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Informal Review Request Period for the 2017 Value Modifier Open Now Through November 30, 2016

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Practice Management
October 28, 2016
The 2015 Annual Quality and Resource Use Reports (QRURs) were released on September 26, 2016 by the Centers for Medicare & Medicaid Services (CMS). The 2015 Annual QRURs show how physician groups and physician solo practitioners performed in...

New CMS Provider Compliance Tip Sheet for SNF Service

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Payment, Coding, Reimbursement, & Documentation
October 28, 2016
The Centers for Medicare & Medicaid Services (CMS) recently released a new provider compliance fact sheet with tips on skilled nursing facility inpatient services. The tip sheet reviews common reason for denials of claims and how to prevent them...

Quality Payment Program: Additional Opportunities for Clinicians to Join Innovative Care Approaches

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Accountable Care Organization (ACO), Alternative Payment Models (APM)
October 28, 2016
On October 25, the Centers for Medicare & Medicaid Services (CMS) announced new opportunities for clinicians to join Advanced Alternative Payment Models (APMs) developed by the CMS Innovation Center to improve care and potentially earn an...

How to Report Across 2016 Medicare Quality Programs Call — November 1

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Payment, Practice Management, Electronic Health Records (EHR), Physician Quality Reporting System (PQRS)
October 28, 2016
Tuesday, November 1 from 1:30 to 3 pm ET To register or for more information, visit MLN Connects® Event Registration . Space may be limited, register early. Learn how to report quality measures during the 2016 program year to maximize your...

Save the Date for CMS Training on Phase 1 Implementation of New Nursing Home Regulations

Policy Snapshot
Skilled Nursing Care, Federal Regulations, F-Tags
October 28, 2016
The Centers for Medicare & Medicaid Services (CMS) released a Survey & Certification memo noting the need to develop and provide training to LTC surveyors and providers, related to the new regulations. The training will contain information...

CMS Finalizes the New Medicare Quality Payment Program

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Medicare Access and CHIP Re-authorization Act (MACRA), Quality Payment Program (QPP), Practice Management
October 21, 2016
On October 14, the Centers for Medicare & Medicaid Services (CMS) finalized its policy implementing the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) incentive payment provisions in the Medicare...

CMS Announces New Initiative to Increase Clinician Engagement

Policy Snapshot
Centers for Medicare and Medicaid (CMS), Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA)
October 21, 2016
On October 13, the Centers for Medicare & Medicaid Services (CMS) announced a new initiative to improve the clinician experience with the Medicare program. As delivery system reforms from the Affordable Care Act and the Medicare Access and CHIP...

Medicare’s Investment in Primary Care Shows Progress

Policy Snapshot
Centers for Medicare and Medicaid (CMS)
October 21, 2016
On October 17, the Centers for Medicare & Medicaid Services (CMS) announced the Comprehensive Primary Care (CPC) initiative’s second round of shared savings results, with nearly all practices (95 percent) meeting quality of care requirements and...

Long-Term Care Facilities: Reform of Requirements Call — October 27

Policy Snapshot
Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Federal Regulations, F-Tags
October 21, 2016
Thursday, October 27 from 1:30 to 3 pm ET To register or for more information, visit MLN Connects® Event Registration . Space may be limited, register early. During this call, learn about the final rule to reform the requirements for long-term care...

CMS to Host Long-Term Care Facilities: Reform of Requirements Call on October 27

Policy Snapshot
Long-Term Care, Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Medicare, Federal Regulations, F-Tags
October 14, 2016
Thursday, October 27 from 1:30 to 3 pm ET To register or for more information, visit MLN Connects Event Registration . Space may be limited, register early. During this call, learn about the final rule to reform the requirements for long-term care...