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Health Policy
October 4, 2018

On Wednesday, October 17, from 1:30 to 3 pm ET, CMS will host a webinar on patient relationship categories and codes. The webinar will focus on guidance for classifying patient relationships during the voluntary reporting period that CMS implemented on January 1, 2018. It presents real world clinical scenarios to illustrate how patient Relationship categories and codes work and reviews the statutory context and policy principles used in their development. A question and answer session will follow the presentation.

For inquiries about the patient relationship categories and codes,...

Health Policy
September 27, 2018

This week a group of bipartisan leaders from committees in both the House and Senate announced an agreement on sweeping legislation to combat the opioid crisis. In June, the House passed H.R. 6, the SUPPORT for Patients and Communities Act by a vote of 396-14. On September 17, the Senate passed the Opioid Crisis Response Act of 2018 by a vote of 99-1. This bipartisan, bicameral agreement will allow final legislation to move swiftly through both chambers of Congress and to the president’s desk.

This legislation sends help to communities fighting on the front lines of the crisis and...

Health Policy
September 27, 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...

Health Policy
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, SNOMED CT, LOINC, and RxNorm. This addendum affects the electronic reporting of eCQMs for the following programs:

  • Quality Payment Program: Merit-based Incentive Payment System and Advanced Alternative Payment Models
  • Comprehensive Primary Care Plus
  • Hospital Inpatient Quality Reporting
  • Medicare and
  • ...
Health Policy
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 score. If you believe there is an error in your 2019 MIPS payment adjustment calculation, you can request a targeted review until October 15 at 8 pm ET.

Here are some good resources to get more information:

  • ...
Health Policy
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’ focus to reduce burden in both evaluation and management (E&M) documentation requirements and reporting into the Quality Payment Program (QPP): “We agree that clinicians need administrative burden relief so that they focus more on patient care. While we support these general efforts, we feel CMS must work in a collaborative and open manner with...

Health Policy
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-term care setting, as well as learning about the impact of opioid use on persons living with dementia. CMS also will share updates on the progress of the National...

Health Policy
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 to explore the roles of the Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General at the U.S. Department of Health and Human Services (HHS) relating to the management and safety of nursing facilities.

Witnesses for the hearing included Kate Goodrich, MD, Director at the Center for Clinical Standards and...

Health Policy
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 long-term care setting. Also, learn...

Health Policy
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 would collapse payment rates for eight office visit services for new and established patients down to two each. The proposed simplification would increase payments for services now provided under E/M levels 2 and 3 but would decrease payments for the more complex services now...