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eCQM Value Sets: Updates for 2019 Reporting and Performance Periods

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Coding, Reimbursement, & Documentation, Medicare Access and CHIP Re-authorization Act (MACRA), Quality Payment Program (QPP), Health Information Technology (HIT), Practitioners
September 20, 2018
The Centers for Medicare & Medicaid Services (CMS) and the National Library of Medicine (NLM) published updates to the electronic Clinical Quality Measure (eCQM) value sets to align with recent releases to terminologies, including, ICD-10-CM/PCS...

MIPS Targeted Review Request: Deadline Extended to October 15

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Practitioners
September 20, 2018
If you participated in the Merit-based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback are available on the Quality Payment Program website. The payment adjustment you receive in 2019 is based on this final...

Society Comments on 2019 Physician Fee Schedule and QPP Proposed Rule

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), Physician Fee Schedule (PFS), Quality Payment Program (QPP), Health Information Technology (HIT), Practitioners
September 13, 2018
This week the Society submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the CY 2019 Physician Fee Schedule (PFS) and Quality Payment Program (QPP) proposed rule. The Society noted that they were appreciative of CMS’...

Join AMDA Member and CMS on Call about Dementia Care: Opioid Use & Impact for Persons Living with Dementia

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Dementia, Opioids, Practitioners
September 13, 2018
The CMS National Partnership to Improve Dementia Care and Quality Assurance Performance Improvement is hosting a call on Tuesday, September 18, from 1:30 to 3 pm ET. During this call, you can gain insight on opioid use in the post-acute and long-...

House Hearing Focuses on Nursing Home Safety and Quality

Policy Snapshot
Care Settings/Types, Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Federal Regulations, Practitioners, Quality
September 6, 2018
This week, the House Committee on Energy and Commerce (E&C) Subcommittee on Oversight and Investigations held a hearing entitled “Examining Efforts to Ensure Quality of Care and Resident Safety in Nursing Homes.” The purpose of the hearing was...

CMS Dementia Care: Opioid Use & Impact for Persons Living with Dementia Call — September 18

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Dementia, Practitioners
September 6, 2018
National Partnership to Improve Dementia Care and Quality Assurance Performance Improvement Tuesday, September 18 from 1:30 to 3 pm ET Register for Medicare Learning Network events. During this call, gain insight on opioid use in the post-acute and...

Society Joins Opposition to CMS’ Proposed Cuts to E/M Pay

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Coding, Reimbursement, & Documentation, Practitioners
August 30, 2018
This week, the Society joined the American Medical Association and over 150 other medical organizations in opposing the Centers for Medicare & Medicaid Services (CMS) proposal to simplify evaluation and management (E/M) coding. The CMS proposal...

ACOs Taking Risk in Innovative Payment Model Generate Savings for Patients and Taxpayers

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Accountable Care Organization (ACO), Practitioners
August 30, 2018
On August 27, CMS released an evaluation report for the first performance year of the Innovation Center’s Next Generation Accountable Care Organization (ACO) Model showing promising early results. Results demonstrated the positive outcomes in terms...

MIPS Targeted Review Request: Deadline October 1

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practitioners
August 30, 2018
If you participated in the Merit-based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback are available on the Quality Payment Program website. The payment adjustment you receive in 2019 is based on this final...

CMS Posts New Proposed RAC Review Topics

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Practitioners
August 30, 2018
The Centers for Medicare & Medicaid Services (CMS) has posted 10 new proposed Recovery Audit Contractor (RAC) Review Topics to its website for a 30-day comment period. CMS began posting the proposed review topics last year in response to...