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AMDA Comments on Senate Finance Chronic Care Document

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Medicare, Accountable Care Organization (ACO), Health Information Technology (HIT), Physician Quality Reporting System (PQRS)
February 5, 2016
The Senate Finance Committee Chronic Care Working Group recently released their options paper outlining policies being considered as a part of the committee’s effort to improve how Medicare treats beneficiaries with multiple, complex chronic...

Applying for an EHR Hardship Exception: FAQs

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Electronic Health Records (EHR)
February 5, 2016
The Centers for Medicare & Medicaid Services (CMS) launched important changes to the Medicare Electronic Health Record (EHR) Incentive Program hardship exception process that will reduce burdens on clinicians, hospitals, and Critical Access...

CMS Announces Proposed Improvements to Medicare Shared Savings Program

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Accountable Care Organization (ACO)
February 5, 2016
Plan Strengthens Incentives for ACOs to Improve Performance On January 28, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule to update the methodology used to measure the performance of Accountable Care Organizations (...

Register in Open Payments System to Review and Dispute 2015 Data

Policy Snapshot
Payment
February 5, 2016
Physicians and teaching hospitals, you must register in the Open Payments system to review any payments or transfers of value attributed to you. The review and dispute period is targeted to start in April 2016, following the close of data submission...

PQRS: Submission Timeframes for 2015 Data

Policy Snapshot
Medicare, Physician Quality Reporting System (PQRS)
January 29, 2016
Eligible Professionals who do not satisfactorily report quality measure data to meet the 2015 Physician Quality Reporting System (PQRS) requirements will be subject to a negative PQRS payment adjustment on all Medicare Part B physician fee schedule...

Changes to the Medicare EHR Incentive Program Hardship Exception Process

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Electronic Health Records (EHR)
January 29, 2016
The Centers for Medicare & Medicaid Services (CMS) posted new, streamlined hardship applications on the Payment Adjustments and Hardship Information webpage, reducing the amount of information that eligible professionals, eligible hospitals, and...

Skilled Nursing Facility Billing Reference Fact Sheet — Revised

Policy Snapshot
Skilled Nursing Care, Payment
January 29, 2016
A revised Skilled Nursing Facility (SNF) Billing Reference Fact Sheet is available. Learn about SNF: Coverage Payment Billing requirements

CMS Working on Transitioning EHR Incentive Programs

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Electronic Health Records (EHR)
January 22, 2016
In a recent speech by Center for Medicare & Medicaid Services (CMS) Acting Administrator Andy Slavitt, he noted that CMS is trying to make the electronic health records (EHR) programs more physician friendly and tweeted that “in 2016, MU (...

CMS Updates Open Payments Data and Improves Website

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment
January 22, 2016
On January 19, the Centers for Medicare &Medicaid Services (CMS) updated the Open Payments dataset, consistent with the values we published on June 30, 2015. The total value before this update was $9.9 billion. The updated Open Payments dataset...

Hospice, IRF, LTCH, SNF, HHA: QIES System Downtime from March 16 through 21

Policy Snapshot
Hospice, Minimum Data Set, Quality, Improvement
January 22, 2016
All Quality Improvement and Evaluation System (QIES) systems will be unavailable from Wednesday, March 16 after 8 pm ET through Monday, March 21, 2016. This downtime will affect all QIES connectivity and systems. The national database, Certification...