HFS News & Information

Sequestration is effective for Services rendered on or after 4/1/2013. It will be prorated for FYE overlapping 4/1/2013 (e.g. a 6/30/2013 FYE has 91 days of Sequestration, so 91/365, times 2%, will be the reduction percentage, or about .50%). Bad Debt changes are effective for FY Begin 10/1/2012 and after, so a 7/1/2012 to 6/30/2013 FY is not affected.

We are awaiting the Hospital (2552-10) Transmittal #4 from CMS, which is to have the Sequestration and Bad Debt Changes (as well as other changes for the ACA). CMS has not released a draft of T-4 as of 7/25/2013. This will be our Version 4.x.x.x.

We received Transmittal #5 for the 2540-10 (SNF), which incorporated the Sequestration and Bad Debt changes. We have submitted a test case and are awaiting CMS approval of our system. This will be our Version 5.x.x.x.

We received Transmittal #2 for the 265-11 (ESRD), which incorporated the Sequestration and Bad Debt changes. We have submitted a test case and are awaiting CMS approval of our system. This will be our Version 2.x.x.x.

We received Transmittal #16 for the 1728-94 (HHA), which incorporated the Sequestration and Bad Debt changes. We have submitted a test case and are awaiting CMS approval of our system. This will be our Version 16.x.x.x.

We received Transmittal #11 for the 222-92 (RHC/FQHC), which incorporated the Sequestration and Bad Debt changes. We have submitted a test case and are awaiting CMS approval of our system. This will be our Version 11.x.x.x.

We received Transmittal #8/9 for the 2088-92 (CMHC), which incorporated the Sequestration and Bad Debt changes. We have submitted a test case and are awaiting CMS approval of our system. This will be our Version 9.x.x.x.

The 216-94, OPO system, is the only approved system “on the street” with the Sequestration changes incorporated (Bad Debt is N/A). This is our Version 5.4.145.0.

CMS released a Draft of the new Hospice, 1984-14 forms and instructions for industry comments 5/29/2013. This is to be effective for FY Begin 1/1/2014 and after. Once comments are addressed and CMS issues the Final, we will know more about what changes are to be made.

On July 27, 2011 HFS received a memorandum from CMS regarding filing deadlines for SNFs. The following is a summary of the details we received.

The 2540-10 is effective for cost reporting periods beginning on or after 12/01/2010. For any short period cost reports beginning on or after 12/01/2010 and ending 11/30/2011, providers will continue to file on the form CMS-2540-96. No extensions are proposed at this time.

by Chuck Briggs

The new 2540-10 form set is effective for cost reporting periods beginning on or after 12/1/2010. For any short cost reporting period beginning on or after 12/1/2010 and ending prior to 11/30/2011, providers will continue to file on the form CMS 2540-96. No extension is proposed at this time.

on Transmittal 2 and advised us there will be a Transmittal 3 sometime later this year. Transmittal 3 will implement applicable provisions of ACA section 6104. (Published in Federal Register, March 11, 2011, http://www.gpo.gov/fdsys/pkg/FR-2011-03-11/html/2011-5684.htm .)

The table below shows CMS proposed timeline for the Transmittal 3 changes.

by Chuck Briggs