ICYMI, here is recent communication from CMS.
Events
ATTN #QPP Participants: Register to join CMS on June 4 at 2:30 p.m. ET for a Q&A session about #MIPS basics for 2024: https://t.co/vUUenJh3zH
Submit questions for the session to KetchumCMSQuality@ketchum.com by midnight, tonight! pic.twitter.com/vnZAqM9gtl— CMSGov (@CMSGov) May 24, 2024
MIPS News
2024 MIPS Value Pathway (MVP) Registration Open
The Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) registration window is open for the 2024 performance year. Individuals, groups, subgroups, and Alternative Payment Model (APM) Entities that wish to report an MVP can register until December 2, 2024, at 8 p.m. ET.
NEW FOR 2024: To register, you’ll sign in to the QPP website with your HCQIS Access and Roles Profile (HARP) account. This is different from the 2023 process of completing an Excel form and emailing the QPP Service Center.
2024 CAHPS for MIPS Survey Registration Open
Registration is open through July 1, 2024, at 8 p.m. ET for the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for the Merit-based Incentive Payment System (MIPS) Survey for the 2024 performance year.
Groups, virtual groups, and Alternative Payment Model (APM) Entities with 2 or more clinicians (including at least one MIPS eligible clinician) can register to administer the CAHPS for MIPS Survey for traditional MIPS; groups and APM Entities (excluding Medicare Shared Savings Program Accountable Care Organizations (ACOs)) with 2 or more clinicians that choose to report the APM Performance Pathway (APP) must register to administer the survey; groups, subgroups and APM Entities with 2 or more clinicians reporting a MIPS Value Pathway (MVP) can register to administer the survey.
News
The 2024 Minority Research Grant Program (MRGP) funding opportunity closes soon.#HealthEquity researchers at minority-serving institutions should apply by June 3 to be eligible for consideration: https://t.co/N0ErjcpEWe #MRGPhttps://t.co/JL349MwqtJ
— CMSGov (@CMSGov) May 31, 2024
Quality Payment Program
Attention all clinicians: 2022 #QPP performance information has been published on https://t.co/wh35LNdcIR compare tool profile pages. Visit the Initiative page to learn more: https://t.co/qUajbrjvck pic.twitter.com/zzyVRxjm1e
— CMSGov (@CMSGov) May 30, 2024
#QPP Participants: Looking for more guidance on #MIPS eligibility and participation requirements for the 2024 performance year? Watch our pre-recorded webinar for an overview: https://t.co/z3aZKiAvWj pic.twitter.com/Zo0Ay63tog
— CMSGov (@CMSGov) May 23, 2024
Administrative Simplification
CMS’s Compliance Review Supplemental Resources highlight common #HIPAA Administrative Simplification violations found in transactions 271, 834, and 835. Find them here: https://t.co/Y5ScZLpAji #AdminSimp pic.twitter.com/bGMVQvs9wr
— CMSGov (@CMSGov) May 31, 2024
Check out the new Administrative Simplification Enforcement and Testing Tool (ASETT) demo video to learn how to test electronic health care transactions and file a complaint against #HIPAA covered entities for transaction standard violations: https://t.co/yzlhuybvcz #AdminSimp
— CMSGov (@CMSGov) May 30, 2024
HHS-adopted code sets help reduce confusion around which codes to use when conducting electronic health care transactions. Learn more here: https://t.co/rrl8e9G0Ri #HIPAA #AdminSimp pic.twitter.com/IHBHn4tS2t
— CMSGov (@CMSGov) May 29, 2024
MLN Matters Articles
- HCPCS Codes & Clinical Laboratory Improvement Amendments Edits: October 2024
- Medicare Claims Processing Manual Update: Gap-Filling DMEPOS Fees
- ICD-10 & Other Coding Revisions to National Coverage Determinations: October 2024 Update
- National Coverage Determination 110.23: Allogeneic Hematopoietic Stem Cell Transplantation
- Hospice Claims Edits for Certifying Physicians — Revised
- Medicare Claims Processing Manual Update: Inpatient Rehabilitation Facility
- National Coverage Determination 20.7: Percutaneous Transluminal Angioplasty
- DMEPOS Fee Schedule: April 2024 Quarterly Update — Revised
- Ambulatory Surgical Center Payment Update – April 2024
Claims, Pricers, & Codes
- Pass-Through Device: Correct Returned Claims
- Home Health Claims: Additional Enforcement of Required County Codes
- Skilled Nursing Facility Prospective Payment System: Patient Driven Payment Model FY 2024 ICD-10 Code Mappings
- Clinical Laboratory Improvement Amendments: Adjusting Claims
- Hospital Outpatient Prospective Payment System: Correcting Errors to Codes 0621T, J7353, & C9167
- COVID-19 Monoclonal Antibody: New Codes for PEMGARDA
- HCPCS Application Summaries & Coding Decisions: Drugs & Biologicals
CMS Innovation Center
Integrated Care for Kids (InCK) Model
The InCK Model is a child-centered local service delivery and state payment model which aims to reduce expenditures and improve quality of care for children ages 0-20 covered by Medicaid. Some states also serve pregnant adults and CHIP enrollees. Award recipients received funding for a two year pre-implementation period (2020 – 2021) and a five year implementation period (2022 – 2026).
Independence at Home (IAH) Demonstration
The Independence at Home (IAH) demonstration is a Congressionally mandated test of whether a payment incentive for providing home-based primary care reduces health care spending and improves the quality of care for high-cost, high-need fee-for-service Medicare beneficiaries. Participating home-based primary care practices can earn incentive payments if their beneficiaries’ Medicare spending is less than a given spending target and if they meet the standards for selected quality measures.
Primary Care First (PCF) Model
CMS launched the Primary Care First (PCF) Model in 2021 to improve quality of care, improve patients’ experience of care, and reduce expenditures by increasing patients’ access to advanced primary care services through a simplified payment structure designed to reduce administrative burden and reward performance. A second cohort of practices joined in 2022.
Want to learn more about cancer treatment from other patients’ perspectives? The new Oncology Care Model Cancer Care Report showcases patient care journeys and pinpoints what matters most to people undergoing cancer treatment: https://t.co/7BvtMXCwfz pic.twitter.com/9PePlhSpwz
— CMS Innovation Ctr (@CMSinnovates) May 31, 2024
Apply now to participate in the Enhancing Oncology Model’s (EOM) second cohort: https://t.co/j8dOIDAvXi. Access the Request for Applications for participants and payers, which also features new policy updates for EOM: https://t.co/e2y0W02ONj. #oncology pic.twitter.com/9IDS9iRE72
— CMS Innovation Ctr (@CMSinnovates) May 30, 2024
Bundled Payments for Care Improvement (BPCI Advanced) Model – Year 4 evaluation findings are now available: https://t.co/Qcp0c63wi2. The model is designed to provide patients w/high-quality, coordinated care & reduce preventable hospital and emergency department visits. pic.twitter.com/WDcGZ5ineG
— CMS Innovation Ctr (@CMSinnovates) May 29, 2024
Request for Applications for the ACO Primary Care Flex Model are now available! Note: interested ACOs must first apply to the Medicare Shared Savings Program: https://t.co/1jTfGReXnQ pic.twitter.com/SKtgB3IPuf
— CMS Innovation Ctr (@CMSinnovates) May 30, 2024