Physicians' Resources

Your home for news, products, stories, and more specific to physicians practicing in post-acute and long-term care settings. 

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Policy Snapshot
May 16, 2019

The Centers for Medicare & Medicaid Services (CMS) posted the Electronic Clinical Quality Measure (eCQM) specifications for the 2020 reporting period for eligible hospitals and critical access hospitals and 2020 performance period for ...

Policy Snapshot
May 16, 2019

This week a bipartisan group of senators introduced a piece of legislation to help end surprise medical billing. The STOP Surprise Medical Bills Act calls for an arbitration process for settling disputes between providers and insurers. Under the bill, arbitration would be an option providers and insurers could use if they are unhappy with the payment they receive as a result of out-of-network services. The Senate bill would ensure that a patient only pays in-network cost-sharing rates for emergency services and would protect patients who are taken to out-of-network facilities in...

Spotlight
May 15, 2019

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AMDA On-The-Go podcast host Wayne Saltsman, MD, PhD, CMD, asked some tough questions at the beginning of his April 29 show on Appropriate Use of Antipsychotics in LTC Facilities. Specifically, “In the ever-swinging pendulum of health care, where are we now with regard to antipsychotic medication? Is it useful ‘off label...

Policy Snapshot
May 9, 2019

The Centers for Medicare & Medicaid Services (CMS) added secure access to the Quality Payment Program Eligibility & Reporting page for the following Alternative Payment Models (APMs): Shared Savings Program, Next Generation Accountable Care Organization, and Comprehensive Primary Care Plus. The new capabilities allow APM entities to download a list of their clinicians.

For more information:

Policy Snapshot
May 9, 2019

Skilled Nursing Facility (SNF) Provider Preview Reports are available. Review your performance data by May 30, prior to public display on Nursing Home Compare in July 2019. Corrections to the underlying data are not permitted during this time; request a Centers for Medicare & Medicaid Services (CMS) review if you believe your data is inaccurate.

For more information:

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Policy Snapshot
May 9, 2019

This week, the Senate Finance Committee held a hearing on Medicare Physician Payment Reform After Two Years: Examining MACRA Implementation and the Road Ahead. The hearing examined how well the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 met and continues to meet its goals for improving quality of care for Medicare beneficiaries.

Witnesses included leaders in the physician community, including Barbara McAneny, MD, president of the American Medical Association; John Cullen, MD, FAAFP, president of the American Academy of Family Physicians; and Frank Opelka, MD, FACS...

Policy Snapshot
May 2, 2019

CMS Primary Cares Initiative: Direct Contracting Model Webinar — May 7

The CMS Primary Cares Initiative is a new set of payment models that will transform primary care to deliver better value for patients throughout the health care system. Direct contracting is a set of three voluntary payment model options aimed at reducing expenditures and preserving or enhancing quality of care for beneficiaries in Medicare fee-for-service. These payment model options create opportunities for a broad range of organizations.

During the webinar—which is being held May 7...

Policy Snapshot
May 2, 2019

The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs for the fourth quarter of 2018 is May 15.

For more information:

Policy Snapshot
May 2, 2019

The April 2019 Nursing Home Compare refresh is available, including quality measure results based on Skilled Nursing Facility (SNF) Quality Reporting Program data. Visit the Nursing Home Compare website to view the data. For more information, visit the SNF Quality Public Reporting ...

Policy Snapshot
April 25, 2019

The Centers for Medicare & Medicaid Services (CMS) posted a Merit-based Incentive Payment System (MIPS) 2019 Group Participation Guide covering the following topics:

  • Eligibility and participation
  • Group registration for CMS Web Interface and CAHPS® for MIPS Survey
  • Data collection and submission for each MIPS performance category
  • ...