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Opioid Treatment Programs: Get Ready to Participate in the New Benefit

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Medication, Opioids, Practitioners
October 3, 2019
Starting January 1, 2020, under the CY 2020 Physician Fee Schedule proposed rule , the Centers for Medicare & Medicaid Services (CMS) plans to pay Opioid Treatment Programs (OTPs) through bundled payments for opioid use disorder treatment...

MIPS: Virtual Group Election Period Open Through December 31

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), Practitioners
October 3, 2019
To form a virtual group for the 2020 Merit-based Incentive Payment System (MIPS) performance year, you must follow an election process and submit your election to the Centers for Medicare & Medicaid Services (CMS) via email by December 31. For...

Quality Payment Program: 2019 APM Incentive Payment Fact Sheet

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Practice Management, Practitioners
October 3, 2019
Starting in September, clinicians who were qualifying Alternative Payment Model (APM) participants based on their 2017 performance will begin receiving 5% APM incentive payments. The Centers for Medicare & Medicaid Services (CMS) posted a new...

Society Asks for Parity on E&M Coding in Comments to CMS

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Merit-Based Incentive Program Payment System (MIPS), Physician Fee Schedule (PFS), Quality Payment Program (QPP), Practice Management, Practitioners
October 3, 2019
For the second year in a row, the Centers for Medicare & Medicaid Services (CMS) proposed sweeping changes to evaluation and management (E&M) coding. In its annual release of the physician fee schedule (PFS) proposed rule, CMS proposed to...

Get Ready for PDPM Implementation on October 1

Policy Snapshot
Patient Driven Payment Model (PDPM), Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Payment, Practitioners
September 26, 2019
On October 1, the new Patient Driven Payment Model (PDPM) is replacing the Resource Utilization Group, Version IV (RUG-IV) for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). PDPM improves the accuracy and appropriateness of...

Medicare Diabetes Prevention Program: Become a Medicare Enrolled Supplier

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Practitioners
September 26, 2019
Medicare pays Medicare Diabetes Prevention Program (MDPP) suppliers to furnish group-based intervention to at-risk Medicare beneficiaries: Centers for Disease Control and Prevention (CDC)-approved National Diabetes Prevention Program curriculum Up...

Society Submits Comments on Participation Requirements for LTC Facilities

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Federal Regulations, Practitioners
September 19, 2019
Last week the Society submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the Requirements for Long-Term Care Facilities Proposed Rule. Overall, the Society supported the proposed regulatory updates, as many reflect the...

Research Firm Looking for QPP Feedback

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Quality Payment Program (QPP)
September 19, 2019
On behalf of the Centers for Medicare and Medicaid Services (CMS), a user research firm is looking for volunteers to provide feedback on the Quality Payment Program (QPP) specific to the PY2019 preliminary scoring feedback experience. The research...

Save the Date for September 24 Webinar: PDPM Q&A Forum

Policy Snapshot
Patient Driven Payment Model (PDPM), Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Payment, Practitioners
September 12, 2019
The Society is hosting a webinar, Patient Driven Payment Model [PDPM] Question and Answer Forum, on Tuesday, September 24, 2019, from 7:00 to 8:30 PM ET. Society PDPM experts will be available to answer any and all questions you have regarding the...

Quality Payment Program: 2019 MIPS Resources

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
September 12, 2019
The Centers for Medicare & Medicaid Services (CMS) posted new 2019 Merit-based Incentive Payment System (MIPS) resources on the Quality Payment Program (QPP) Resource Library webpage: User Guides: These highlight information on participation,...