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CMS Announces Plans to Address Medicare Program Integrity

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Practitioners
October 24, 2019
Seema Verma, administrator for the Centers for Medicare & Medicaid Services (CMS), has announced plans to modernize Medicare’s integrity methods to protect from fraud, waste, and abuse. CMS is developing a five-pillar program integrity strategy...

CDC Opioids Training Module for Nurses

Policy Snapshot
Medication, Opioids, Practitioners, Certified Nursing Assistant (CNA), Nurse Practitioner (NP)
October 24, 2019
The Centers for Disease Control and Prevention (CDC) released a new module, A Nurse's Call to Action for Safer Opioid Prescribing Practices in the interactive online training series, Applying CDC’s Guideline for Prescribing Opioids . In this module...

Quality Payment Program: APMs Web-Based Training

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, Practitioners
October 24, 2019
The Centers for Medicare & Medicaid Services (CMS) posted five Continuing Medical Education (CME) modules on Alternative Payment Models (APMs). Access them by logging into the Medicare Learning Network Learning Management System . Modules...

HHS Issues Guide for Appropriate Tapering or Discontinuation of Long-Term Opioid Use

Policy Snapshot
Medication, Opioids, Pain Management, Practitioners
October 17, 2019
On October 10, the Department of Health & Human Services (HHS) published a new Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics , which provides advice to clinicians who are contemplating...

Quality Payment Program: Participation Status Tool Includes Second Snapshot of Data

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Merit-Based Incentive Program Payment System (MIPS), Practice Management, Practitioners
October 17, 2019
The Centers for Medicare & Medicaid Services (CMS) updated the Quality Payment Program Participation Status Tool based on the second snapshot of data from Alternative Payment Model (APM) entities. The second snapshot includes data from Medicare...

Quality Payment Program: MIPS and APM Resources from CMS

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practice Management, Practitioners
October 17, 2019
The Centers for Medicare & Medicare Services (CMS) posted new Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) resources: MIPS 2018 Performance Period Resources: Performance Feedback Beneficiary-Level Data...

CMS and OIG Propose Stark Law and Anti-Kickback Statute Reforms

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Federal Regulations, Practitioners
October 10, 2019
This week, the Department of Health and Human Services (HHS) announced proposed changes, by the Centers for Medicare & Medicaid Services (CMS) and the Office of the Inspector General (OIG), to modernize and clarify the regulations that interpret...

CMS Issues Changes to Nursing Home Compare to Focus on Abuse and Neglect

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Quality, Resident
October 10, 2019
On October 7, the Centers for Medicare & Medicaid Services (CMS) announced a major change of the information available to nursing home residents, families, and caregivers on the Nursing Home Compare website. Beginning October 23, CMS will...

Register for CMS’ October 16 MIPS Eligible Measures Applicability Process Webinar

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
October 10, 2019
The Centers for Medicare & Medicaid Services (CMS) is hosting a webinar on Wednesday, October 16, from 2 to 3:30 PM ET to provide information about the Eligible Measures Applicability (EMA) process, which checks for additional clinically related...

Quality Payment Program: MIPS Dates and Deadlines

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practice Management, Practitioners
October 10, 2019
Important Merit-based Incentive Payment System (MIPS) dates and deadlines: December 31 – 2019 Promoting Interoperability Hardship Exception and Extreme and Uncontrollable Circumstances Applications deadline December 31 – 2020 virtual group election...