Publications

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Bill Aims to Allow Audio-Only Telehealth for MA plans, PACE programs

Policy Snapshot
March 26, 2021
A bipartisan group of representatives introduced a bill last week that would allow Medicare Advantage plans to count diagnoses from audio-only telehealth services toward risk adjustment for at least plan years 2020 and 2021 and allow clinicians to...

CMS Issues Updated Guidance for Nursing Home Visitation

Policy Snapshot
March 19, 2021
On March 10, 2021, the Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), issued updated guidance for nursing homes to safely expand visitation options during the COVID-19...

CMS Now Accepting Applications: Primary Care First Model Cohort 2

Policy Snapshot
March 19, 2021
Last week, the Centers for Medicare and Medicaid Services (CMS) released the Request for Applications (RFA) for Cohort 2 of the Primary Care First (PCF) Model. Primary care practices in eligible regions are encouraged to apply. Practices that...

Doctors and Clinicians Preview Period is Ending Soon on March 25, 2021

Policy Snapshot
March 19, 2021
The Doctors and Clinicians Preview Period ends on March 25, 2021 at 8 p.m. ET (5 p.m. PT). If you haven’t previewed your information already, don’t miss your chance to preview your 2019 Quality Payment Program (QPP) performance information before it...

REMINDER: 2021 Call for MIPS Promoting Interoperability Measures and Improvement Activities Now Open

Policy Snapshot
March 19, 2021
Reminder: the Centers for Medicare & Medicaid Services (CMS) encourages you to submit Promoting Interoperability measures and Improvement Activities for consideration for future years of the Merit-based Incentive Payment System (MIPS). The MIPS...

Society Joins Others in Urging CMS to Make MVP Program Improvements

Policy Snapshot
March 5, 2021
Last week, the Society along with the American Medical Association and other national groups sent a letter to the Centers for Medicare & Medicaid Services (CMS) with recommendations to ensure the Merit-based Incentive Payment System (MIPS) Value...

COVID-19 FAQs on Medicare FFS Billing to Administer Vaccines

Policy Snapshot
March 5, 2021
CMS released new COVID-19 FAQs : Orders: Vaccine — See pages 27 (hospitals) and 137 (other providers) Monoclonal antibody infusion — See page 137 Billing: Vaccine doses or monoclonal antibody products obtained for free — See page 136 Monoclonal...

Long-Term Care: Dementia-Related Psychosis Call — March 23

Policy Snapshot
March 5, 2021
National Partnership to Improve Dementia Care and Quality Assurance Performance Improvement Tuesday, March 23, from 1:30 to 3 PM ET Register for this Medicare Learning Network call . During this call, learn about the appropriate assessment, accurate...

Legislation to Protect Nursing Home Residents and Workers Introduced in Senate

Policy Snapshot
February 26, 2021
Last week, Sens. Bob Casey (D-PA), Raphael Warnock (D-GA), Sheldon Whitehouse (D-RI), Richard Blumenthal (D-CT), and Cory Booker (D-NJ) introduced legislation to curb the rising death count and assist with vaccinations in nursing homes. The COVID-19...

CMS Holds Physicians Harmless from MIPS Penalties Amid COVID-19 Public Health Emergency

Policy Snapshot
February 26, 2021
Last week, CMS announced it will hold physicians harmless from up to 9% MIPS penalties due to the significant disruptions of the COVID-19 public health emergency on physician practices’ performance in 2020. The Society advocated for this automatic...