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Health Policy
April 15, 2016

Tuesday, April 19 from 1:30 to 3 pm ET

To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

During this call, Centers for Medicare & Medicaid Services (CMS) subject matter experts will cover helpful tips to complete a successful application for the Medicare Shared Savings Program (Shared Savings Program). A question and answer session will follow the presentation.

We encourage call participants to review important information, dates, and materials on the...

Health Policy
April 8, 2016

Review and dispute for Open Payments data began April 1 and will last for 45 days. The Centers for Medicare & Medicaid Services (CMS) will publish the 2015 payment data and updates to the 2013 and 2014 data on June 30, 2016.

Physicians and teaching hospitals must initiate any disputes during the review period. Review and dispute is voluntary but strongly encouraged. If you have never registered in the Open Payments system, initial registration is a two-step process and should only take 30 minutes. See the...

Health Policy
April 8, 2016

The Centers for Medicare & Medicaid Services (CMS) released the 2015 Mid-Year Quality and Resource Use Reports (MYQRURs) to groups and solo practitioners nationwide. MYQRURs are for informational purposes only and will not affect your payments under the Medicare Physician Fee Schedule. For more information, visit the 2015 QRUR and 2017 Value Modifier webpage. See the...

Health Policy
April 8, 2016

Thursday, April 14 from 2 to 3 pm ET

To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

During this call, Centers for Medicare & Medicaid Services (CMS) subject matter experts discuss the development of the Data Element Library.

A question and answer session will follow the presentation, including an opportunity for registrants to provide feedback on the Library. The...

Health Policy
April 8, 2016

A revised Accountable Care Organizations: What Providers Need to Know Fact Sheet is available. Learn about: 

  • Participating in the Medicare Shared Savings Program
  • Coordinating care through Accountable Care Organizations (ACOs)
  • Satisfying the quality performance standards

And a revised...

Health Policy
April 8, 2016

Shortages Particularly Acute in Specialties Most Needed by an Aging Population

Under every combination of scenarios modeled, the United States will face a shortage of physicians over the next decade, according to a physician workforce report released this week by the AAMC (Association of American Medical Colleges). The projections show a shortage ranging between 61,700 and 94,700, with a significant shortage showing among many surgical specialties...

Health Policy
April 1, 2016

The Centers for Medicare & Medicaid Services (CMS) today announced it will test whether a new payment model for nursing facilities and practitioners will further reduce avoidable hospitalizations, lower combined Medicare and Medicaid spending, and improve the quality of care received by nursing facility residents.

This next phase of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents seeks to reduce avoidable hospitalizations among beneficiaries eligible for Medicare and/or Medicaid by providing new payments to practitioners for...

Health Policy
April 1, 2016

Over the last year, AMDA - The Society for Post-Acute and Long-Term Care Medicine has asked the Centers for Medicare & Medicaid Services (CMS) to clarify whether the Chronic Care Management (CCM) Current Procedural Terminology (CPT) code was billable in nursing facilities. The original descriptor per AMA CPT for CCM stated that “these [CCM] management and support services are provided to patients who reside at home or in a domiciliary, rest home, or assisted living facility” which left confusion about billing the code in skilled nursing facility and nursing facility (SNF/NF) settings....

Health Policy
April 1, 2016

Tuesday, April 5 from 1:30 to 3 pm ET

To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

During this call, CMS subject matter experts provide information on what you can do to prepare for the Medicare Shared Savings Program (Shared Savings Program) application process for the January 1, 2017, program start date. A question and answer session will follow the presentation.

We encourage call participants to review important information, dates, and...

Health Policy
March 25, 2016

Last week, the Centers for Medicare & Medicaid Services (CMS) released survey and certification letter (S&C 16-13-NH) which reminds long-term care facilities that the mandatory submission period for electronic reporting on staffing begins on July 1, 2016. The Society for Post-Acute and Long-Term Care Medicine met with CMS and argued that the “on site” requirement for reporting Medicare Director hours could lead to...