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SNF PPS Patient Driven Payment Model: Updated Resources

Health Policy
Care Settings/Types, Centers for Medicare and Medicaid (CMS), Payment, Practitioners
February 21, 2019

On October 1, 2019, the new Patient Driven Payment Model (PDPM) is replacing Resource Utilization Group, Version IV for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). Based on stakeholder feedback, the Centers for Medicare & Medicaid Services (CMS) revised resources on the PDPM webpage to help you prepare for implementation, including:

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Dementia Care & Psychotropic Medication Tracking Tool CMS Call — March 12

Health Policy
Centers for Medicare and Medicaid (CMS), Dementia, Antipsychotics, Practitioners
February 21, 2019

The Centers for Medicare & Medicaid Services (CMS) will hold a call on Tuesday, March 12, from 1:30 to 3 PM on the Dementia Care & Psychotropic Medication Tracking Tool. During this call, you’ll be able to gain insight on this free, publicly available electronic tool that facilitates a structured approach to tracking preference-based care and psychotropic medication use among residents living with dementia.

You’ll also learn about a recently released ...

CMS Proposes New Rules to Improve the Interoperability of Health Information

Health Policy
Centers for Medicare and Medicaid (CMS), Practice Management, Electronic Health Records (EHR), Health Information Technology (HIT), Practitioners
February 14, 2019

On Monday, February 11, the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator (ONC) released proposed rules to support seamless and secure access, exchange, and use of electronic health information. The rules would increase choice and competition while fostering innovation that promotes patient access to and control over health information.

CMS’ proposed changes to the health care system support the goals of the MyHealthEData initiative, and would increase the seamless flow of health information, reduce burden on patients and providers,...

AMDA Joins Others in Urging Congress to Address Surprise Insurance Billing for Patients

Health Policy
Medicare, Medicaid, Practitioners
February 14, 2019

AMDA – The Society for Post-Acute and Long-Term Care Medicine joined the American Medical Association and more than 100 national and state medical societies asking Congress to ease the burden on patients as potential legislation is developed to provide relief from health care costs that patients’ insurance will not cover.

In a letter sent to House Ways and Means Committee Chairman Richard Neal (D-MA) and Ranking Member Kevin Brady (R-TX), the groups urged them to consider several policies to combat...

MIPS: Check Your Preliminary 2019 Eligibility

Health Policy
Centers for Medicare and Medicaid (CMS), Payment, Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practitioners
February 14, 2019

Check the Quality Payment Program Participation Status Tool to view your eligibility status for the 2019 performance period under the Merit-based Incentive Payment System (MIPS). Enter your National Provider Identifier to find out if you need to participate in MIPS during the 2019 performance year.

For more information:

CMS To Host Several MIPS 101 Webinar

Health Policy
Centers for Medicare and Medicaid (CMS), Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practice Management, Practitioners
February 1, 2019

The Centers for Medicare & Medicaid Services (CMS) is hosting a webinar on Tuesday, February 5, from 12:30 to 1:30 PM ET to provide an overview of the quality performance category of the Merit-based Incentive Payment System (MIPS) in Year 3 (2019) of the Quality Payment Program. Existing MIPS participants, as well as clinicians who are new to MIPS in 2019, should join to learn more about how to participate in the quality performance category.

During the webinar, CMS subject matter experts will provide information on a variety of topics, including:

  • Participation
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Nursing Home Compare Quarterly Refresh with SNF QRP Data Now Available

Health Policy
Centers for Medicare and Medicaid (CMS), Practitioners, Quality
February 1, 2019

The January 2019 Nursing Home Compare Refresh, including quality measure results based on SNF QRP data submitted to the Centers for Medicare & Medicaid Services (CMS), is now available.

The updated SNF quality measure results are based on data submitted to CMS between:

  1. Quarter 2 2017 and Quarter 1 2018
  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) (#0674)
  • Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened (Short Stay) (NQF #0678)
  • Application of
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Need Help with MIPS? CMS’ New QPP Videos on MIPS Data Submission Now Available

Health Policy
Centers for Medicare and Medicaid (CMS), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practice Management, Practitioners
February 1, 2019

Learn how to manage and submit your 2018 Merit-based Incentive Payment System (MIPS) data through the Quality Payment Program (QPP) website by April 2 by viewing these brief videos:

CDC Opioids Training Modules

Health Policy
Centers for Medicare and Medicaid (CMS), Opioids, Practitioners
January 24, 2019

Help stop the growing number of drug overdose deaths in the United States. Take the final three modules in a training series from the Centers for Disease Control and Prevention (CDC): Applying CDC’s Guideline for Prescribing Opioids. Each module includes clinical scenarios, knowledge feedback prompts, and a resource library to help enhance learning:

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Open Payments Data Update

Health Policy
Cardiovascular Health, Centers for Medicare and Medicaid (CMS), Payment
January 24, 2019

On January 18, the Centers for Medicare & Medicaid Services (CMS) updated the Open Payments dataset to reflect changes to the data that took place since the last publication in June 2018. Use the Open Payments Search Tool to view the data. The refreshed dataset includes:

  • Record updates: Changes to non-disputed records made on or before November 15
  • Disputed records: Updated information for dispute resolutions completed on or before December 31
  • Record deletions: Removed records
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