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04/16/2019

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Provider Minute Video: The Importance of Proper Documentation

Why is proper documentation important to you and your patients? Find out how it affects items/services, claim payment, and medical review in the Provider Minute: The Importance of Proper Documentation video. Learn about:

A revised Telehealth Services Medicare Learning Network Booklet is available.

Learn about:

Quality Payment Program Merit-based Incentive Payment System (MIPS): Quality Performance Category in 2019 Web-Based Training Course — Revised

With Continuing Medical Education Credit

A revised Quality Payment Program Merit-based Incentive Payment System (MIPS): Quality Performance Category in 2019 Web-Based Training Course is available through the Medicare Learning Network Learning Management System. Learn about:

Quality Payment Program CMS Web Interface and CAHPS for MIPS Survey: Register by July 1

Registration is required for groups and virtual groups that intend to use the CMS Web Interface and/or
administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for Merit-based
Incentive Payment System (MIPS) Survey for 2019. The registration period closes on July 1 at 5 pm ET.

For More Information:

Patients Over Paperwork April Newsletter

Read the CMS Patients Over Paperwork April newsletter for updates about our work to reduce administrative burden and improve the customer experience for hospitals:

Physician Compare: Supplemental Preview Period Open until April 27

CMS is offering a supplemental Physician Compare preview period through April 27 with the latest 2017 performance information. Eligible clinicians and groups: Check your information by logging into the Quality Payment Program website.

For More Information:

Open Payments: Review and Dispute Data by May 15

Pre-publication review and dispute for program year 2018 Open Payments data is available through May 15. CMS will publish program year 2018 data and updates to the previous program years’ data in June. Physician and teaching hospital review of the data is voluntary, but strongly encouraged:

If you are already registered, log in to review your data:

For More Information:

Comparative Billing Report on Subsequent Hospital Visits

In late March, CMS issued a Comparative Billing Report (CBR) on Subsequent Hospital Visits. The CBR, produced by RELI Group, focuses on rendering providers who submit Medicare Part B claims. These reports contain data-driven tables with an explanation of findings that compare your billing and payment patterns to those of your peers in your state and across the nation.

CBRs are not publicly available. Look for an email from cbrpepper.noreply@religroupinc.com with your report. Update your contact email address in the National Plan and Provider Enumeration System to ensure accurate delivery.

For More Information:

CMS to Revisit National Coverage Determination on NGS Tumor Testing

Mar 27, 2019 - The Centers for Medicare & Medicaid Services will reopen a national coverage determination on next-generation sequencing panels to address the healthcare community's concerns about the negative impact the current policy would have on patients' ability to access genetic testing to learn their risk for cancer. READ ARTICLE (free registration required)

Medicare Enrollment for Physicians and Other Part B Suppliers — Revised

A revised Medicare Enrollment for Physicians, NPPs, and Other Part B Suppliers Medicare Learning Network Booklet is available. Learn:

Medicare Secondary Payer — Revised

A revised Medicare Secondary Payer Medicare Learning Network Booklet is available. Learn:

Medicare Secondary Payer Provisions Web-Based Training Course — Revised

With Continuing Education Credit

A revised Medicare Secondary Payer Provisions Web-Based Training (WBT) course is available through the Medicare Learning Network Learning Management System. Learn about:

8 things physicians need to know about MACRA in 2019

The Medicare Quality Payment Program, enacted under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), will affect participating physicians’ payment in 2021. 
View the slideshow 

PECOS FAQs — Revised

A revised PECOS FAQs Medicare Learning Network Booklet is available. Learn:

PECOS Technical Assistance Contact Information — Revised

A revised PECOS Technical Assistance Contact Information Medicare Learning Network Fact Sheet is
available. Learn who to contact about common problems.

Comparing Hospital Quality: CMS Updates Consumer Resources

On February 28, CMS updated hospital performance data on the Hospital Compare website and on
data.medicare.gov to empower patients, families, and stakeholders with important information they need to compare hospitals and make informed health care decisions. This data includes specific measures of hospitals’ quality of care, many of which are updated quarterly, and the Overall Hospital Star Ratings, which were last updated in December 2017. The data are collected through CMS Hospital Quality Initiative programs.

We also posted potential changes to the Hospital Star Ratings for public comment. These changes under consideration intend to respond to stakeholder feedback, seek to enhance the Star Ratings methodology by making hospital comparisons more precise and consistent, and allow more direct, “like-to-like” comparisons. We look forward to your comments on the potential changes by March 29.

See the full text of this excerpted CMS Press Release (issued February 28). 

Diagnosis Coding: Using the ICD-10-CM Web-Based Training Course — Reminder

With Continuing Education Credit

The Diagnosis Coding: Using the ICD-10-CM Web-Based Training (WBT) course is available through the Learning Management System. Learn:

Dual Eligible Beneficiaries under Medicare and Medicaid Booklet — Reminder

The Dual Eligible Beneficiaries under Medicare and Medicaid Booklet is available. Learn about:

Quality Payment Program: Payment Adjustment Resource

CMS posted a new Merit-based Incentive Payment System (MIPS) resource, addressing frequently asked questions about the application of payment adjustments, which began January 1, 2019. Topics include: 

For More Information:

QPP Videos: MIPS Data Submission

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:

For More Information:

Quality Payment Program: 2019 Resources

CMS posted new resources to help you prepare for the 2019 performance year of the Merit-based Incentive Payment System (MIPS):

For More Information:

Quality Payment Program: Webinar Library

CMS moved Quality Payment Program (QPP) webinar resources to the newly redesigned QPP Webinar Library webpage. Search for the webinars and accompanying recordings, transcripts, and presentation slides by performance year, reporting track, performance category, and webinar type. For questions, contact QPP@cms.hhs.gov or 866-288-8292 (TTY: 877-715-6222). 

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