Physicians' Resources

Your home for news, products, stories, and more specific to physicians practicing in post-acute and long-term care settings. 

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Flu Vaccination Resources

Influenza
Allied Health Professional, NP/PA, Physician
AMDA – The Society for Post-Acute and Long-Term Care Medicine encourages post-acute and long-term care (PALTC) facilities to strengthen their employee immunization programs to protect employees and patients. The Society has updated its guidance on...

CMS Posts New Proposed RAC Review Topics

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Practitioners
August 30, 2018
The Centers for Medicare & Medicaid Services (CMS) has posted 10 new proposed Recovery Audit Contractor (RAC) Review Topics to its website for a 30-day comment period. CMS began posting the proposed review topics last year in response to...

MIPS Targeted Review Request: Deadline October 1

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practitioners
August 30, 2018
If you participated in the Merit-based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback are available on the Quality Payment Program website. The payment adjustment you receive in 2019 is based on this final...

ACOs Taking Risk in Innovative Payment Model Generate Savings for Patients and Taxpayers

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Accountable Care Organization (ACO), Practitioners
August 30, 2018
On August 27, CMS released an evaluation report for the first performance year of the Innovation Center’s Next Generation Accountable Care Organization (ACO) Model showing promising early results. Results demonstrated the positive outcomes in terms...

Society Joins Opposition to CMS’ Proposed Cuts to E/M Pay

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Coding, Reimbursement, & Documentation, Practitioners
August 30, 2018
This week, the Society joined the American Medical Association and over 150 other medical organizations in opposing the Centers for Medicare & Medicaid Services (CMS) proposal to simplify evaluation and management (E/M) coding. The CMS proposal...

California Member Reflects on Lessons Learned from Wildfires

Spotlight
August 29, 2018
MEMBERS ONLY CONTENT Login or Join While the recent wildfires struck a part of California hundreds of miles away from his home and facility, they reminded Timothy Gieseke, MD, CMD, of a time not long ago when a similar disaster threatened his...

2019 MIPS Performance Year Virtual Groups Toolkit and Webinar

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practitioners
August 23, 2018
To form a virtual group for the 2019 Merit-based Incentive Payment System (MIPS) performance year, follow the election process and submit your election between October 1 and December 31, 2018. See the 2019 Virtual Groups Toolkit , which includes :...

2016 PQRS and 2018 Value Modifier Experience Reports

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practice Management, Physician Quality Reporting System (PQRS), Practitioners
August 23, 2018
Find data from the Physician Quality Reporting System (PQRS) and Value-Based Payment Modifier Programs. Payment adjustments for 2018 are based on 2016 data. 2018 Value-Based Payment Modifier Program Experience Report (2015 – 2018) and 2018 Results...

New ABPLM Board Member Brings Both Long History and Fresh Eye to Her Role

Spotlight
August 21, 2018
MEMBERS ONLY CONTENT Login or Join Rebecca Elon, MD, MPH, CMD, has a history with the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) that goes back to its beginning. The new ABPLM board member says, “Back in the ‘80s, I attended a...

Quality Payment Program: Participation Status Tool Includes 2018 Data Snapshot

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practice Management, Practitioners
August 16, 2018
CMS updated the Quality Payment Program Participation Status Tool to include 2018 Qualifying Alternative Payment Model (APM) Participant (QP) and Merit-Based Incentive Payment System (MIPS) APM status. The tool is updated based on calculations from...