08/21/2018

CMS-Medicare

Recent Oncology Related Articles

New Medicare Card: Order Handouts for Patients That Did Not Get Their New Cards

Has CMS finished mailing new Medicare cards in your state? Register and order (or print) new Still Waiting for Your New Card? tear-off sheets (Product #12023) and give to your Medicare patients who did not receive their cards.

Other products (order or print) to make your Medicare patients aware that new Medicare cards are coming:

• Poster,11”x17” (Product #12009-P)
• Pad of 50 You’re Getting a New Medicare Card! tear-off sheets, 4”x 5.25” ( Product #12006)
• Flyer, 8.5”x11” (Product #12002 )

Play the one minute New Medicare Cards are coming! video in your waiting room, so your Medicare patients know when and how they will receive the new card (also available in opened caption and 1080p formats).

Remember:
To ensure people with Medicare continue to get health care services, you can continue to use the Health Insurance Claim Number through December 31, 2019, or until your patient brings in their new card with the new number.

Visit the Provider webpage for the latest information.

Quality Payment Program: Design Examples for CY 2019 Proposed Rule

The Quality Payment Program created a set of design examples that illustrate key concepts in the CY 2019 proposed rule. See the proposed rule to submit comments by September 10. 

Quality Payment Program: Participation Status Tool Includes 2018 Data Snapshot

CMS updated the Quality Payment Program Participation Status Tool to include 2018 Qualifying Alternative Payment Model (APM) Participant (QP) and Merit-Based Incentive Payment System (MIPS) APM status. The tool is updated based on calculations from Medicare Part B claims with dates of service between January 1 and March 31, 2018.

For More Information:

• QP Methodology Fact Sheet
• MIPS Overview
• APMs Overview
• Enterprise Identity Data Management Account Guide
• Contact the Quality Payment Program Service Center at QPP@cms.hhs.gov or 866-288-8292 (TTY: 877-715-6222)

Medicare Physician Fee Schedule Database: October 2018 Update MLN Matters Article — New

A new MLN Matters Article MM10898 on Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2018 Update is available. Learn about HCPCS and Q codes added to the database.

HCPCS Drug/Biological Code Changes: October 2018 Update MLN Matters Article — New

A new MLN Matters Article MM10834 on Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – October 2018 Update is available. Learn about the addition of the new HCPCS code Q5108.

PECOS for Physicians and NPPs Booklet — Reminder

The PECOS for Physicians and Non-Physician Practitioners (NPPs) Booklet is available. Learn about:

• Registering in the Provider Enrollment, Chain, and Ownership System (PECOS)
• Obtaining an National Provider Identifier
• Entering information
• Responding to Medicare Administrative Contractor requests

Advance Care Planning Fact Sheet — Revised

A revised Advance Care Planning Fact Sheet is available. Learn about:

• Beneficiary eligibility
• Provider and location eligibility
• Diagnosis requirements

Medicare Part D Vaccines and Vaccine Administration Fact Sheet — Reminder

The Medicare Part D Vaccines and Vaccine Administration Fact Sheet is available. Learn about:

• Differences between Part B and Part D vaccine coverage
• Reimbursement
• Patient access to vaccines

Comparative Billing Report on Licensed Clinical Social Workers Webinar — September 12

Wednesday, September 12 from 3 to 4 pm ET

Join us for a discussion of the comparative billing report on Licensed Clinical Social Workers (LCSWs)
(CBR201807), an educational tool focusing on LCSWs who submitted claims for Medicare Part B services.

During the webinar, providers interact directly with content specialists and submit questions about the report. See the announcement for more information and find out how to participate.

Quality Payment Program Year 2 Overview Web-Based Training Course — Revised

With Continuing Education Credit

A revised Quality Payment Program Year 2 (2018) Overview Web-Based Training Course is available through the Learning Management System. Learn about:

• Origin and objectives
• Four performance categories within the Merit-based Incentive Payment System
• Three criteria to be considered an Advanced Alternative Payment Model

Quality Payment Program: MIPS Promoting Interoperability Performance Category Year 2 Web-Based Training Course — Revised 

With Continuing Education Credit

A revised Quality Payment Program Merit-based Incentive Payment System (MIPS): Promoting Interoperability Performance Category Year 2 (2018) Web-Based Training Course is available through the Learning Management System. Learn about:

• Base, performance, and bonus score reporting requirements
• Performance category measure sets
• Scoring and reweighting methodology for the performance category

Quality Payment Program MIPS Quality Performance Category Year 2 Web-Based Training Course — Revised

With Continuing Education Credit

A revised Quality Payment Program: Merit-based Incentive Payment System (MIPS) Quality Performance Category Year 2 (2018) Web-Based Training Course is available through the Learning Management System. Learn about:

• Reporting requirements
• Data submission mechanisms
• Scoring and benchmark methodology

Physician Fee Schedule Proposed Rule: Understanding 3 Key Topics Listening Session – August 22

Wednesday, August 22 from 1:30 to 3 pm
Register for Medicare Learning Network events.

Proposed changes to the CY 2019 Physician Fee Schedule would increase the amount of time doctors and other clinicians spend with their patients by reducing the burden of Medicare paperwork. During this listening session, CMS experts will briefly cover three provisions from the proposed rule and address your clarifying questions to help you formulate your written comments for formal submission:

• Streamlining Evaluation and Management (E/M) payment and reducing clinician burden
• Advancing virtual care
• Continuing to improve the Quality Payment Program to reduce clinician burden, focus on outcomes, and promote interoperability

We encourage you to review the proposed rule prior to the call, as well as the following materials on the provisions to be covered:

• Quality Payment Program Year 3 (2019) Webinar Recording, Transcript, Presentation, and Comparison Fact Sheet
• Slide presentation on E/M and Advancing Virtual Care
• E/M Coding Reform videos: Introduction, Office Visits and Panel Discussion

Note: feedback received during this listening session will not be considered formal comments on the rule. See the proposed rule for information on submitting these comments by September 10, 2018.

Target Audience: Medicare Part B fee-for-service clinicians; office managers and administrators; state and national associations that represent healthcare providers; and other stakeholders.

Recent LearnResource & MedLearn Matters Articles

• International Classification of Diseases, Tenth Revision (ICD10) and Other Coding Revisions to National Coverage Determinations (NCDs) (MM 10859)
  
• Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2018 Update (MM 10834)
• Quarterly Influenza Virus Vaccine Code Update - January 2019 (MM 10871)
• Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2018 Update (MM 10898)