ICYMI, here is recent communication from CMS.
Events
CMS is focused on promoting #interoperability and the adoption of #HL7FHIR. Collaborate with #FHIR innovators at the #FHIR Connectathon July 18-20. #patientaccess #APIs #burdenreduction #dataexchange #qualityreporting #SDOH @HL7. https://t.co/ECAGWvxPnm pic.twitter.com/WBzINRu2LH
— CMSGov (@CMSGov) July 13, 2023
News
CMS Physician Payment Rule Advances Health Equity
CMS issued the calendar year (CY) 2024 Medicare Physician Fee Schedule (PFS) proposed rule to announce rate updates, advance health equity, and expand access to critical medical services — including behavioral health care and certain oral health services. Notably, the proposed rule supports the Biden-Harris Administration’s Cancer Moonshot mission to accelerate the fight against cancer.
CMS Releases Outpatient Prospective Payment System 340B Payment Policy Remedy Proposed Rule
CMS released the Outpatient Prospective Payment System Remedy for the 340B-Aquired Drug Payment Policy Proposed Rule, which details the proposed remedy for 340B-acquired drug payments for 2018 to 2022. This proposed rule has a 60-day comment period ending September 5, 2023. Details, including a link to the Federal Register for comment, are in this fact sheet.
CMS Posts Program Year 2022 Open Payments Data to CMS.gov
CMS posted the Program Year 2022 Open Payments data to CMS.gov. The posting includes updated data submitted and attested to by applicable manufacturers and group purchasing organizations that are required to annually report payments or transfers of value made to certain health care providers. View information about the Open Payments Program.
MIPS News
Did you know? #MIPS eligible clinicians, groups, and virtual groups can request performance category reweighting for the 2023 performance year. Learn about our 2 exception applications here: https://t.co/fBSxvX5LX0 pic.twitter.com/6dOVtWDvRd
— CMSGov (@CMSGov) July 13, 2023
Traditional #MIPS and APM Performance Pathway (APP) participants: Looking for more guidance on navigating the 2022 #MIPS Final Score Preview period? Our new resource provides answers to frequently asked questions: https://t.co/rbH5Ulk6S5 #QPP pic.twitter.com/IjMJpUt52o
— CMSGov (@CMSGov) July 6, 2023
Quality Payment Program
Are you an individual, group, or APM Entity reporting via the APM Performance Pathway (APP) for the 2023 performance year? Our new resources provide guidance on the quality data submission requirements. Check it out: https://t.co/rTdN8bYCPI #QPP pic.twitter.com/bNGq90sZrO
— CMSGov (@CMSGov) July 12, 2023
Reminder: 2024 self-nomination period for Qualified Clinical Data Registries (QCDRs) and Qualified Registries is open through September 1, 2023, at 8 p.m. ET. Log in to the #QPP website to submit the self-nomination form today: https://t.co/riNgcVArN4 pic.twitter.com/jOc58RBZ64
— CMSGov (@CMSGov) July 10, 2023
Administrative Simplification
Looking for more info about the benefits of standardized electronic health care transactions? Check out the CMS Administrative Simplification homepage to learn about #HIPAA standards for transactions, code sets, identifiers, and operating rules: https://t.co/VmsAGiF9FG #AdminSimp pic.twitter.com/uGKud8OeW1
— CMSGov (@CMSGov) July 13, 2023
The Administrative Simplification Enforcement and Testing Tool (ASETT) helps health care entities reach compliance with #HIPAA #AdminSimp standards by allowing users to test a transaction. Watch this video to learn what you can do with ASETT: https://t.co/HDYUGjHyaL
— CMSGov (@CMSGov) July 12, 2023
Code sets are shared lists of codes used to increase the ease and efficiency of electronic health care transactions for diagnoses, procedures, and more. Understand code set basics with our fact sheet: https://t.co/wTjmKnw02F #AdminSimp pic.twitter.com/aPGSPC4NDo
— CMSGov (@CMSGov) July 6, 2023
MLN Matters Articles
- ICD-10 & Other Coding Revisions to Laboratory National Coverage Determinations: October 2023 Update
- Ambulatory Surgical Center Payment System: July 2023 Update — Revised
- New Fiscal Intermediary Shared System Edit to Validate Attending Provider NPI — Revised
- Corrections to Home Health Claims Edits
- Ambulatory Surgical Center Payment System: July 2023 Update — Revised
- New Waived Tests
- Home Dialysis Payment Adjustment & Performance Payment Adjustment for ESRD Treatment Choices Model: Updated Process — Revised
- DMEPOS Fee Schedule: July 2023 Quarterly Update
- Hospital Outpatient Prospective Payment System: July 2023 Update
- New JZ Claims Modifier for Certain Medicare Part B Drugs
- Ambulatory Surgical Center Payment System: July 2023 Update — Revised
- Allowing Audiologists to Provide Certain Diagnostic Tests Without a Physician Order
- Ambulatory Surgical Center Payment System: July 2023 Update
- HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement: July 2023 Quarterly Update
Claims, Pricers, & Codes
- Institutional Providers: Resubmit Audiology Claims Returned with Reason Code 34963
- Inpatient Prospective Payment System-Excluded Hospitals: Correcting Issue with Excluded Units
- ICD-10-CM Diagnosis Codes: FY 2024 Coding Guidelines & Conversion Table
- RARCs, CARCs, Medicare Remit Easy Print, & PC Print: July Update
- ICD-10-CM Diagnosis Codes: FY 2024
- ICD-10-PCS Procedure Codes: FY 2024
- National Correct Coding Initiative: July Update
- Integrated Outpatient Code Editor: Version 24.2
CMS Innovation Center
We’re looking for your input on the next new episode-based payment model. This model will aim to improve care transitions for patients & increase specialist engagement in #valuebasedcare. Check out & respond to the Request for Information: https://t.co/ndkG3V67Ty pic.twitter.com/iVEeIOEoLj
— CMS Innovation Ctr (@CMSinnovates) July 14, 2023
#Healthequity is a key priority at CMS. We’re exploring additional incentives and recruitment strategies to encourage provider participation in more diverse areas & are working to improve the quality of sociodemographic data. For more info visit: https://t.co/alEovYZfuz pic.twitter.com/31udpJmHc5
— CMS Innovation Ctr (@CMSinnovates) July 12, 2023
What makes the Making Care Primary (MCP) Model different from other CMS Innovation Center models? MCP is focused on supporting less experienced #primarycare practices & organizations that want to participate in value-based care independently. Learn more: https://t.co/xKe2HxSv05 pic.twitter.com/UFji3Jwmv4
— CMS Innovation Ctr (@CMSinnovates) July 11, 2023