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Quality Payment Program 2017 Performance Results

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, 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
November 15, 2018
The Centers for Medicare & Medicaid Services (CMS) released 2017 performance data for the Quality Payment Program. CMS announced the preliminary data earlier this year, and now has released additional data elements that show significant success...

Quality Payment Program: Participation Status Tool Updated

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Practice Management, Practitioners
November 15, 2018
The Centers for Medicare & Medicaid Services (CMS) updated the Quality Payment Program Participation Status Tool based on calculations from the second snapshot of Medicare Part B claims data to calculate the Alternative Payment Model (APM)...

Physician Fee Schedule Final Rule: CMS Call on November 19

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Medicare Access and CHIP Re-authorization Act (MACRA), Quality Payment Program (QPP), Practitioners
November 15, 2018
The CY 2019 Physician Fee Schedule final rule is estimated to increase the amount of time doctors and other clinicians spend with their patients by reducing the burden of Medicare paperwork. The Centers for Medicare & Medicaid Services (CMS)...

CMS Issues CY 2019 Medicare Physician Fee Schedule Final Rule

Policy Snapshot
Physician Orders for Life-Sustaining Treatment (POLST), Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Coding, Reimbursement, & Documentation, Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practice Management
November 8, 2018
On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2019 Medicare Physician Fee Schedule (PFS) final rule, which will take effect January 1, 2019. The final rule updates Medicare Part B payment...

QRURs and PQRS Feedback Reports: Access Ends December 31

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Practice Management, Physician Quality Reporting System (PQRS), Practitioners
November 8, 2018
The final performance period for the Value Modifier and Physician Quality Reporting System (PQRS) programs was 2016 and the final payment adjustment year is 2018. Quality and Resource Use Reports (QRURs) and PQRS Feedback Reports will no longer be...

SNF Quality Reporting Program Data on Nursing Home Compare

Policy Snapshot
Care Settings/Types, Falls, Practitioners, Quality
November 1, 2018
The Centers for Medicare & Medicaid Services (CMS) announced the first release of Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) quality data on Nursing Home (NH) Compare . NH Compare allows you to find and compare SNFs that are...

HHS Advances Payment Model to Lower Drug Costs for Patients

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Practice Management, Practitioners
November 1, 2018
On October 25, the Centers for Medicare & Medicaid Services (CMS) announced and sought input on a new International Pricing Index (IPI) payment model to reduce what Americans pay for prescription drugs. Under the IPI model, described in an...

Skilled Nursing Facility Quality Reporting Program Data on Nursing Home Compare

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Practitioners, Quality
October 25, 2018
Why is this information being released? In accordance with Section 1899B(g)(1) of the Social Security Act, which requires the Centers for Medicare & Medicaid Services (CMS) to provide for the public reporting of Skilled Nursing Facility (SNF)...

New PTAC Appointments Announced

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Alternative Payment Models (APM), Practice Management, Practitioners
October 25, 2018
On October 18, 2018, the Government Accountability Office (GAO) announced the appointment of two new members to the Physician-Focused Payment Model Technical Advisory Committee (PTAC). The Medicare Access and CHIP Reauthorization Act of 2015...

Society Comments on CMS ACO Proposed Rule

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Accountable Care Organization (ACO), Practice Management, Practitioners
October 18, 2018
This week the Society submitted comments on the Centers for Medicare & Medicaid Services (CMS) proposed rule for Medicare Shared Savings Program; Accountable Care Organizations—Pathways to Success. The Society commented on the following areas of...