Education event

Hospital Fee Program Updates Webinar
A complimentary, CHA members-only webinar

Register Now
September 6, 2019
10:00 – 11:30 a.m., Pacific Time
A complimentary, CHA members-only webinar

Overview

Effective July 1, 2019, hospitals receiving managed care supplemental payments will be subject to new Network Provider requirements under the new Hospital Fee Program VI.  

Historically, hospitals received all of their managed care supplemental payments under what CMS refers to now as a “pass-through” mechanism. Under the new federal rules, roughly half of the Hospital Fee Program VI supplemental payments will now be transitioned to a “directed payments” mechanism. Further, to be eligible to receive directed payments hospitals must be a Network Provider. Do your existing contracts meet the new requirements?

Don’t be caught off guard
Join us for this members-only webinar to make sure you are up-to-date on the latest changes to the Hospital Fee Program and how these may impact your hospital’s reimbursement. Participants will gain a clear understanding of the new Network Provider requirements, review the structure for the new Hospital Fee Program VI,  receive trouble shooting tips for discrepancies of the encounter data files and more.

There is no fee for this CHA members-only webinar; however, registration is required. 

Recommended for: Chief financial officers, chief operating officers, reimbursement directors, patient financial services directors, revenue cycle directors, controllers, managed care directors, compliance officers, in-house legal counsel and financial consultants.

Agenda

Private Hospital-Directed Payment (PHDP) Program

  • Policy overview
    • Pass-through payment vs. directed payment models
    • Utilization data — how it is different for each model
  • 837 Encounter Data File and Hospital Volume Summaries from DHCS
  • Populating contract status for each encounter

Defining “Network Provider” 

  • New requirements effective July 1, 2019
  • Impact on hospital supplemental payments

Hospital Fee Program VI — What to Expect

  • Overview of the new program
  • Walk through of the new fee and payment model
  • Projecting and budgeting for future directed payment

Faculty

Ryan Witz is CHA’s vice president of healthcare finance initiatives focusing on the Hospital Fee Program.  Previously Ryan served as the Assistant Deputy Director, Health Care Financing at the California Department of Health Care Services.

Registration

This program is for CHA members only.

While there is no cost to register, online registration is required. Click here to register. If multiple people will listen to the program via a speakerphone or your computer, only one person needs to register.

Commands