Welcome to your daily briefing on healthcare developments in Kansas. Today we're covering 5 key stories including updates on kansas healthcare headlines, background & context. Let's dive in.
2 stories
The University of Kansas Health System has published guidance on how to request public records under the Kansas Open Records Act.
KS healthcare professionals may need to access institutional records for compliance, research, or operational transparency purposes.
The Department of Health and Environment provides services and programs that protect health and environment, prevent disease, and promote wellness for residents.
KS healthcare professionals can leverage this department as a referral point for patient wellness programs and disease prevention resources in one of the state's most populous counties.
Reach healthcare professionals
3 stories
The MIPS cost performance category is calculated retrospectively by CMS using attributed Medicare claims; clinicians cannot directly affect what is attributed. The two attribution methods (TPCC and MSPB) capture different beneficiary cohorts. Practices that try to "manage" cost without understanding which patients are attributed to which clinician typically waste effort.
Cost is now 30% of the MIPS final score — the largest single category. Misunderstanding attribution is the leading cause of unfavorable payment adjustments in the next cycle.
Three application defects routinely delay payor enrollment: incomplete work-history explanations for any gap over 30 days, a malpractice carrier-history that does not reconcile with the explanation, and CAQH attestation that has lapsed. Each forces a back-and-forth with the credentialing committee.
A new clinician without active payor enrollment cannot bill for covered services for most plans. Each month of delay is foregone revenue that does not retroactively recover.
A vendor is a business associate if they create, receive, maintain, or transmit PHI on behalf of the covered entity. They are NOT a business associate just because they happen to be in a building with PHI or could conceivably access it. The functional test matters, not the proximity test.
Forcing BAA execution on vendors who do not meet the functional test creates contractual bloat and weakens the negotiating position with vendors who actually do. Failing to execute BAAs with true business associates exposes the covered entity to OCR enforcement.
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