Thursday, May 28, 2015

Get Rewarded for Quality Care, Apply by May 29

The MLN Connects® Provider eNews contains important news, announcements, and updates for health care professionals.
Registered MLN Connects

Thursday, May 28, 2015


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In This Edition:

MLN Connects® National Provider Calls

  • 2014 Mid-Year QRURs — Last Chance to Register
  • Medicare Shared Savings Program ACO: Application Review — Register Now
  • National Partnership to Improve Dementia Care and QAPI — Register Now
  • Hospice Quality and Hospice Item Set Manual V1.02 — Register Now
  • ICD-10: Preparing for Implementation and New ICD-10-PCS Section X — Register Now
  • ESRD QIP: Reviewing Your Facility's PY 2016 Performance Data — Registration Now Open
  • ESRD QIP: Proposed Rule for Payment Year 2019 — Registration Now Open
  • New MLN Connects® National Provider Call Audio Recording and Transcript

CMS Events

  • Participate in Final ICD-10 Acknowledgement Testing Week: June 1 through 5
  • Special Open Door Forum: Home Health Quality Reporting Requirements
  • Physician Compare Virtual Office Hour Session
  • EHR Proposed Rules: Recordings and Presentations from Webinars

Announcements

  • Notices of Intent to Apply for Medicare Shared Savings Program January 1, 2016, Start Date Due by May 29
  • 2015 PQRS GPRO: 4 Weeks Left to Register by June 30 Deadline
  • HHS Awards $112 Million to Help 5,000 Primary Care Professionals Advance Heart Health
  • Guidance on Beneficiary Disenrollments by Long Term Care Facilities

Claims, Pricers, and Codes

  • ICD-10 FAQs: CMNs and Prescriptions
  • Transition to ICD-10 for Home Health
  • April 2015 IOCE Updated with ICD-10-CM Codes
  • Coding for ICD-10-CM: Continue to Report CPT/HCPCS Modifiers for Laterality
  • Mass Adjustment of FQHC PPS Claims

Medicare Learning Network® Educational Products

  • “Medically Unlikely Edits Compliant” Podcast — Released
  • “Electronic Prescribing (eRx) Incentive Program - A Compilation of 2013 Educational Resources” Booklet — Released
  • “Medicare Appeals Process” Fact Sheet — Revised

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CMS Centers for Medicare and Medicaid Services

Tuesday, May 26, 2015

ICD-10 News: Prepare for ICD-10 with MLN Connects Videos and June 18 Call

ICD-10
News Updates May 26, 2015

Prepare for ICD-10: MLN Connects Videos and June 18 Call

New Videos: Impact on Inpatient Hospital Payment and Medicare Testing Plans
These MLN Connects videos were recorded from presentations at the Centers for Medicare & Medicaid Services (CMS) ICD-10 Coordination and Maintenance Committee on March 18, 2015:
June 18 Call: Preparing for Implementation and New ICD-10-PCS Section X
It’s not too late to get ready for ICD-10 implementation on October 1, 2015. During this MLN Connects National Provider Call, CMS subject matter experts will present strategies and resources to help you prepare. Also, learn about ICD-10-PCS Section X for new technologies, which will be used by hospitals.
Keep Up to Date on ICD-10
Visit the CMS ICD-10 website for the latest news and resources to help you prepare. Sign up for CMS ICD-10 Industry Email Updates and follow us on Twitter.
Department of Health and Human ServicesCenters for Medicare & Medicaid Services
Questions?  Contact Us
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Friday, May 22, 2015

Physician Compare Virtual Office Hour Session - Registration Now Open

Centers for Medicare & Medicaid Services

Physician Compare Virtual Office Hour Session Registration Now Open
The Centers for Medicare and Medicaid Services (CMS) will host a one-hour Virtual Office Hour session to discuss the Physician Compare website. During this session, CMS will answer stakeholders’ questions about Physician Compare and public reporting.
CMS will hold the session via WebEx on Tuesday, June 23, 2015 from 1:00 - 2:00pm EDT. Anyone interested in participating may register by sending an email to the Physician Compare support team. Please use the subject line “Physician Compare Virtual Office Hour” and include your name, organization, telephone number, and email address.
CMS is soliciting all questions in advance. You may include your questions with your registration email or send them separately to PhysicianCompare@Westat.com including the same subject line and contact information. In order to address as many participant questions as possible, you may submit up to three questions – one primary question and two secondary questions. All questions must be received by 5:00pm EDT on Monday, June 15, 2015.
For more information about Physician Compare, visit the Physician Compare Initiative page.
Centers for Medicare & Medicaid Services (CMS) has sent this Medicare.gov- Physician Compare Update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page

67% of Medicare Patients have 2+ Chronic Conditions - Get the CCM Facts and FAQs

The MLN Connects® Provider eNews contains important news, announcements, and updates for health care professionals.
Registered MLN Connects

Thursday, May 21, 2015


Read the eNews Online >>
Can't view the image? Read the eNews!

In This Edition:

MLN Connects® National Provider Calls

  • 2014 Mid-Year QRURs — Register Now
  • Medicare Shared Savings Program ACO: Application Review — Register Now
  • National Partnership to Improve Dementia Care and QAPI — Register Now
  • Hospice Quality and Hospice Item Set Manual V1.02 — Registration Now Open
  • ICD-10: Preparing for Implementation and New ICD-10-PCS Section X — Register Now

MLN Connects® Videos

  • New Video on PQRS and the Value-Based Payment Modifier

CMS Events

  • Final Opportunity to Volunteer for ICD-10 End-to-End Testing in July — Forms Accepted May 11 through 22
  • Participate in Final ICD-10 Acknowledgement Testing Week: June 1 through 5

Announcements

  • 2014 Mid-Year QRURs Available
  • EHR Proposed Rules Available for Comment: Stage 3 Comments Due by May 29
  • Call for TEP Nominations: Closing Date June 1
  • CMS to Release Comparative Billing Report on CT Scans of the Abdomen and Pelvis in June
  • EHR Incentive Program: Deadline for Eligible Professional Hardship Exception is July 1
  • PQRS: IACS Transitioning to EIDM on July 13
  • CMS is Accepting Suggestions for Potential PQRS Measures

Medicare Learning Network® Educational Products

  • “Chronic Care Management (CCM) Services Frequently Asked Questions (FAQs)” MLN Matters® Article — Released
  • “Power Mobility Pearls for the Practicing Physician” Web-Based Training Course — Released
  • “Clarification of the Use of Modifiers When Billing Wrong Surgery on a Patient” Podcast — Released
  • “Co-Surgery Not Billed with Modifier 62” Podcast — Released
  • “Chronic Care Management Services” Fact Sheet — Reminder
  • New Medicare Learning Network® Educational Web Guides Fast Fact
  • Medicare Learning Network Product® Available In Electronic Publication Format

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CMS Centers for Medicare and Medicaid Services

ICD-10 Reminder: Final Opportunity to Volunteer for ICD-10 End-to-End Testing in July — Forms Accepted May 11 through 22

ICD-10
News Updates May 19, 2015

Final Opportunity to Volunteer for ICD-10 End-to-End Testing in July — Forms Accepted May 11 through 22

Deadline extended
During the week of July 20 through 24, 2015, a final sample group of providers will have the opportunity to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor. CMS is accepting additional July volunteers from May 11 through 22, 2015. Don’t miss your chance to participate in end-to-end testing with Medicare prior to the October 1, 2015, implementation date.
Approximately 850 volunteer submitters will be selected to participate in the July end-to-end testing. This nationwide sample will yield meaningful results, since CMS intends to select volunteers representing a broad cross-section of provider, claim, and submitter types, including claims clearinghouses that submit claims for large numbers of providers. Note: Testers who are participating in the January and April end-to-end testing weeks are able to test again in July without re-applying.
To volunteer as a testing submitter:
  • Volunteer forms are available on your MAC website
  • Completed volunteer forms are due May 22
  • CMS will review applications and select additional July testers
  • The MACs and CEDI will notify the volunteers selected to test and provide them with the information needed for the testing by June 12
If selected, testers must be able to:
  • Submit future-dated claims
  • Provide valid National Provider Identifiers (NPIs), Provider Transaction Access Numbers (PTANs), and beneficiary Health Insurance Claim Numbers (HICNs) that will be used for test claims. This information will be needed by your MAC for set-up purposes by the deadline on your acceptance notice; testers will be dropped if information is not provided by the deadline
Any issues identified during testing will be addressed prior to ICD-10 implementation. Educational materials will be developed for providers and submitters based on the testing results.
For more information:
Keep Up to Date on ICD-10
Visit the CMS ICD-10 website for the latest news and resources to help you prepare. Sign up for CMS ICD-10 Industry Email Updates and follow us on Twitter.
Department of Health and Human ServicesCenters for Medicare & Medicaid Services
Questions?  Contact Us
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Questions about QRURs, ACOs, HIS, and ICD-10? CMS Can Help!

The MLN Connects® Provider eNews contains important news, announcements, and updates for health care professionals.
Registered MLN Connects

Thursday, May 14, 2015


Read the eNews Online >>
Can't view the image? Read the eNews!

In This Edition:

MLN Connects® National Provider Calls

  • 2014 Mid-Year QRURs — Register Now
  • Medicare Shared Savings Program ACO: Application Review — Registration Now Open
  • National Partnership to Improve Dementia Care and QAPI — Register Now
  • Hospice Quality and Hospice Item Set Manual V1.02 — Save the Date
  • ICD-10: Preparing for Implementation and New ICD-10-PCS Section X — Register Now

MLN Connects® Videos

  • New ICD-10 Videos: Impact on Inpatient Hospital Payment and Medicare Testing Plans

CMS Events

  • Final Opportunity to Volunteer for ICD-10 End-to-End Testing in July — Forms Accepted May 11 through 22
  • Participate in Final ICD-10 Acknowledgement Testing Week: June 1 through 5
  • Special Open Door Forum: Home Health Electronic and Paper Clinical Templates

Announcements

  • Depression is Not a Normal Part of Growing Older
  • Therapy Caps Exceptions Process Extended through CY 2017
  • Questions About Medicare?
  • Notices of Intent to Apply for Medicare Shared Savings Program January 1, 2016, Start Date Due by May 29
  • Groups: 6 Weeks Left to Register for 2015 PQRS GPRO  

Medicare Learning Network® Educational Products

  • “Overview of the Repetitive Scheduled Non-emergent Ambulance Prior Authorization Model” MLN Matters® Article — Released
  • “Items and Services That Are Not Covered Under the Medicare Program” Booklet — Revised
  • Medicare Learning Network® Product Available In Electronic Publication Format

Like the eNews? Have suggestions? Please let us know!


CMS Centers for Medicare and Medicaid Services

ICD-10 Reminder: Final Opportunity to Volunteer for ICD-10 End-to-End Testing in July — Forms Accepted May 11 through 22

ICD-10
News Updates May 13, 2015

Final Opportunity to Volunteer for ICD-10 End-to-End Testing in July — Forms Accepted May 11 through 22

Deadline extended
During the week of July 20 through 24, 2015, a final sample group of providers will have the opportunity to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor. CMS is accepting additional July volunteers from May 11 through 22, 2015. Don’t miss your chance to participate in end-to-end testing with Medicare prior to the October 1, 2015, implementation date.
Approximately 850 volunteer submitters will be selected to participate in the July end-to-end testing. This nationwide sample will yield meaningful results, since CMS intends to select volunteers representing a broad cross-section of provider, claim, and submitter types, including claims clearinghouses that submit claims for large numbers of providers. Note: Testers who are participating in the January and April end-to-end testing weeks are able to test again in July without re-applying.
To volunteer as a testing submitter:
  • Volunteer forms are available on your MAC website
  • Completed volunteer forms are due May 22
  • CMS will review applications and select additional July testers
  • The MACs and CEDI will notify the volunteers selected to test and provide them with the information needed for the testing by June 12
If selected, testers must be able to:
  • Submit future-dated claims
  • Provide valid National Provider Identifiers (NPIs), Provider Transaction Access Numbers (PTANs), and beneficiary Health Insurance Claim Numbers (HICNs) that will be used for test claims. This information will be needed by your MAC for set-up purposes by the deadline on your acceptance notice; testers will be dropped if information is not provided by the deadline
Any issues identified during testing will be addressed prior to ICD-10 implementation. Educational materials will be developed for providers and submitters based on the testing results.
For more information:
Keep Up to Date on ICD-10
Visit the CMS ICD-10 website for the latest news and resources to help you prepare. Sign up for CMS ICD-10 Industry Email Updates and follow us on Twitter.
Department of Health and Human ServicesCenters for Medicare & Medicaid Services
Questions?  Contact Us
Stay Connected:
Twitter buttonYouTube buttonSubscriber button