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Surprise Billing and Observation Status Gain Momentum in Congress

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Practitioners
May 16, 2019
This week a bipartisan group of senators introduced a piece of legislation to help end surprise medical billing. The STOP Surprise Medical Bills Act calls for an arbitration process for settling disputes between providers and insurers. Under the...

eCQM: Specifications and Materials for 2020 Reporting

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Alternative Payment Models (APM), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practice Management, Health Information Technology (HIT), Practitioners
May 16, 2019
The Centers for Medicare & Medicaid Services (CMS) posted the Electronic Clinical Quality Measure (eCQM) specifications for the 2020 reporting period for eligible hospitals and critical access hospitals and 2020 performance period for eligible...

MIPS Improvement Activities Performance Category in 2019 Webinar from CMS

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practice Management, Practitioners
May 16, 2019
During the webinar—which is being held on Thursday, May 23, from 1 to 2 PM ET, CMS experts will provide a brief overview of the Merit-based Incentive Payment System (MIPS) and discuss the following Improvement Activities Performance Category topics...

Podcast: Geriatric Psychiatrist Answers Tough Questions about Antipsychotics

Spotlight
May 15, 2019
MEMBERS ONLY CONTENT Login or Join AMDA On-The-Go podcast host Wayne Saltsman, MD, PhD, CMD, asked some tough questions at the beginning of his April 29 show on Appropriate Use of Antipsychotics in LTC Facilities. Specifically, “In the ever-swinging...

Outbreak of Human Metapneumovirus in a Nursing Home: A Clinical Perspective

JAMDA
May 14, 2019
To describe a human metapneumovirus (hMPV) outbreak occurring in a nursing home for older adults and to identify the risk factors associated with the clinical infection.

May 12, 2019

Weekly Roundup
May 12, 2019
MEMBERS ONLY CONTENT Login or Join Concerns about sepsis bring with them lots of questions. A May 15 Society webinar, Sepsis: Practical Pearls in Diagnosis and Treatment Decisions in LTC, will provide answers. Participants will gain insights into...

Senate Finance Committee Holds Hearing Examining MACRA

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Practice Management, Practitioners
May 9, 2019
This week, the Senate Finance Committee held a hearing on Medicare Physician Payment Reform After Two Years: Examining MACRA Implementation and the Road Ahead. The hearing examined how well the Medicare Access and CHIP Reauthorization Act (MACRA) of...

Open Payments: Review and Dispute Data by May 15

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Practitioners
May 9, 2019
Pre-publication review and dispute for Program Year 2018 Open Payments data closes May 15. The Centers for Medicare & Medicaid Services (CMS) will publish Program Year 2018 data and updates to the previous program years in June. Physician and...

SNF Provider Preview Reports: Review Your Data by May 30

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Practice Management, Practitioners
May 9, 2019
Skilled Nursing Facility (SNF) Provider Preview Reports are available. Review your performance data by May 30, prior to public display on Nursing Home Compare in July 2019. Corrections to the underlying data are not permitted during this time;...

Quality Payment Program Look-Up Tool: Secure Access for APM Entities

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Accountable Care Organization (ACO), Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Quality Payment Program (QPP), Practice Management, Practitioners
May 9, 2019
The Centers for Medicare & Medicaid Services (CMS) added secure access to the Quality Payment Program Eligibility & Reporting page for the following Alternative Payment Models (APMs): Shared Savings Program, Next Generation Accountable Care...