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Download this document to read the latest quality reporting updates for the week of Nov. 16, 2018. Learn about reporting updates for physicians, hospitals, and ambulatory surgical centers.


Adobe PDF
Date Added: 11/16/2018
Date Last Modified: 11/16/2018

Register for this Medicare Learning Network event on Monday, Nov. 19, from 2 to 3:30 p.m. ET. The CY 2019 Physician Fee Schedule final rule is estimated to increase the amount of time doctors and other clinicians spend with their patients by reducing the burden of Medicare paperwork. During this call, CMS experts briefly cover three provisions and address your questions: 1) Streamlining Evaluation and Management (E/M) payment and reducing clinician burden; 2) Advancing virtual care; and 3) Continuing to improve the Quality Payment Program to reduce burden and offer flexibilities to help clinicians successfully participate.


WebEx
Date Added: 11/14/2018
Date Last Modified: 11/14/2018

The Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program (QPP) Participation Status Tool based on calculations from the second snapshot of Medicare Part B claims data to calculate the Alternative Payment Model (APM) entities threshold scores. The second snapshot are for dates of participation between Jan. 1 and June 30, 2018. As a reminder, the tool includes 2018 Qualifying APM Participant (QP) and MIPS APM status. By the end of this year, CMS will release the third QP and MIPS APM status data based on snapshots of claims between Jan. 1, 2018 and Aug. 31, 2018.


Web link
Date Added: 11/13/2018
Date Last Modified: 11/13/2018

TMF's Merit-based Incentive Payment System (MIPS) Toolbox is a free online application to select MIPS category measures, track progress and calculate a projected final score, and submit data to the Centers for Medicare & Medicaid Services (CMS). This guide explains how to set up and activate your account, enter practice and users, select MIPS categories, upload and store validation documentation, and submit to CMS. There are also links to resources and live support.


Adobe PDF
Date Added: 11/13/2018
Date Last Modified: 11/13/2018

Download this document to read the latest quality reporting updates for the week of Nov. 9, 2018. Learn about reporting updates for physicians, hospitals, inpatient psychiatric facilities, and ambulatory surgical centers.


Adobe PDF
Date Added: 11/08/2018
Date Last Modified: 11/08/2018

Download this document to read the latest quality reporting updates for the week of Nov. 2, 2018. Learn about reporting updates for physicians, hospitals, inpatient psychiatric facilities, PPS-exempt cancer hospitals and ambulatory surgical centers.


Adobe PDF
Date Added: 11/02/2018
Date Last Modified: 11/02/2018

The 2019 Merit-based Incentive Payment System (MIPS) performance period is from Jan. 1, 2019, to Dec. 31, 2019. Download this Quick-Start Guide from CMS that explains what MIPS is, who is excluded, how to check if you're eligible, and details about the four performance categories and criteria.


Adobe PDF
Date Added: 11/01/2018
Date Last Modified: 11/01/2018

On Nov. 1, 2018, the Centers for Medicare & Medicaid Services (CMS) finalized bold proposals that address provider burnout and provide clinicians immediate relief from excessive paperwork tied to outdated billing practices. The final 2019 Physician Fee Schedule (PFS) and the Quality Payment Program (QPP) rule released Nov. 1 also modernizes Medicare payment policies to promote access to virtual care, saving Medicare beneficiaries time and money while improving their access to high-quality services, no matter where they live. It makes changes to ease health information exchange through improved interoperability and updates QPP measures to focus on those that are most meaningful to positive outcomes. The new rule also updates some policies under Medicare’s accountable care organization (ACO) program that streamline quality measures to reduce burden and encourage better health outcomes, although broader reforms to Medicare’s ACO program were proposed in a separate rule. This rule is projected to save clinicians $87 million in reduced administrative costs in 2019 and $843 million over the next decade.


Web link
Date Added: 11/01/2018
Date Last Modified: 11/01/2018

On Nov. 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates to payment policies, payment rates and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after Jan. 1, 2019. The calendar year (CY) 2019 PFS final rule is one of several final rules that reflect a broader Administration-wide strategy to create a health care system that results in better accessibility, quality, affordability, empowerment and innovation.


Web link
Date Added: 11/01/2018
Date Last Modified: 11/01/2018

Learn how integrating home health into the continuum of care can reduce readmissions.


Web link
Date Added: 11/01/2018
Date Last Modified: 11/01/2018

The Centers for Medicare & Medicaid Services (CMS) has moved Quality Payment Program (QPP) resources from CMS.gov to the newly redesigned Quality Payment Program Resource Library on qpp.cms.gov. Following feedback from clinicians and others in the health care community, we wanted to make QPP information and resources available in one place. We’ve also made it easier for you to find the resources you’re looking for by including a search function that allows you to search for resources by year, reporting track, performance category, and by document type (e.g., fact sheet, user guide, measure specifications).


Web link
Date Added: 11/01/2018
Date Last Modified: 11/01/2018

This calendar of resources presents a guide to cardiovascular-related health observances with resources and tips for following on social media.


Adobe PDF
Date Added: 10/31/2018
Date Last Modified: 10/31/2018

The White House briefing on the SUPPORT Act was signed by President Trump on Oct. 24, 2018 and is the single largest legislative package addressing a single drug crisis in history--the opioid crisis.


Web link
Date Added: 10/31/2018
Date Last Modified: 10/31/2018

In this cross-sectional study of 45 Medicaid, commercial and Medicare Advantage plans, most plans covered at least physical and occupational therapy and chiropractic care for chronic non-cancer pain, but there was little evidence of coverage of acupuncture and psychological interventions.


Web link
Date Added: 10/31/2018
Date Last Modified: 10/31/2018

Researchers report that a reading of 130 over 80 or above should be considered high blood pressure.


Web link
Date Added: 10/31/2018
Date Last Modified: 10/31/2018

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