The 2019 Quality Payment Program API Developer Preview is Now Open
The Quality Payment Program Application Programming Interface Developer Preview environment is now open for testing QPP submissions for performance year 2019.
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New Resources Available on QPP Resource Library
The Centers for Medicare and Medicaid Services has posted the following new resources to the Quality Payment Program (QPP) Resource Library:
CMS Announces Upcoming Enhancement of Overall Hospital Quality Star Ratings
CMS is announcing plans to update the quality measurement methodology of the Overall Hospital Quality Star Ratings located on CMS’ popular Hospital Compare website in 2021. In the interim, CMS will next refresh the Star Ratings using…
CMS Report Shows Declining Enrollment for the Unsubsidized Population
CMS released two reports, the Early 2019 Effectuated Enrollment Report and the Trends in Subsidized and Unsubsidized Enrollment Report. These reports provide information on the stability of the individual health insurance market during the 2018 plan year…
MIPS-Eligible Clinicians: Reporting Patient Relationship Categories
CMS recently released a Medicare Learning Network (MLN) Matters article about reporting Patient Relationship Categories and Codes on Medicare claims.
Operating Rules for Payment-Related Transactions
Operating Rules message highlights operating rules for the Electronic Funds Transfer and Electronic Remittance Advice transactions. An EFT is the electronic message that plans use to order funds to be electronically transferred to a provider’s bank account.
CMS: Beyond the Policy
CMS now produces a new podcast, “CMS: Beyond the Policy,”. It will highlight updates and changes to policies and programs in an easily accessible and conversational format. The podcast was created as a new method to explain the agency’s policies and programs.
Medicare OPPS and ASC Payment System CY 2020 Proposed Rule
The Centers for Medicare & Medicaid Services is proposing historic changes as a result of President Trump’s recent Executive Order on price and quality transparency that lays the foundation for a patient-driven healthcare system.
PFS: Proposed Policy, Payment, and Quality Provisions Changes for CY 2020
The Centers for Medicare & Medicaid Services is proposing major policy changes to ensure clinicians spend more time providing high-value care for patients instead of filing cumbersome paperwork.