MossAdams - Michael G. Newell

Industry Expertise

Hospitals & Health Systems

Practice Focus

Health Care Consulting

Biography

Michael has worked in health care financial management since 1982. He delivers provider reimbursement enterprise solutions to hospitals and health systems, including Medicare Disproportionate Share Hospital (DSH), Worksheet S-10, cost reporting, and outsourced reimbursement management services.

Most recently, Michael served as the president of Southwest Consulting Associates, which combined with Moss Adams in January 2020. SCA worked with hundreds of hospitals to prepare and review Medicare DSH and Worksheet S-10 for cost report filings. Additionally, SCA oversaw the associated audits and managed the appeals for a variety of Medicare DSH-related issues.

Prior to joining SCA, Michael was the vice president of reimbursement services for Triad Hospitals Inc., a Fortune 500 company that operated 54 hospitals and 13 ambulatory surgery centers across the country. He also served as vice president of reimbursement for Charter Behavioral Health System, a fortune 500 company that owned and operated approximately 90 behavioral health hospitals during Michael’s tenure.

External Publications

Proposed Changes to the Medicare Cost Report and Instructions (HFMA NJ Garden State Focus, Winter 2021)
Worksheet S-10 is Here to Stay: Program Update and a Look at MAC S-10 Audits (Management in Healthcare, Winter 2020-21)
New Supporting Documentation Requirements for Medicare Cost Reports (HFMA Metro NY Newscast, Fall 2020)

Selected Speaking Engagements

Medicare Update: Medicare DSH and Uncompensated Care Payments
(Health Financial Systems User Meeting, December 2020)
The Current and Future State of Medicare
(Moss Adams Health Care Conference, October 2020)
2021 Medicare Regulatory Update for Hospitals (Proposed Rule Updates
(Oregon HFMA, August 2020)
Cost Report Worksheet S-10 Audits and Future Compliance
(NH-VT HFMA, August 2020)
Worksheet S-10 Here To Stay: A First Look at MAC S-10 Audits
(HFMA Metropolitan New York Mid-Year Accounting & Reimbursement Update Seminar, September 2019)
Worksheet S-10: Calculating Hospital Uncompensated Care and Surviving an Audit
(HFMA Annual Conference , June 2019)

Professional Affiliations

Member, American Health Lawyers Association
Member, Healthcare Financial Management Association

Education

BBA, accounting, University of North Florida

Insights from Michael G. Newell

Transmittal 12513 Affects Treatment of Medicare Part C Days in DSH Calculation

Transmittal 12513 affects the treatment of Medicare Part C days in Medicare DSH adjustment calculations. Learn more.

Tips to Support Patients and Avoid Obstacles During Medicaid Redeterminations

A national Medicaid eligibility redetermination process is underway following the end of the public health emergency.

How Health Care Organizations Can Prepare Following the End of the PHE

With the COVID-19 public health emergency (PHE) ending, learn how to manage the broad impacts of this transition.

Health Care C-Suite: Prepare for PHE End, Regulatory Changes

Explore the federal regulatory requirements following the public health emergency (PHE) and new CMS regulations.

What Hospitals Need to Know About CMS Transmittal 18

The Centers for Medicare & Medicaid Services (CMS) issued Transmittal 18. Learn what this means for hospital cost reporting.

CMS Publishes FY 2023 Hospital Inpatient Prospective Payment System Final Rule

Learn about CMS’s final rule for the 2023 Inpatient Prospective Payment System (IPPS), including wage index adjustments.

2023 Medicare Regulatory Update: IPPS Final Rule

The 2023 Inpatient Prospective Payment System final rule features changes impacting Medicare reimbursement. Learn details.

CMS Publishes FY 2023 Hospital Inpatient Prospective Payment System Proposed Rule

Learn about CMS’s proposed rule for the 2023 Inpatient Prospective Payment System (IPPS), including wage index adjustments.

CMS Publishes Proposed Rule for FY 2023 Inpatient Psychiatric Facilities Payments

The proposed rule for the 2023 Inpatient Psychiatric Facilities Prospective Payment System is now out. Learn details.

CMS Publishes Proposed Rule for Fiscal Year 2023 Inpatient Rehabilitation Payments

Learn details of the proposed Inpatient Rehabilitation Facility Prospective Payment System rule.

340B Qualification for Hospitals Affected by COVID-19 Public Health Emergency

A new law provides a path towards eligibility for the 340B drug pricing program for hospitals impacted by COVID-19.

How to Choose a Qualified Medicare Reimbursement Partner

Explore key attributes for hospital providers to consider to select the right Medicare reimbursement partner.

Medicare Update: 2022 Inpatient Prospective Payment System

The fiscal year 2022 Inpatient Prospective Payment System (IPPS) proposed rule introduces reimbursement changes for hospitals.

CMS Publishes FY 2022 Hospital Inpatient Prospective Payment System Proposed Rule

Learn about CMS’s proposed rule for the 2022 Inpatient Prospective Payment System (IPPS), including wage index adjustments.

How to Identify Medicaid-Eligible Days for Initial and Amended Cost Reports

Hospitals can benefit from verifying they capture all Medicaid-eligible days—either in initial or amended cost reports.

Worksheet S-10 Audits: FFY 2018 Insights and Future Preparation Tips

At year-end 2020, the data of 1,540 audited hospitals changed from their as-filed cost reports. Learn what insight this provides for future audits.

Cost Report Worksheet S-10: Audits and New Instructions

New instructions and audit requirements place additional burdens on hospitals for cost report Worksheet S-10 submission. Learn more.

A Substantive Reimbursement Requirement for Medicare DSH Calculations

CMS’s 2016 OPPS final rule imposes reimbursement requirements Medicare DSHs should know, but often struggle to implement.

The Current and Future State of Medicare

Dive into the current and proposed states of Medicare reimbursement in 2020 and the coming year.

CMS Publishes Proposed Rule for Medicare DSH Treatment of Medicare Part C Days

On August 6, 2020, CMS published a proposed rule affecting Medicare DSH reimbursement calculations. Hospitals can submit comments until October 5.

How to Determine the Benefit of an SSI Percentage Recalculation

An SSI redetermination could impact your Medicare DSH reimbursement impact. Discover more details and find out if your hospital can benefit.

New Supporting Documentation Requirements for Medicare Cost Reports

CMS rules require new supporting documentation to be included with Medicare cost reports. Learn the details.

Fiscal Year 2021 Proposed Medicare DSH and Uncompensated Care Provisions

Gain insight on the new FY 2021 IPPS proposed Medicare Disproportionate Share Hospital and uncompensated care provisions.

CMS Publishes FY 2021 Hospital Inpatient Prospective Payment System Proposed Rule

Learn about CMS’s fiscal year 2021 proposed rule for inpatient prospective payments, including key changes, public-comment deadlines, and more.

CMS Provides Updates on Accelerated and Advance Payment Programs

CMS is reevaluating and suspending Accelerated and Advanced Payment Program funding respectively. Learn issues regarding repayment of funds.

Overview of CMS Waivers for Hospitals in Response to COVID-19

The Centers for Medicare and Medicaid (CMS) issued waivers and flexibilities for hospitals and other select care organizations in the wake of COVID-19.

CMS Expands Accelerated and Advanced Health Care Payments During COVID-19

Payment advancement opportunities can help providers and suppliers increase cash flow during the COVID-19 pandemic. Learn application details and more.

How to Know if Your Hospital Qualifies for the Medicare DSH Reimbursement

The Medicare DSH reimbursement supplements providers who treat higher percentages of low-income patients. Learn if your hospital qualifies.

Centers for Medicare and Medicaid Publish 2018 Supplemental Security Income Ratios

The Centers for Medicare and Medicaid released the Supplemental Security Income (SSI) ratios for 2018. Discover applicable entities and effective dates.

Tips for Hospitals to Prepare for Upcoming Worksheet S-10 Audits

The Centers for Medicare & Medicaid (CMS) appears ready for the next round of Worksheet S-10 audits. Learn how to prepare.

How Worksheet S-10 Impacts Hospitals Uncompensated Care Payments

The numbers hospitals report for uncompensated care cost reports now determine future payments. Learn the importance of Worksheet S-10 and how to compliantly report to access your fair share.