ICYMI, here is recent communication from CMS.
Upcoming Deadlines Not to Miss
Did you participate via a #MIPS Value Pathway (MVP) for the 2023 performance year? The data submission period closes on April 15, 2024, at 8 p.m. ET. Download our user guide for tips on submitting data: https://t.co/60wPFq5J3Y #QPP pic.twitter.com/7DXr2cXwPQ
— CMSGov (@CMSGov) April 4, 2024
#MIPS Eligible Clinicians: If you were impacted by the Change Healthcare cyberattack, you can submit a 2023 MIPS Extreme and Uncontrollable Circumstances (EUC) Exception Application until April 15, 2024, at 8 p.m. ET. Learn more: https://t.co/sFZdaC8yyI #QPP pic.twitter.com/ilSaz8LHKJ
— CMSGov (@CMSGov) April 3, 2024
#QPP Deadline Extension: The data submission period for #MIPS eligible clinicians who participated in the 2023 performance year now closes on April 15, 2024. Submit your #MIPS data today: https://t.co/zJRHDlHvT9 pic.twitter.com/xxjxcMFVlL
— CMSGov (@CMSGov) March 22, 2024
Remember to submit recommendations for future quality and cost measures for CMS’ consideration via the CMS Measures Under Consideration Entry/Review Information Tool (MERIT) by 8 p.m. ET, on May 10. Learn more: https://t.co/4HZTu9eLFJ #QPP pic.twitter.com/U5Hv0cjoZ4
— CMSGov (@CMSGov) March 18, 2024
Events
Agenda highlights for 2024 CMS Quality Conference are out! Engage with experts on qualitative research. Explore our program for enriching dialogue, learning, and networking at #QualCon24. Excited yet? https://t.co/FbRNP4gZGg pic.twitter.com/VJvcnvb2q3
— CMSGov (@CMSGov) April 3, 2024
CMS is bringing stakeholders together virtually for the 5th annual HL7® FHIR® Connectathon on July 16-18, 2024! Join developers, programmers, technology experts, analysts, and CMS colleagues to learn about FHIR! To learn more contact CMSInteroperability@cms.hhs.gov pic.twitter.com/XxkzjP2g1u
— CMSGov (@CMSGov) March 22, 2024
News
CMS issued a proposed rule to update #Medicare #Hospice payments and the wage index for FY 2025. This rule also proposes a new collection instrument for quality reporting and an RFI for a separate payment mechanism for high-intensity palliative services. https://t.co/dISXZRc7cI pic.twitter.com/YsYG0wkAiw
— CMSGov (@CMSGov) March 28, 2024
CMS issued a proposed rule to update #Medicare policies & rates under the Skilled Nursing Facility Prospective Payment System for FY 2025. The rule includes updates to the Quality Reporting system & enforcement policies for health & safety violations: https://t.co/ynmYiXPnPe pic.twitter.com/ndwIqWgdFy
— CMSGov (@CMSGov) March 28, 2024
CMS issued the FY 2025 Inpatient Psychiatric Facility Prospective Payment System proposed rule that outlines policy and payment changes. These changes will improve and support access to high-quality behavioral health treatment for people with Medicare: https://t.co/JwMSbNKxWU pic.twitter.com/a2BPZrvzl7
— CMSGov (@CMSGov) March 28, 2024
MIPS News
Did you know? CMS reviews requests from the public for potential updates to the 16 finalized #MIPS Value Pathways (MVPs) on an ongoing basis. Check it out: https://t.co/3mZRGE88cM #QPP pic.twitter.com/Uif4VgyJJW
— CMSGov (@CMSGov) March 21, 2024
Quality Payment Program
#QPP Participants: There’s still time to participate in the 2024 Annual Call for Measures and Activities process by submitting measures and improvement activities for possible inclusion in future rulemaking. Learn more: https://t.co/AbkRfJVjiG pic.twitter.com/3A8SiPy2Oc
— CMSGov (@CMSGov) April 5, 2024
Administrative Simplification
.@HHSGov adopted code sets to standardize codes used in electronic health care transactions for diagnoses, procedures, and more. Understand the basics by downloading our fact sheet: https://t.co/z3XErMaS6L #AdminSimp pic.twitter.com/ArCzY790zl
— CMSGov (@CMSGov) April 5, 2024
Interested in learning more about common violations found in transactions 271, 834, and 835 and their resolutions? Check out the new Administrative Simplification Compliance Review Supplemental Resources here: https://t.co/TBSjmrcvGy #HIPAA #AdminSimp pic.twitter.com/yVNpMLxNV7
— CMSGov (@CMSGov) April 1, 2024
Not sure if you’re a #HIPAA covered entity? Check out the Administrative Simplification Are You a Covered Entity? webpage for more information: https://t.co/EhcCMZKWbn #AdminSimp pic.twitter.com/dVrrsjDHT1
— CMSGov (@CMSGov) March 29, 2024
Administrative Simplification Standard Transactions increase operations efficiency, improve quality and accuracy of information, and reduce overall health care costs. Check out our fact sheet to learn more: https://t.co/i3uWGrKOMf #AdminSimp pic.twitter.com/GJkSoAvVWE
— CMSGov (@CMSGov) March 28, 2024
MLN Matters Articles
- Hospital Outpatient Prospective Payment System: April 2024 Update
- DMEPOS Fee Schedule: April 2024 Quarterly Update
- Electronic Medical Documentation Requests via the Electronic Submission of Medical Documentation System — Revised
- Changes to the Laboratory National Coverage Determination Edit Software: July 2024 Update
- Medicare Claims Processing Manual Updates – HCPCS Billing Codes & Advance Beneficiary Notice of Non-coverage Requirements
- New Waived Tests
- Stay of Enrollment
- Appropriate Use Criteria for Advanced Diagnostic Imaging: CY 2024 Update
- Clinical Laboratory Fee Schedule & Laboratory Services Reasonable Charge Payment: Quarterly Update
- Limitation on Recoupment of Medicare Overpayments
- Pulmonary Rehabilitation, Cardiac Rehabilitation, & Intensive Cardiac Rehabilitation Expansion of Supervising Practitioners
- ICD-10 & Other Coding Revisions to National Coverage Determinations: July 2024 Update
- Activation of Validation Edits for Providers with Multiple Service Locations — Revised
Claims, Pricers, & Codes
- Medicare Part B Drug Pricing Files & Revisions: April Update
- DMEPOS: Provider Level Adjustment Codes on Remittance Advice
- Integrated Outpatient Code Editor Version 25.1
- Web Pricer: Send Us Your Feedback by April 15
- ICD-10 Medicare Severity Diagnosis-Related Group Version 41.1 — Updated
- National Correct Coding Initiative: April Update
- RARCs, CARCs, Medicare Remit Easy Print, & PC Print: April Update
- ICD-10 Medicare Severity Diagnosis-Related Group Version 41.1
- HCPCS Application Summaries & Coding Decisions: Drugs & Biologicals
- Medicare Physician Fee Schedule: New CPT Codes for RSV Vaccine Administration
CMS Innovation Center
It’s the CMS Innovation Center’s birthday🎂! 14 years ago, the ACA created the Center to develop & test new payment & service delivery models to improve health care quality + reduce costs: https://t.co/WkSZR0nflM. Since then, we have launched nearly 70 models & initiatives #ACA14 pic.twitter.com/AL036hTIn1
— CMS Innovation Ctr (@CMSinnovates) March 22, 2024
New CMS Innovation Center Model! The ACO Primary Care Flex Model is a voluntary payment model supporting #primarycare delivery in the Medicare Shared Savings Program, & will create incentives for new ACOs to join the program & address health disparities: https://t.co/4wrZoVn83T pic.twitter.com/9VSJZXJicU
— CMS Innovation Ctr (@CMSinnovates) March 19, 2024
Tired of health care jargon? Luck is on your side🍀!
The Innovation Center’s Key Concepts page breaks down these complex topics using lay language with examples of what it looks like for the patient & how they fit into the Innovation Center’s work: https://t.co/adI5LEIJeH pic.twitter.com/v2g4FNmeGA— CMS Innovation Ctr (@CMSinnovates) March 14, 2024