ICYMI, here is recent communication from CMS.
Events
Register to Hear Important CMS Quality Program Updates
When: Tuesday, October 18, 2022 1:00 – 2:00 pm ET
Register for this event.
Webinar ID: 228-387-123
The next Centers for Medicare & Medicaid Services (CMS) Quality Programs Bi-Monthly Forum will be held tomorrow. During this webinar, attendees will learn important updates relevant to CMS’s Quality Measurement and Value-Based Incentives Group (QMVIG), including the Quality Payment Program (QPP). 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:
- eCQI Resource Center Update for the InfoTRAC;
- Teach Me CQL Video Series;
- Quality Data Model (QDM) User Group Update;
- Electronic Clinical Quality Measures (eCQM) Flows;
- The Medicare Promoting Interoperability Program;
- The Merit-based Incentive Payment System; and
- Alternative Payment Model Updates.
News
CMS Asks for Public Input on Establishing First, National Directory of Health Care Providers and Services
As part of CMS’s ongoing work to improve access to care, reduce clinician burden, and support interoperability throughout the health sector, CMS released a Request for Information (RFI) seeking public input on the concept of CMS creating a directory with information on health care providers and services or a “National Directory of Healthcare Providers and Services” (NDH).
Make Your Voice Heard Request for Information Seeks Public Comment to Promote Efficiency, Reduce Burden, and Advance Equity within CMS Programs
CMS released a Request For Information (RFI) seeking public input on accessing healthcare and related challenges, understanding provider experiences, advancing health equity, and assessing the impact of waivers and flexibilities provided in response to the COVID-19 Public Health Emergency.
Review the Updated Medicare Promoting Interoperability Program for eligible hospitals and critical access hospitals FAQ Page
CMS would like to spotlight the updated FAQ page on the Medicare Promoting Interoperability Program website. This page provides useful information and resources for Medicare Promoting Interoperability Program participants.
CMS Discontinuing the Use of Certificates of Medical Necessity and Durable Medical Equipment Information Forms
As part of its ongoing efforts to increase access to care and to reduce unnecessary administrative burden for stakeholders, CMS will be discontinuing the use of Certificates of Medical Necessity (CMNs) and Durable Medical Equipment (DME) Information Forms (DIFs) for claims with dates of service on or after January 1, 2023. CMS suppliers must continue to submit CMN and DIF information for claims with dates of service before January 1, 2023 if it is required.
Quality Payment Program
Reminder: CMS Accepting 2021 MIPS Targeted Review Requests
If you participated in the Merit-based Incentive Payment System in 2021, you can now review your performance feedback, including your MIPS final score and payment adjustment factor(s), on the Quality Payment Program website. For MIPS eligible clinicians, your 2021 final score determines the payment adjustment you’ll receive in 2023, with a positive, negative, or neutral payment adjustment being applied to the Medicare paid amount for covered professional services furnished in 2023.
Now Available: 2022 Change Review Process (CRP)
CMS announces the availability of the 2022 Change Review Process for electronic clinical quality measures. The CRP provides eCQM users the opportunity to review and comment on draft changes to the eCQM specifications and supporting resources under consideration by the measure steward. The goal of the CRP is for eCQM implementers to comment on the potential impact of draft changes to eCQMs so CMS and measure stewards can make improvements to meet CMS’s intent of minimizing provider and vendor burden in the collection, capture, calculation, and reporting of eCQMs.
Now Available: 2023 Eligible Clinicians and Eligible Hospitals/Critical Access Hospitals Electronic Clinical Quality Measure Flows
CMS developed and published the 2023 electronic clinical quality measure flows to the eCQI Resource Center. The eCQM flows supplement eCQM specifications for the 2023 reporting period for Eligible Hospitals/Critical Access Hospitals, and the 2023 performance period for Eligible Clinicians. The eCQM flows are designed to assist in interpretation of the eCQM logic and calculation methodology for performance rates. The eCQM flows provide an overview of each of the population criteria components and associated data elements that lead to the inclusion or exclusions into the eCQM’s quality action (numerator).
Think there may be an error in your 2021 #MIPS performance feedback? You still have until October 21 to request a targeted review. Download our user guide to learn how to complete the process: https://t.co/lEvhNrhYt3 #QPP pic.twitter.com/u2O0ezdk8E
— CMSGov (@CMSGov) October 12, 2022
The monthly #QPP Small Practices Newsletter delivers updates, reminders, and resources tailored to support small practices participating in #MIPS. Visit our Small, Underserved, and Rural Practices’ webpage to sign up: https://t.co/3j1ytqtlm1 pic.twitter.com/oaJnq9DMIY
— CMSGov (@CMSGov) October 7, 2022
Administrative Simplification
Looking for more information about what constitutes an electronic health care transaction and what standards apply under #HIPAA? Find resources and an overview here: https://t.co/8eyOKAybaB #AdminSimp pic.twitter.com/2NfzVU3NNV
— CMSGov (@CMSGov) October 14, 2022
ASETT helps HIPAA covered entities reach compliance with #AdminSimp standards, allowing them to reduce paperwork & focus more on patient care. Watch this video to learn how CMS is helping streamline electronic transactions across the health care industry: https://t.co/8jQMI5HRyp
— CMSGov (@CMSGov) October 13, 2022
MLN Matters Articles
- Home Health Claims: New Grouper Edits
- New Fiscal Intermediary Shared System Edit to Validate Attending Provider NPI
- Ambulatory Surgical Center Payment System: October 2022 Update
- DMEPOS Fee Schedule: October 2022 Quarterly Update
- Inpatient Prospective Payment System Hospitals in the 9th Circuit: Updated Fiscal Years 2019 and 2020 Supplemental Security Income Medicare Beneficiary Data
- October 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS)
- Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2023
- Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment — Revised
- Exceptions to Average Sales Price (ASP) Payment Methodology – Claims Processing Manual Changes
- Significant Updates to Internet Only Manual (IOM) Publication (Pub.) 100-05 Medicare Secondary Payer (MSP) Manual, Chapter 5
Claims, Pricers, & Codes
- Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update Fiscal Year (FY) 2023
- October 2022 Integrated Outpatient Code Editor (I/OCE) Specifications Version 23.3
- ICD-10 Coordination & Maintenance Committee: Meeting Materials & Deadlines
- HCPCS Application Summary for Non-Drug & Non-Biological Items and Services
- October 2022 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
- Billing for Hospital Part B Inpatient Services
- National Correct Coding Initiative: October Quarterly Update
- Influenza Vaccine Payment Allowances – Annual Update for 2022–2023 Season
- Quarterly Update to Home Health (HH) Grouper
- Integrated Outpatient Code Editor: Java Beta File Release
CMS Innovation Center
Initial findings are in for the Medicare Intravenous Immune Globulin (IVIG) Demonstration, where Medicare provides a bundled payment for in-home IVIG services & items that are needed for the treatment of primary immune deficiency disease (PIDD): https://t.co/LNKAREXCBu pic.twitter.com/okRfGpEZMd
— CMS Innovation Ctr (@CMSinnovates) October 6, 2022
Big #bundledpayments news! The Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model will be extended for 2 years through 12/31/25 & will include a NEW application opportunity in early 2023: https://t.co/ejiwP4HTVy pic.twitter.com/4lcq79RFON
— CMS Innovation Ctr (@CMSinnovates) October 13, 2022