ICYMI, here is recent communication from CMS.
Events
CMS Quality Programs Bi-Monthly Forum –Â Tomorrow!
When: Tuesday, January 17, 2023Â 1:00 – 2:00 pm ET
Register for this event.
During this webinar, attendees will learn important updates relevant to CMS’s Quality Measurement and Value-Based Incentives Group (QMVIG). The forum will also provide stakeholders with the opportunity to ask CMS subject matter experts questions on quality reporting programs and initiatives that directly impact their organizations.
The forum will include updates on the following topics:
- Updated 2023 CMS QRDA III Implementation Guide for Eligible Clinician Programs Following Publication of the CY 2023 Physical Fee Schedule Final Rule;
- Quality Data Implementation (QDI) User Group;
- Updated EC and EH/CAH eCQM Measure Files;
- The Medicare Promoting Interoperability Program;
- The Merit-based Incentive Payment System; and
- Alternative Payment Model Updates.
Administrative Simplification Listening Session
When: Wednesday, January 25, 2023Â 2:00 – 3:30 pm ET
Register for this event.
Administrative Simplification Listening Session on Adoption of Standards for Health Care Attachment Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Standard Proposed Rule (CMS-0053-P) – CMS National Standards Group invites you to register for a listening session about the Adoption of Standards for Health Care Attachment Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Standard proposed rule that was published on December 21st. A second listening session will also be held on February 8th for those unable to attend.
The listening session will provide a public forum for CMS to hear feedback on the proposed rule. The call will cover the following topics:
- Background on the current standards
- What the proposed rule would do
- How to submit comments on the proposed rule
They encourage participants to ask questions during the question-and-answer session at the end of the listening session.
Eligible Clinician eCQM Education & Outreach: Measure Specific Webinar
When: Thursday, February 2, 2023Â 3:00 pm ET
Register for this event.
The webinar will illuminate audience’s on CMS’s efforts to enhance the quality of the published 2023 performance period Eligible Clinician eCQMs. Goals of this webinar include increasing measure-specific education and outreach through the identification and exemplification of specific 2023 clinician-level eCQM update themes, including a careful review of eCQM global changes, eCQMs that underwent significant changes from performance period 2022 to 2023, and review of the new Eligible Clinician eCQM- CMS951v1- Kidney Health Evaluation. In addition, this webinar will serve to promote published resources, both their availability and effective utilization, located on the eCQI Resource Center.
SAVE THE DATE: The annual CMS #QualCon23 will be on May 1-3! #Healthcare leaders, innovators, & educators will present on advancing #HealthEquity and quality for all Americans. https://t.co/qmnS68cvpY pic.twitter.com/MhpQnFSSZf
— CMSGov (@CMSGov) January 9, 2023
MIPS News
CMS Extends the MIPS Extreme and Uncontrollable Circumstances Application Deadline for the 2022 MIPS Performance Year until March 3, 2023
For the 2022 performance year, they continue to use their Merit-based Incentive Payment System Extreme and Uncontrollable Circumstances application to allow clinicians, groups, virtual groups, and Alternate Payment Model Entities to request reweighting of MIPS performance categories due to the COVID-19 public health emergency.
They’ve extended the MIPS EUC application deadline for only individuals, groups, virtual groups, and APM Entities citing COVID-19 as the triggering event through 8 p.m. ET on Friday, March 3, 2023. Please note that applications received between January 3, 2023 and March 3, 2023 won’t override submitted data for individuals, groups, and virtual groups.
MIPS 2022 Data Submission Period is Now Open
CMS has opened the data submission period for MIPS eligible clinicians who participated in the 2022 performance year of the Quality Payment Program. Data can be submitted and updated until 8:00 p.m. ET on March 31, 2023.
How to Submit Your 2022 MIPS Data
Clinicians will follow the steps outlined below to submit their data:
- Go to the Quality Payment Program sign in page.
- Sign in using your QPP access credentials (see below for directions).
- Submit your MIPS data for the 2022 performance year or review the data reported on your behalf by a third party. (You can’t correct errors with your data after the submission period, so it’s important to make sure the data submitted on your behalf is accurate.)
2022 MIPS Quality Measures Impacted by ICD-10 Coding Updates Effective October 1, 2022
In the calendar year 2022 Quality Payment Program final rule (85 FR 84898 through 84900), CMS finalized a process to stabilize measure data throughout the performance period when a measure is impacted by International Classification of Diseases, Tenth Revision (ICD-10) updates mid-performance period. ICD-10 code updates are effective annually on October 1, but quality measure specifications cannot be updated until the next MIPS program year. This annual review process was established to analyze and assess the quality measures to evaluate which measures are significantly impacted by the ICD-10 code updates. During this process, CMS identifies quality measures that meet the standard of 10% or more ICD-10 code changes and notifies MIPS participants of the impacted MIPS quality measures.
2023 MIPS Payment Adjustments in Effect Based on 2021 Performance
In August 2022, each MIPS eligible clinician received a 2021 MIPS final score and associated payment adjustment factor(s) as part of their 2021 MIPS performance feedback, available on the Quality Payment Program website.
The Merit-based Incentive Payment System (#MIPS) Value Pathways (#MVPs) Candidate Feedback period is open. Review the MVPs Development Resources for more info on how to submit feedback: https://t.co/XPSh2EtsIF pic.twitter.com/PUrW2IFbdp
— CMSGov (@CMSGov) January 9, 2023
News
The Deadline to Submit Your CY 2022 Medicare Promoting Interoperability Program Data is February 28, 2023
The deadline to register and submit your calendar year (CY) 2022 electronic health record (EHR) data for the Centers for Medicare & Medicaid Services (CMS) Medicare Promoting Interoperability Program for eligible hospitals and critical access hospitals (CAHs) is February 28, 2023 at 11:59 p.m. ET.
Program participants are required to submit through the CMS Hospital Quality Reporting (HQR) System (previously the QualityNet Secure Portal). Please reference the HQR User Guide for further details.
Public and industry feedback is critical to CMS’ ability to successfully implement the new drug law and ensure access to innovative, affordable therapies and treatments. New details on the Medicare Drug Price Negotiation Program can be found here: https://t.co/BmMgromWN1 pic.twitter.com/jggz4zfv8U
— CMSGov (@CMSGov) January 13, 2023
Quality Payment Program
Did you miss the Merit-based Incentive Payment System (#MIPS) Value Pathways (#MVPs) Maintenance and Development webinar? A recording, transcript, and slides from the webinar are available for download on the Quality Payment Program (#QPP) Webinar Library: https://t.co/jRT7dEaADb pic.twitter.com/aKRDAJequK
— CMSGov (@CMSGov) January 13, 2023
CMS Web Interface users: As you submit your Quality Payment Program (#QPP) data, review the 2022 CMS Web Interface Data Dictionary to better understand data submission. The dictionary is available on the QPP Resource Library: https://t.co/JpYxLWgv9S pic.twitter.com/bpCEXT4Fxr
— CMSGov (@CMSGov) January 11, 2023
Administrative Simplification
Need clarification about Administrative Simplification requirements for standards for electronic health transactions? Check out our infographic and learn how HIPAA covered entities can increase efficiency:https://t.co/bp16lLWibg #AdminSimp pic.twitter.com/dMGzIcwdwc
— CMSGov (@CMSGov) January 13, 2023
Administrative Simplification works to make exchanging administrative information through electronic health care transactions easier and more efficient, reducing costs and improving patients’ experiences. Find out how with this video: https://t.co/7ayY1RRujW #AdminSimp
— CMSGov (@CMSGov) January 12, 2023
MLN Matters Articles
- Travel Allowance Fees for Specimen Collection: 2023 Updates
- ESRD & Acute Kidney Injury Dialysis: CY 2023 Updates — Revised
- Home Health Prospective Payment System: CY 2023 Update — Revised
- National Coverage Determination 110.24: Chimeric Antigen Receptor T-cell Therapy — Revised
- Ambulatory Surgical Center Payment System: January 2023 Update
- Clinical Laboratory Fee Schedule: CY 2023 Annual Update
- Hospital Outpatient Prospective Payment System: January 2023 Update
- Laboratory Edit Software Changes: April 2023
- New Medicare Part B Immunosuppressant Drug Benefit
- Extension of Changes to the Low-Volume Hospital Payment Adjustment and the Medicare Dependent Hospital Program — Revised
- DMEPOS Fee Schedule: CY 2023 Update
- HCPCS Codes & Clinical Laboratory Improvement Amendments Edits: April 2023
- Home or Residence Services: Billing Instructions
- National Coverage Determination 200.3: Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease
Claims, Pricers, & Codes
- Drugs & Biologicals in Single-Use Containers: Using JW & JZ Modifiers
- Home Oxygen: 3 New Claims Modifiers
- Home Health Prospective Payment System: CY 2023 Rural Add-on Policy
- Skilled Nursing Facility Consolidated Billing: CY 2023 HCPCS Codes
- Medicare Part B Drug Pricing Files & Revisions: January Update
- Integrated Outpatient Code Editor: Version 24.0
- DMEPOS: Revised 2023 Fee Schedule Public Use File
- National Correct Coding Initiative: Annual Policy Manual Update & Information on Other Payers
- Intravenous Immune Globulin Treatment in the Home: ICD-10 Code Update
- Medicare National Correct Coding Initiative: Annual Policy Manual Update
- National Correct Coding Initiative: January Update
CMS Innovation Center
Missed a CMMI model report? Our Data & Reports page is regularly updated w/CMMI model data and reports and has a search feature to find a specific CMMI model ➨ https://t.co/QSe0m1w59O pic.twitter.com/RSma5RTBCA
— CMS Innovation Ctr (@CMSinnovates) January 13, 2023
Introducing model highlights! Don’t have time to read through a model page? We now have highlights on a few model pages that give a short overview & purpose of the model, such as on the Enhancing Oncology Model (EOM) page: https://t.co/e2y0W02ONj pic.twitter.com/Ub8JjfkJGK
— CMS Innovation Ctr (@CMSinnovates) January 12, 2023
#DYK that many of our models use risk arrangements to promote integrated, #personcenteredcare among model participants? For more info about risk arrangements & how we use them visit the NEW🔑 key concepts page: https://t.co/FD4wWSkRfB pic.twitter.com/L2Uu9unFGE
— CMS Innovation Ctr (@CMSinnovates) January 5, 2023