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CMS to Increase Oversight of Antipsychotics Use

Policy Snapshot
January 20, 2023
Last week, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced new actions to reduce the inappropriate use of antipsychotic medications and to bring greater transparency...

Register for Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule Educational Session

Policy Snapshot
January 20, 2023
On December 6, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would improve patient and provider access to health information and streamline processes related to prior authorization for medical items and...

Register for Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule Educational Session

Policy Snapshot
January 20, 2023
On December 6, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would improve patient and provider access to health information and streamline processes related to prior authorization for medical items and...

Nursing Home Disclosure Act Reintroduced in 118th Congress

Policy Snapshot
January 13, 2023
Last week, as their first legislative introduction for the new Congress, Reps. Mike Levin (D-CA) and Brian Fitzpatrick (R-PA) reintroduced the Nursing Home Disclosure Act (H. R. 177), bipartisan legislation to improve public disclosure of nursing...

Public Health Emergency Extended to April 11

Policy Snapshot
January 13, 2023
Last week, Health and Human Services (HHS) Secretary Xavier Becerra extended the COVID-19 public health emergency (PHE) for another 90 days. The PHE will now remain in place until at least April 11, 2023. HHS continues to note that they will provide...

CMS Releases Updated Conversion Factor; Be Prepared for 2023 Coding Changes

Policy Snapshot
January 6, 2023
The Centers for Medicare & Medicaid Services (CMS) has released updated national Medicare physician payment files that incorporate the changes from the Consolidated Appropriations Act of 2023. Specifically, in response to concerted advocacy by...

2023 MIPS Resources Available from CMS

Policy Snapshot
January 6, 2023
The Centers for Medicare & Medicaid Services (CMS) has posted new 2023 Merit-based Incentive Payment System (MIPS) resources to the QPP Resource Library . 2023 MIPS Quality Measure Specifications The following documents, which provide...

Telehealth Indicator for Doctors and Clinicians Now Available on Care Compare

Policy Snapshot
January 6, 2023
The Centers for Medicare & Medicaid Services (CMS) added a new telehealth indicator on clinician profile pages on Medicare Care Compare and in the Provider Data Catalog (PDC) . The new indicator helps beneficiaries and caregivers more easily...

Congress Extends Telehealth Flexibilities for Another Two Years

Policy Snapshot
January 6, 2023
Congress has again acted to provide a longer extension and has officially untied the flexibilities from the existence of the Public Health Emergency (PHE). The omnibus spending bill passed before the end of the year continues the Medicare telehealth...

CMS Extends Application Deadline for MIPS Uncontrollable Circumstances

Policy Snapshot
January 6, 2023
For the 2022 performance year, CMS continues to use our Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances (EUC) application to allow clinicians, groups, virtual groups, and Alternate Payment Model (APM) Entities to...