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Congressional Spending Bill Partially Averts Cut to Medicare Physician Payment

Policy Snapshot
December 23, 2022
Last week, the Senate passed its $1.7 trillion fiscal year Omnibus Appropriations Bill. The bill averted the scheduled bigger cuts, but the compromise includes a 2% cut in Medicare payments for 2023 and a 1.25% cut in 2024. On the positive side, the...

Deadline Approaching to Submit MIPS Exception

Policy Snapshot
December 16, 2022
The Society is reminding organizations that the deadline to submit a 2022 MIPS Extreme and Uncontrollable Circumstances (EUC) Exception application is January 3, 2023 . We are concerned that practices that need the relief will miss the opportunity...

Be Prepared for PALTC Billing and Coding Changes in 2023

Policy Snapshot
December 9, 2022
In order to help members better prepare for the 2023 changes to coding and documentation guidance for current procedural terminology (CPT) evaluation and management services in PALTC, the Society continues to make available the popular webinar...

Skilled Nursing Facility Value-Based Purchasing Program: December Feedback Report

Policy Snapshot
December 9, 2022
Download your December quarterly feedback report for the FY 2024 Skilled Nursing Facility Value-Based Purchasing Program from the CASPER reporting system. Submit corrections to your FY 2019 readmission measure rate until December 31. See...

CMS Proposes Rule to Expand Access to Health Information and Improve the Prior Authorization Process

Policy Snapshot
December 9, 2022
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that aims to improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services. CMS proposes...

Doctors and Clinicians: Don’t Forget to Preview Your Performance Information

Policy Snapshot
December 2, 2022
The Centers for Medicare & Medicaid Services (CMS) opened the Doctors and Clinicians Preview Period on November 21, 2022 . The preview period provides an opportunity for doctors and clinicians to review their 2021 Quality Payment Program (QPP)...

Reminder: Upcoming Important MIPS Dates and Deadlines

Policy Snapshot
December 2, 2022
The Centers for Medicare & Medicaid Services (CMS) would like to remind clinicians of important upcoming Merit-based Incentive Payment System (MIPS) dates and deadlines: December 31, 2022 Last day of the 2022 performance year, after which...

OIG Releases Report on Long-Term Trends of Psychotropic Drug Use in Nursing Homes

Policy Snapshot
November 18, 2022
Last week, the Office of Inspector General (OIG) released a report, “Long-Term Trends of Psychotropic Drug Use in Nursing Homes.” The OIG found that from 2011 through 2019, about 80 percent of Medicare's long-stay nursing home residents were...

CMS to Require Electronic Prescribing for Controlled Substances Covered Through Medicare Part D Beginning January 1, 2023

Policy Snapshot
November 18, 2022
In compliance with Section 2003 of the SUPPORT Act, providers must transmit prescriptions for controlled substances electronically for Medicare Part D beneficiaries beginning January 1, 2023. Section 2003 of the SUPPORT Act mandates that a health-...

CMS Quality Payment Program: Doctors and Clinicians Preview Period Is Coming

Policy Snapshot
November 18, 2022
The Doctors and Clinicians Preview Period will officially open on November 21, 2022. You can preview your 2021 Quality Payment Program (QPP) performance information before it will appear on clinician and group profile pages on Medicare Care Compare...