UPDATE: Medicare Terminates Payments to Sharpe Hospital

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William R. Sharpe Jr. Hospital was given notice by the Federal Department of Health and Human services that their participation in the Medicare program would be terminated effective Thursday, Sept. 28.
“The Centers For Medicare and Medicaid Services (CMS) has determined that the Williams R. Sharpe Jr. Hospital is not in compliance with the Medicare requirements for a psychiatric hospital,” the termination notice states.  
The notice goes on to state that Medicare program will not make payments for recipients who are admitted on or after Sept. 28. Payments will continue for a maximum of 30 days for those admitted prior to Sept. 28.
While the letter gave no reason for termination Allison Adler, a spokesperson for the West Virginia Department of Health and Human Resources (WVDHHR) told the Charleston Gazette-Mail, “The main reasons for the decision were due to inadequate documentation and insufficient treatment plans and follow up.”  adding that, “Secretary [Bill] Crouch continues to work with CMS regarding this issue in regards to the final determination.”
Delegate Patrick Martin said in a statement on Monday, Oct 2, that he wants the WVDHHR to provide a quick solution to the problems that led to the termination.  
This is inexcusable,” Martin said in a press release “In addition to not providing adequate services to patients, this situation puts the future of Sharpe Hospital – the third-largest employer in Lewis County – in jeopardy. The loss of Medicare coverage makes it virtually impossible to continue running this hospital going forward. I strongly urge DHHR Secretary Bill Crouch to work swiftly to fix this.”   
I have also contacted House Health Committee Chairman Joe Ellington, who has put the matter on the agenda for the Legislative Oversight Commission on Health and Human Resources Accountability when it meets in two weeks,” Delegate Martin said. “I want answers as to why this happened and what steps must be taken to keep it from happening again.”

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