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Quality Payment Program Exception Applications Available on QPP.CMS.GOV

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
August 22, 2019
The 2019 Quality Payment Program (QPP) Exception Applications for the Promoting Interoperability (PI) performance category and Extreme and Uncontrollable Circumstances for the Merit-based Incentive Payment System (MIPS) are now available on the QPP...

SNF PPS Patient Driven Payment Model: Get Ready for Implementation on October 1

Policy Snapshot
Patient Driven Payment Model (PDPM), Centers for Medicare and Medicaid (CMS)
August 22, 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...

Society Leaders Tackle the Interoperability Riddle

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Practice Management, Electronic Health Records (EHR), Health Information Technology (HIT), Practitioners
August 15, 2019
One of the biggest complaints in today’s digital world is that it has not extended into the health care world. While many hospitals and physician offices have adopted some type of electronic medical record, and there is no shortage of new companies...

Dementia Care: Supporting Comfort and Resident Preferences Call — September 10

Policy Snapshot
Dementia, Practitioners
August 15, 2019
The Medicare Learning Network is hosting a call on September 10 from 1:30 to 3:00 PM ET, Dementia Care: Supporting Comfort and Resident Preferences. During this call, you’ll be able to gain insight on approaches to care for residents living with...

SNF PPS: Patient Driven Payment Model Videos

Policy Snapshot
Patient Driven Payment Model (PDPM), Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Practitioners
August 15, 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). The Centers for Medicare & Medicaid Services (CMS...

CMS to Host August 12 Listening Session on the Physician Fee Schedule Proposed Rule

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Coding, Reimbursement, & Documentation, Quality Payment Program (QPP), Practice Management, Practitioners
August 8, 2019
Proposed changes to the CY 2020 Physician Fee Schedule are aimed at reducing burden, recognizing clinicians for the time they spend taking care of patients, removing unnecessary measures, and making it easier for clinicians to be on the path toward...

Quality Payment Program: Reporting Patient Relationship Categories

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Quality Payment Program (QPP), Practice Management, Practitioners
August 8, 2019
Merit-based Incentive Payment System (MIPS)-eligible clinicians: The Centers for Medicare & Medicaid Services (CMS) released an article about reporting Patient Relationship Categories and Codes (PRC) on Medicare claims. Note: Reporting these...

CMS Podcast: Beyond the Policy: Nursing Home Strategy Part 1 – Strengthening Oversight

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Practitioners
August 8, 2019
The Centers for Medicare & Medicaid Services (CMS) released the latest episode of its podcast, CMS: Beyond the Policy . This edition focuses on the first part of its five-pronged strategy on strengthening oversight in nursing homes. You can also...

CMS Releases 2020 Physician Fee Schedule and Quality Payment Program Proposed Rules

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Merit-Based Incentive Program Payment System (MIPS), Physician Fee Schedule (PFS), Quality Payment Program (QPP), Practice Management, Practitioners
August 1, 2019
.main td{ font-size:12px; } On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the...

Skilled Nursing Facilities Final FY 2020 Payment and Policy Changes Rule Released

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS)
August 1, 2019
On July 30, the Centers for Medicare & Medicaid Services (CMS) issued a final rule for FY 2020 Medicare payment rates and quality programs for Skilled Nursing Facilities (SNFs). CMS projects aggregate payments to SNFs will increase by $851...