transmittal 8 4 Form Changes E, Part A

Use Worksheet E, Part A, lines 1.01 and 1.02 for DRG split at 10/1 Transmittal 8 5 FFY 2015 Final Rule Cost Report Provisions Wage Index New OMB Designations effective Based on 2010 Census Data New CBSA Definitions New Urban/Rural designation 37 Counties (12 hospitals) were urban now rural

3-year transition for wage index Not for DSH 105 Counties (81 hospitals) were rural now urban Transition if rural wage index was higher Movement between CBSA Transition period If lower one year blend DSH - Providers designated as rural that were urban prior to CBSA changes Three year phase in Year one payment for 2/3 difference Year two payment for 1/3 difference 6

Form Changes Worksheet S-2 Line 22.02 added to identify newly merged hospitals Line 22.03 added to identify hospitals reclassified as a result of CBSA changes. Transmittal 7 7 Form Changes Worksheet S-2 Line 87 added for sub-clause II LTCH Line 145, column 2 added to identify no Medicare dialysis utilization.

Transmittal 8 8 Form Changes Worksheet S-2 Line 168.01 added CAH with EHR hardship requirement for payment reductions that begin on or after FFY 2015 Line 169 modified to allow entry of 9.99 where provider has completed transition period Transmittal 8 9

Form Changes Worksheet S-3 Title XIX IPF and IRF HMO discharges will be reported on S-3, Part I, lines 3 and 4 , column 14, for cost reporting periods beginning on or after October 1, 2014. Transmittal 8 10 Form Changes Worksheet S-3 Line 18 Subprovider Transmittal 8

11 Form Changes Worksheet S-3 Line 21 Other Long Term Care Transmittal 8 12 Form Changes Worksheet E, Part A Lines 35 and 35.01 In most cases lines 35 and 35.01 blank and line 35.02 will flow from CMS tables. For 12/31/2014 report

column 1 will represent FFY 2014 pool allocation and column 2 will reflect FFY 2015. Transmittal 7 13 Form Changes Worksheet E, Part A Lines 35 and 35.01 Will be computed where:

Hospital not paid UCC during cost reporting period New provider Merged Provider not in CMS table SCH Hospital beginning FFY 2015 Transmittal 7 14 Form Changes Worksheet E, Part A FY 2015 IPPS Final Rule: Implementation of Section 3133 of the Affordable Care Act Medicare DSH-Supplemental Data PROV 010001

010005 010006 010007 010008 010009 010010 010011 010012 010015 010016 010018 010019 Medic aid

Insured Low Days SSI Days Income Days 15723 5887 21610 10983 8951 2032 7882 2845 10727 619 370 989 668

258 926 293 97 390 2303 4 2307 11350 3181 14531 2818 473 3291 63

0 63 8860 1585 10445 16 9 25 6707 1031 7738 Total Uncompen sated Care

Estimated Projected to Payment Claims Per Claim Receive DSH Factor 3 Amount Average Amount for FY 2015 0.000591628 $4,524,564 7801 $580.02 YES 0.000300687 $2,299,550 3309 $695.01 YES 0.000293679 $2,245,951 5197 $432.19 YES 0.000027076 $207,071

806 $256.81 YES 0.000025352 $193,880 339 $571.36 YES Factor 3 from FFY 2015 0.000010677 N/A N/A N/A NO table where: 0.000063160 N/A N/A N/A

NO Not projected to 0.000397823 $3,042,408 4101 $741.87 YES 0.000090099 N/A 1438 $479.28 SCH receive DSH 0.000001725 N/A N/A N/A NO SCH Hospital 0.000285958 $2,186,907

3459 $632.24 YES 0.000000684 $5,234 30 $174.48 YES 0.000211847 $1,620,133 3021 $536.23 YES Transmittal 7 15 UCC DSH FY16 Table

CMS issued to the vendors the Pooled amount for FY16 to be $6,406,145,534.04. (we drop the 0.04) CMS has posted the UCC DSH Table at the following link: https:// www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ AcuteInpatientPPS/FY2016-IPPS-Final-Rule-Home-Page-Items/ FY2016-IPPS-Final-Rule-Data-Files.html?DLPage=1&DLEntries= 10&DLSort=0&DLSortDir=ascending 16 Form Changes Worksheet E Part A New lines on Worksheet E, Part A, for:

Line 70.89 - Pioneer Accountable Care Organization (ACO) payment adjustments (PS&R) Lines 70.90 and 70.91 If an MDH was paid at the % of the HSP, the Hospital value-Based purchasing adjustment must be applied to the 75% HSR reimbursement. This is calculated on lines 100 104 Line 70.99 Hospital Acquired Conditions (HAC) payment adjustment from Exhibit 5. Transmittal 7 17 Form Changes Worksheet E Part A

Transmittal 7 18 Form Changes Worksheet E Part A Lines 100-104 If an MDH was paid at the % of the HSP, the Hospital value-Based purchasing adjustment must be applied to the 75% HSR reimbursement. Transmittal 7 19

FFY 2015 Final Rule Cost Report Provisions Low Volume/MDH LVA modified in ACA for FFY 2011 and 2012 ATRA extended to FFY 2013 (10/1/2014) Pathway for SGR Reform Act extended to 3/31/2014 Protecting Access to Medicare Act of 2014 extended to 3/31/2015. The Medicare Access and CHIP Reauthorization Act of 2015 extended to 9/30/2017. FFY 2015 Final Rule added to payments subject to LVA: Net Organ Acquisition Costs Credits for Replaced Devices 20

Form Changes Exhibit 4 Transmittal 7 21 FFY 2015 Final Rule Cost Report Provisions Hospital Acquired Conditions (HAC) reduction Reductions on or after 10/1/2014 for risk hospitals Adjustments applied after VBP and HRRP adjustments 22

Form Changes Exhibit 5 Hospital Acquired Conditions (HAC) reduction Reductions on or after 10/1/2014 for risk hospitals Adjustments applied after VBP and HRRP adjustments Transmittal 7 23 Form Changes Exhibit 5 Hospital Acquired Conditions (HAC) reduction

Reductions on or after 10/1/2014 for risk hospitals In FFY 2015 1% reduction for top 25th Percentile Transmittal 7 24 Form Changes Worksheet E-3, Part V Line 6 revised to implement penalty for CAH providers not qualified as meaningful user and does not qualify for hardship exception. Transmittal 8 25

Form Changes Worksheet M Series Effective for cost reporting periods beginning on or after October 1, 2014, FQHCs filing as part of the hospital healthcare complex do not complete the Worksheet M series but complete the new FQHC PPS N series worksheets in Form CMS-2552-10 when they become available. Transmittal 8 26 IRIS Changes

CMS has implemented an IRIS database in STAR (System for Tracking Audit and Reimbursement) and MACs are beginning to import the providers M & A dbf files and STAR is computing FTE counts to compare to the Medicare Cost Report. At some time in the future CMS will be instructing MACs to compare the FTEs and if there are differences between the STAR FTE count and the cost report. 27 IRIS Changes To address this change, we have implemented a Special Report (SR923) page into the HFS IRIS software. You can find this by going to

Forms Open Forms and scrolling to the bottom. The following slide shows the new SR923 report. 28 IRIS Changes 29 IRIS Changes You can extract from HFS IRIS a csv file to load to the mcrx file for SR923, you get this file from the Residency Report FTE Summary, it will be named

xxxxx.FYB.FYE.SR923.csv. You go to the SR923 in the mcrx file and browse and find this file. If you do not use HFS IRIS, you can always manually key in the FTE counts. 30 IRIS Changes We have introduced new Level II edits with the cost reporting software when the SR923 shows a difference between the MCRX and IRIS FTEs. 31 Heads Up 2552-10 T-9

Published on CMS Website 3/18/2016 Effective for cost reporting periods beginning on or after 10/1/2015. MINOR Changes 32 2552-10 Transmittal 9 Regulation Changes OPPS Final Rule Federal Register 11/13/2015 Transition for Former Medicare Dependent Small Rural Hospitals (MDHs) OMB revised delineations for CBSAs effecting 10/1/2014 Some MDHs re-defined as urban

Could apply for rural status 33 2552-10 Transmittal 9 Regulation Changes For MDHs reclassified as rural that have not reclassified to rural prior to 1/1/2016 Transitional payment Discharges 1/1/2016 9/30/2016 Federal rate plus two-thirds of 75% of the amount by which the Federal rate payments is exceeded by the HSR Discharges 10/1/2016 9/30/2017 Federal rate plus one-third of 75% of the amount by which the

Federal rate payments is exceeded by the HSR 34 2552-10 Transmittal 9 Regulation Changes 8 prior MDH providers identified by CMS: 08-0006 14-0184 39-0072 42-0019 44-0031 45-0451 49-0019

51-0062 35 2552-10 EC Files Files Created EC______.15A1 (EC data file) PI______.15A1.pdf (PI data file) EC______.15A1.pdf (Certification page) NO PI.exe file created SaFE available for pre-acceptance and file storage 339 NOT required Exhibit 1 (Physician Attestation) and Exhibit 2 (Bad Debts) can still be completed using Tools|339

36 FQHC Providers CMS published the new FQHC Cost Report Form CMS-224-14 on April 22, 2016. The new FQHC PPS system effective for cost reporting periods beginning on or after 10/1/2014 FQHCs will no longer be using 222-92 Form 224-14 to be used by FQHCs for cost reporting periods beginning on or after 10/1/2014 37 FQHC Providers

HFS was approved on April 22, 2016 and we released the system on April 29, 2016. 38 FQHC Providers Very similar to 222-92 HFS will provide training in the near future. If you have the 222-92 system and need the 224-14, please contact us at [email protected] and let us know how many RHC reports you have and how many FQHC reports you need to file. 39

FQHC Providers 40 Form CMS 224-14 Worksheet S DRAFT FORM CMS-224-14 4490 This report is required by law (42 USC 1395g; 42 CFR 413.20(b)). Failure to report can result in all interim payments made since the beginning of the cost reporting period being deemed overpayments (42 USC 1395g).

FEDERALLY QUALIFIED HEALTH CENTER COST REP ORT CERTIFICATION AND SETTLEMENT SUMMARY CCN: 14-1800 P ERIOD: FROM: 10/1/2014 TO: 9/30/2015 FORM AP P ROVED OMB NO. 0938- XXXX WORKSHEET S P ARTS I, II & III

P ART I - COST REP ORT STATUS P rovider use only 1. [x] Electronicallyfiled cost report Date: 2/15/2016 Time: 12:01:01 2. [ ] Manuallysubmitted cost report 3. [ ] If this is an amended report enter the number of times the provider resubmitted this cost report. 4. [x] Medicare Utilization. Enter "F" for full or "L" for low. Contractor 5. [ ] Cost Report Status 6. Date Received:_________ 10. NP R Date:___________ use only (1) As Submitted

7. Contractor No.:________ 11. Contractors Vendor Code: ____________ (2) Settled without audit 8. [ ] Initial Report for this P rovider CCN 12. [ ] If line 5, column 1is 4: Enter the number of (3) Settled with audit 9. [ ] Final Report for this P rovider CCN times reopened =0-9. (4) Reopened (5) Amended P ART II - CERTIFICATION MISREP RESENTATION OR FALSIFICATION OF ANY INFORMATION CONTAINED IN THIS COST REP ORT MAY BE P UNISHABLE BY CRIMINAL, CIVIL AND ADMINISTRATIVE ACTION, FINE AND/OR IMP RISONMENT UNDER FEDERAL LAW. FURTHERMORE, IF SERVICES IDENTIFIED IN THIS REP ORT WERE P ROVIDED OR P ROCURED THROUGH THE P AYMENT, DIRECTLY OR INDIRECTLY, OF A KICKBACK OR WERE OTHERWISE ILLEGAL, CRIMINAL, CIVIL AND ADMINISTRATIVE ACTION, FINES AND/OR IMP RISONMENT MAY RESULT.

Part I Updated to reflect new form set items Part II Certification Part III- Settlement Summary CERTIFICATION BY OFFICER OR ADMINISTRATOR OF P ROVIDER(S) I HEREBY CERTIFY that I have read the above certification statement and that I have examined the accompanying electronicallyfiled or manually submitted cost report and the Balance Sheet and Statement of Revenue and Expenses prepared bySanityInc., 14-1800{P rovider Name(s) C this report and statement are true, correct, complete and prepared from the books and records of the provider in accordance with applicable instructions, except as noted. I further certifythat I amfamiliar with the laws and regulations regarding the provision of health care services, and that the services identified in this cost report were provided in compliance with such laws and regulations. 41 Form CMS 224-14

Worksheet S-1, Part I Similar to prior 222 All Physician Specific data eliminated Hours of operation information eliminated Line 8 for consolidated reports Request and approval date reported Separate S-1, Part II, for each FQHC Grant/Malpractice/I&R/Capital question added by FQHC 42 Form CMS 224-14 Worksheet S-2

Incorporated Appropriate 339 Questions 43 Form CMS 224-14 Worksheet S-3, Part I DRAFT FORM CMS-224-14 FEDERALLY QUALIFIED HEALTH CENTER DATA CCN:

14-1800 PART I - FEDERALLY QUALIFIED HEALTH CENTER STATISTICAL DATA Breakout Title and total visits by: Medical visit Mental health visit Visits performed by I&Rs 1 Medical Visits And by each facility 1.01 Medical Visits 1.02 2 3

3.01 3.02 4 5 5.01 5.02 6 CENTER CCN 0 14-1800 14-1801 14-1802

Medical Visits Total Medical Visits 14-1800 Mental Health Visits 14-1801 Mental Health Visits 14-1802 Mental Health Visits Total Mental Health Visits 14-1800 Number of Visits Performed by Interns and Residents 14-1801 Number of Visits Performed by Interns and Residents 14-1802 Number of Visits Performed by Interns and Residents

Total Number of Visits Performed by Interns and Residents Title V 1 - - - PERIOD: FROM: 10/1/2014 TO: 9/30/2015

Title XVIII 2 24,900 7,500 7,500 39,900 1,000 500 500 2,000 100 50 50

2,200 Title XIX 3 750 750 957 2,457 980 750 650 2,380 75 10

10 2,475 4490 (Cont.) WORKSHEET S-3 PART I Total All Patients 4 28,000 8,993 9,000

45,993 2,000 1,000 1,000 4,000 200 100 100 4,400 44 1 2 3

4 5 6 Form CMS 224-14 Worksheet A Series Worksheet A Reclassification and Adjustment of WTB Worksheet A-1 Reclassifications Worksheet A-2 Adjustments to Expenses

Worksheet A-2-1 Related Organization Costs 45 Form CMS 224-14 Worksheet A Series Only the following cost centers can be subscripted. 46 Form CMS 224-14 Worksheet B Other Direct and General Service costs allocated on

accumulated costs (No alternate methods of allocation) Total costs allocated to Title XVIII based on visits Medical Mental Health If applicable I&R costs allocated based on I&R visits 47 Form CMS 224-14 Worksheet E 4490 (Cont.) CALCULATION OF REIMBURSEMENT SETTLEMENT FORM CMS-224-14

CCN: 14-1800 1 2 3 4 5 6 7 8 9 10 11

12 13 14 15 16 17 18 19 20 21 PERIOD: FROM: 10/1/2014 TO: 9/30/2015

FQHC PPS Amount Direct graduate medical education payments (from Worksheet B, Part II, line 18, column 5) Medicare cost of pneumococcal and influenza vaccine and their administration (From Worksheet B-1, line 16) Medicare advantage supplemental payments Total (sum of amounts on lines 1 through 4) Primary payer payments Total amount payable for program beneficiaries (line 5 minus line 6) Coinsurance billed to program beneficiaries Net Medicare reimbursement excluding bad debts (line 7 minus line 8) Allowable bad debts (see instructions) Adjusted reimbursable bad debts (see instructions) Allowable bad debts for dual eligible beneficiaries (see instructions) Subtotal (line 9 plus line 11) Other adjustments (specify) (see instructions) Amount due FQHC prior to the sequestration adjustment (see instructions)

Sequestration adjustment (see instructions) Amount due FQHC after sequestration adjustment (see instructions) Interim payments Tentative settlement (for contractor use only) Balance due FQHC/program (line 17 minus lines 18 and 19) Protested amounts (nonallowable cost report items) in accordance with CMS Pub. 15-2, chapter 1, 115.2 Settlement includes FQHC PPS Payment DGME (if applicable) Vaccine costs Bad Debts DRAFT

WORKSHEET E 250,000 12,500 91,740 24,125 378,365 25,000 353,365 7,546 345,819 10,000 6,500 6,000 352,319

352,319 7,046 345,273 245,000 100,273 1 2 3 4 5 6 7 8 9

10 11 12 13 14 15 16 17 18 19 20 21 48

Other Form Sets Hospice 1984-14 published by CMS Effective for cost reporting periods beginning on or after 10/1/2014 HFS Software approved 10/24/2014 and released 11/3/2014 49 Form 1984-14 Significant Changes Will utilize modern EC/PI file naming 14A1 (Year, multiple reports in single year, initial/amended)

Worksheet S indicator for Low/No Utilization Worksheet S-2 added and replaces Form CMS339 50 Form 1984-14 Significant Changes Continued Three Categories of Costs General Service Cost Centers (Overheads) Direct Patient Care Service Cost Centers NonReimbursable Cost Centers For all Direct Patient Care Service Cost Centers salary and other costs must be identified by Level of Care -

A-1 Continuous Home Care A-2 Routine Home Care A-3 Inpatient Respite Care A-4 General Inpatient Care 51 Review of Worksheet Changes 1984-99 General Service Cost Centers (Overheads) - Expanded overhead cost centers - Must use statistical basis on forms unless approved for alternate method 1984-14

52 1984-14 Transmittal 2 Changes Previously a Level One Edit 53 1984-14 EC Files Files Created HS______.15A1 (EC data file) PI______.15A1.pdf (PI data file) HS______.15A1.pdf (Certification page) NO PI.exe file created

SaFE available for pre-acceptance and file storage 339 NOT required 54 RHC/FQHC Form 222-92 Transmittal 12 Effective for cost reporting periods beginning on or after 10/1/2014 Published on CMS website September 2015 Software update released 11/6/2015 55

Form 222-92 Transmittal 12 The primary purpose for this transmittal is to implement edits prohibiting the use of Form 222-92 by FQHCs, for cost reporting periods beginning on or after October 1, 2014. Due to the implementation of a revised PPS effective for cost reporting periods beginning on or after October 1, 2014, CMS has proposed a new cost reporting Form CMS-224-14, for FQHC providers. The following edits have been added: Level One edit 1021S If Worksheet S, Part I, line 5, column 3, is 2 (indicating an FQHC), then Worksheet S, Part I, line 4, column 1 (cost report period begin date), cannot be on or after October 1, 2014. Level one edit 1031S For any FQHC providers filing a consolidated cost report, Worksheet S, Part III, line 6, column 2, (certification date for additional providers) cannot be after October 1, 2014. In addition Transmittal 12, shaded the Worksheet B-1, columns 2.01 and 2.02, for

H1N1 vaccines, effective for cost reporting periods beginning on or after October 1, 2014. 56 Form 222-92 Transmittal 12 The primary purpose for this transmittal is to implement edits prohibiting the use of Form 222-92 by FQHCs, for cost reporting periods beginning on or after October 1, 2014. Due to the implementation of a revised PPS effective for cost reporting periods beginning on or after October 1, 2014, CMS has proposed a new cost reporting Form CMS-224-14, for FQHC providers. The following edits have been added: Level One edit 1021S If Worksheet S, Part I, line 5, column 3, is 2 (indicating an FQHC), then Worksheet S, Part I, line 4, column 1 (cost report period begin date), cannot be on or after October 1, 2014. Level one edit 1031S For any FQHC providers filing a consolidated cost report, Worksheet S,

Part III, line 6, column 2, (certification date for additional providers) cannot be after October 1, 2014. In addition Transmittal 12, shaded the Worksheet B-1, columns 2.01 and 2.02, for H1N1 vaccines, effective for cost reporting periods beginning on or after October 1, 2014. 57 222-92 EC Files Files Created RF______.15A (EC data file) PI______.15A (PI data file) RF______.15A.pdf (Certification page) NO PI.exe file created

SaFE NOT available 339 still required but streamlined 58 SNF 2540-10 No significant changes Changes for FQHC PPS and Hospice form changes not yet incorporated CMS did issue draft FQHC Effective cost reporting periods beginning 10/1/2014 Would file a separate 224-14 when available Hospice reporting changes

Worksheet O series added similar to 1984-14 CMS has indicated this will be applicable for cost reporting periods beginning on or after 10/1/2015 59 SNF 2540-10 Files Created SN______.15A1 (EC data file) PI______.15A1.pdf (PI data file) SN______.15A1.pdf (Certification page) NO PI.exe file created SaFE available for pre-acceptance and file storage 339 NOT required Exhibit 1 (Bad Debts) can still be completed using Tools|339

60 HHA 1728-94 No significant changes Changes for Hospice form changes not yet incorporated CMS did issue draft Form S-2-1 added and replaces Form CMS-339 Hospice form changes (effective for cost reporting periods beginning on or after 10/1/2015). Added Worksheet S-5, Parts III&IV to replace Parts I & II Added O Series of Worksheets to replace the current K series Obsolete Forms deleted

S-6 and J series for CORF (fee-based) RH and FQ series (cannot have an HHA-based clinic) 61 HHA 1728-94 EC Files Files Created HH______.15A (EC data file) PI______.15A (PI data file) HH______.15A.pdf (Certification page) NO PI.exe file created SaFE NOT available 339 still required but streamlined 62

ESRD 265-11 No significant changes Recurring issues Use of columns 4 and 6 on Worksheet D Edit 1010E CMS to contract for 1400+ ESRD audits. https://www.cms.gov/Regulations-and-Guidance/Guidan ce/Transmittals/2016-Transmittals-Items/R1640OTN.html ?DLPage=1&DLEntries=10&DLSort=1&DLSortDir=descend ing 63 ESRD 265-11

Use of Columns 4 and 6 64 ESRD 265-11 Worksheet E, Line 2 65 ESRD 265-11 Use of Columns 4 and 6 May trigger level one edit if using PS&R reconciliation tool due to rounding

66 ESRD 265-11 Files Created RD______.15A1 (EC data file) PI______.15A1.pdf (PI data file) RD______.15A1.pdf (Certification page) NO PI.exe file created SaFE available for pre-acceptance and file storage 339 NOT required Exhibit 1 (Bad Debts) can still be completed using Tools|339 67

HELP Main phone line 888-216-6041 Coverage from 5am 5pm PST Email issues to [email protected] Include applicable .mcrx and other applicable files 68 Filing Tips Correcting Invalid Cost Center Codes In T-7 CMS CC code changes Limited many non-standard

cost center codes to usage of (1) Changed Other Reimbursable from 03850 to 09850 Use of prior year codes could result in level one edits 69 Filing Tips Correcting Invalid Cost Center Codes To resolve: In Edit|Cost Center and Statistics Highlight cost center

Select appropriate code Hit Apply Or send .mcrx file to [email protected] 70 Filing Tips New Filenames Previously all New files named new.mcrx Form type now identified in new file name HFS highly recommends use of descriptive file names 71

Filing Tips EC Files Created for .mcrx Systems The following files will be created and exported to the CD\Flash Drive EC______.15A1 (EC File) PI______.15A1.pdf (Print Image File) EC______.15A1.pdf (PDF of Signature page) 1 will be incremented for amended reports Backup copies will also be saved to the .mcrx directory PI______.exe no longer created 72 Filing Tips

EC Files Created for .mcrx Systems TYPE OF PROVIDER FILE NAME DESIGNATOR The following files will be created and exported Hospital (2552-10)(2552-96) EC to the CD\Flash Drive SNF (2540-10)(2540-96) SN

Home Health Agency (1728-94) HH EC______.15A1 (EC File) CMHC (2088-92) CM PI______.15A1.pdf (Print Image File) Rural Health Clinic (222-92) RF EC______.15A1.pdf (PDF of Signature ESRD (265-11)(265-94) RD page) (1984-14)(1984-99)

HS 1 Hospice will be incremented for amended reports Organ Procurement Organization OP (216-94) Backup copies will also be saved to the .mcrx directory PI______.exe no longer created

73 Filing Tips EC Files Created for .mcrx Systems For amended report Worksheet S, Part 1, line 3, reflects amended Still first submission UNLESS second submission in a calendar year. 74 Filing Tips

EC Files Created for .mcrx Systems PI file and encryption code Placed at end of PI______.15A1.pdf file Can only be viewed using notepad Do NOT save changes to .pdf of encryption code will be lost. 75 Filing Tips EC Files Created for .mcrx Systems 76 Filing Tips

EC Files Created for .mcr Systems The following files will be created and exported to the CD\Flash Drive EC______.15A (EC File) PI______.15A (Print Image File) EC______.15A.pdf (PDF of Signature page) Backup copies will also be saved to the .mcr directory PI______.exe no longer created 77 Filing Tips EC Files Created for .mcr Systems PI file and encryption code

Placed at end of PI______.15A file Can be viewed using notepad Do NOT make any changes to PI file in notepad. 78 Filing Tips EC Files Created for .mcr Systems 79 HFS Store and File Electronically 80

Provider Electronic Filing - SaFE Export | Create ECR File Available in 2552-10, 2540-10, 265-11 and 216-94. 81 Provider Electronic Filing - SaFE Why would providers want to do this? 1. Acceptance Pre-Scan 2. Comparison to Prior Year HCRIS Data

3. Cost Report Storage 82 Provider Electronic Filing - SaFE Uses STAR MAC info to predict the providers MAC. 83 Provider Electronic Filing - SaFE Does not replace submission of data to your MAC.

84 Provider Electronic Filing - SaFE Files submitted EC, PI, .mcrx, .pdf, .mcp, .aaix 85 Provider Electronic Filing - SaFE Files are transmitted to the HFS SaFE website. 86

Provider Electronic Filing - SaFE 87 Provider Electronic Filing - SaFE 88 Provider Electronic Filing - SaFE E-mail Reply based on Login Information

Cost Report Preparer Information 89 Provider Electronic Filing - SaFE 2nd E-mail to let you know when processing is complete.

90 Provider Electronic Filing - SaFE 91 SaFE User Account Storage 92 SaFE User Account Storage File Storage/Retrieval and Processing 93

SaFE User Account Storage 94 SaFE HCRIS Compare Reports 95 HCRIS Database HCRIS Overview

Future Enhancements New Look My Provider List Tools My Provider Multi Facility Comparisons Wage Data Analysis by CBSA My Provider Roll Up Report(s) Available Facility Reports Advanced Search and Extract Snapshot Reports 96 HCRIS Overview Joint HFS and Toyon Associates Venture. Web based

Public Use Files (PUFs). Quarterly release by CMS and not in a readily useable format. HFS puts these files into a useable and readable format. HFS starts the upload of these PUFs as soon as they are released. HFS has created a database of nearly 800,000 reports. 1. Hospital 255,00 reports 2. SNF 265,000 3.Health Clinics 13,500 4. HHAs 149,000 5. ESRDs 83,000 6. Hospice 28,500 7. CMHCs 1,100 Missing Reports? HFS involvement to research and add missing reports reported by our Users, has improved the completeness of the PUFs 2552-10 and 2552-96.

Can recreate an MCRX and PDF file for 2552-10 (missing data in 2552-96 HCRIS file). Can extract ANY available data for BOTH 2552-10 and 2552-96 SnapShot Reports and other tools for BOTH 2552-10 and 2552-96 HCRIS Overview, cont.d Formsets Status Hospital 2552-10 and 2552-96 Has been available since 2011 SNF 2540-96 and 2540-10 Still testing, but soon to be released for purchase.

Available Facility Reports\Advance Search and Extract\S-7 Snap-shot report Health Clinics 222-92 In programming\development stage Renal Dialysis, HHA, Hospice, and CMHC next. MCRX File Naming Convention AO_xxxxxx_mmddyyyy.555289.mcrx FO_xxxxxx_mmddyyyy.555290.mcrx AO denotes an as submitted file FO denotes a Settled file xxxxxx is the Provider Number mmddyyyy is the FYE (i.e. 12/31/2013) 555289,555290, etc., is the HCRIS Record number to give EACH file a unique file name. Future Enhancements More Reports for each System

Single Sign On with ALL HFS Websites, HFS, HCRIS and SAFE Ability to sign on one system and navigate to other systems without signing in again. Have ALL Systems Available for Extract, Including Home Health Agencies, Hospice , Renal Dialysis, Health Clinics and CMHC. Functionality of the New Provider List 100 Functionality of the New Provider List 101

Searching for Providers 102 Available Facility Reports Advanced Search and Extract HFS User Meeting Last Meeting August 2015 in Nashville, TN 300 Attendees, great software info and guest speakers Next Meeting October 13-14 in Denver, CO 105

THANK YOU HFS is grateful for the opportunity to present to SW OH HFMA. We welcome your feedback and will continue to make improvements based on your input. 106

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