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Policy Snapshot
February 20, 2020

The Centers for Medicare & Medicaid Services (CMS) has posted the following Quality Payment Program (QPP) resources to the QPP Resource Library to help clinicians understand how to participate in QPP in the 2020 performance period:

  • 2020 Merit-based Incentive Payment System (MIPS)
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Policy Snapshot
February 20, 2020

In a recent report, the Office of Inspector General (OIG) determined that the Centers for Medicare & Medicaid Services (CMS) improperly paid practitioners for some telehealth claims associated with services that did not meet Medicare requirements. CMS released the Medicare Telehealth Services video to help you bill correctly. Here are some additional resources:

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Policy Snapshot
February 13, 2020

Last week the president released his 2021 fiscal year budget. The proposal would cut almost a trillion dollars from Medicaid over 10 years, give the Centers for Medicare & Medicaid Services (CMS) more power to collect improper payments, impose a mandatory work requirement in Medicaid, and reform graduate medical education payments. The proposal also addresses payments for post-acute care providers by establishing a unified payment system based on patients’ clinical needs rather than site of service....

Policy Snapshot
February 13, 2020

Last week the Society, along with the American Medical Association and other national organizations, joined together to write the Centers for Medicare & Medicaid Services (CMS) in expressing support for the policies finalized by CMS to address the historic undervaluation of Evaluation and Management (E/M) codes (office visits) utilized by physicians who deliver care to millions of Medicare patients.

The groups specifically supported:

  • Higher physician work relative value units (RVUs) for new and established office visit codes that will result in additional
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Policy Snapshot
February 6, 2020

This week, the Society joined the American Medical Association and others in writing to the Centers for Medicare & Medicaid Services (CMS) regarding the Merit-based Incentive Payment System (MIPS) quality measure selections and removal policy as finalized in the 2020 Physician Fee Schedule/Quality Payment Programs (QPP) final rule. The letter noted that the groups still have concerns with policies CMS has finalized and are particularly concerned with the direction of the Meaningful Measures Initiative due to the number of measures CMS removed from the 2020 MIPS programs. The groups...

Policy Snapshot
February 6, 2020

The deadline to submit your 2019 registration and attestation information for the Medicare Promoting Interoperability Program is March 2:

  • Medicare eligible hospitals and Critical Access Hospitals (CAHs): Attest through the QualityNet Secure Portal
  • Medicaid eligible professionals, eligible hospitals, and CAHs: Follow the requirements of your state Medicaid agency
  • Dual-eligible hospitals and CAHs: Attest through the QualityNet Secure Portal (not your state Medicaid agency)

 

For more...

Policy Snapshot
February 6, 2020

The Centers for Medicare & Medicaid Services (CMS) updated the Explore Measures Tool for the 2020 performance period. The tool now includes 2020 Merit-based Incentive Payment System (MIPS) measures and activities for the four performance categories:

Policy Snapshot
January 30, 2020

The Nursing Home Workforce Quality Act (H.R. 4468) is bipartisan legislation, introduced by Reps. Dwight Evans (D-PA) and Ron Estes (R-KS), that will help address the critical shortage of Certified Nursing Assistants (CNAs) by ensuring that CNAs have access to the quality training that they need. There are currently 13 co-sponsors.

Nursing home facilities that face $10,843 or more in civil monetary penalties (CMPs) are subject to the revocation of their training program and are unable to create a new program for a mandatory two-year period. This new legislation will allow...

Policy Snapshot
January 30, 2020

The November 2019 State Survey Agency Directors Memorandum includes infection control information and basic practices to improve resident safety and quality in nursing homes. Read the memo and log in to the Quality, Safety & Education Portal, which replaced the Integrated Surveyor Training website, to find these resources:

  • Updated Nursing Home Infection Control Worksheet: Self-assessment tool featuring requirements and best practices to improve
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Policy Snapshot
January 30, 2020

A new draft version of the MDS 3.0 Item Set Change History for October 2020 (v1.18.0) is available. Visit the MDS 3.0 Technical Information webpage for more information.

AMDA is currently reviewing changes in MDS and will provide updates as appropriate....