CMS

News and articles related to CMS

CGS Publishes Documentation Checklists for DME

Category: 

To assist providers in collecting the proper documentation when dispensing and billing for DME products, CGS Medicare has published a set of documentation checklists. The checklists are in PDF format and include:

Surgical Dressings
Therapeutic Shoes for Persons with Diabetes
Lower Limb Prostheses
Negative Pressure Wound Therapy Pumps
and many other DME items.

To get the checklists click here to visit the CGS Website

Performance Scores for 2017 Claims Data Available on Quality Payment Program Website

Category: 

Performance Scores for 2017 Claims Data Available on Quality Payment Program Website

MIPS Eligible Clinicians Can Now View Performance Scores for 2017 Claims Data on qpp.cms.gov

If you’re an eligible clinician who submitted 2017 Quality performance data for MIPS via claims, you’ll now be able to view your performance scores through the MIPS data submission feature. Reminder: claims data submission is only an option if you’re participating in MIPS as an individual (not as part of a group).

Upcoming Webinars on Physician Compare.

Category: 

The Centers for Medicare & Medicaid Services (CMS) will be hosting two 90-minute Physician Compare webinars to talk about the recent Physician Quality Reporting System (PQRS) and non-PQRS PY 2016 measures release on Physician Compare. Learn about star ratings and what Quality Payment Program information is in the pipeline for potential inclusion on Physician Compare in late 2018.

Specifically, the webinars will cover:

CMS Office of the Actuary releases 2017-2026 Projections of National Health Expenditures

Category: 

Today the independent CMS Office of the Actuary released the projected national health expenditures for 2017-2026.

National health expenditure growth is expected to average 5.5 percent annually over 2017-2026, according to a report published today as an “Ahead Of Print” by Health Affairs and authored by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS).

CMS New Medicare Card – webinar Feb. 28

Category: 

From April 2018 to April 2019, older adults will receive new Medicare cards from CMS. To help protect elders from identity theft, these new cards will replace social security numbers with Medicare numbers that are unique to each beneficiary.

Follow the CMS Medicare messaging guidelines (PDF, 106 KB, 3 pp) to share these changes with elders in your community. To help prevent identity theft, remind elders to guard their cards.

This webinar focuses on the implementation of the new Medicare card and its impact throughout Indian Country.

Objectives:

Hospice QRP Resource Documents Now Available

Category: 

HQRP Fiscal Year 2020 Requirements Fact Sheet Now Available

This fact sheet outlines specific compliance requirements for Hospice Item Set (HIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) for the Fiscal Year 2020 reporting year (data collection period 1/1/18 -12/31/18), to support providers in compliance with HQRP requirements.

HQRP Quarterly Update Document for the Fourth Quarter of 2017 Now Available

The Majority of Next Generation ACO's were able to achieve shared savings in 2016.

Category: 

Each of the ACO organizations that participates in the Next Generation Program has significant experience with accountable care initiatives such as the Medicare Shared savings Program and the Pioneer ACO Program. 28 New organizations have joined the Next Generation ACO model for 2018. These numbers bode very well for the future of the Next Generation ACO Program. Historically ACO's have been organizations that are primary care-centric, but CMS does have a Dialysis Model for ACO's and that particular model has also demonstrated significant savings.

Update to Medicare Signature Requirements

Category: 

During a recent Compliance Officers meeting CGS Part B Medical Director, Dr. Earl Berman, was approached with a question about signature timeliness guidelines for electronic medical records. Based on this discussion the Kentucky Medical Association recently published an article referencing CGS’ CMD’s response to a two day signature requirement for electronic medical records.

Informal Review Request Period for the 2017 Value Modifier Open Now Through November 30, 2016

Category: 

The 2015 Annual Quality and Resource Use Reports (QRURs) were released on September 26, 2016. The 2015 Annual QRURs show how physician groups and physician solo practitioners performed in 2015 on the quality and cost measures used to calculate the 2017 Value Modifier as well as their 2017 Value Modifier payment adjustment. Access and review your 2015 Annual QRUR now to determine whether you are subject to the 2017 Value Modifier payment adjustment.

Guidance on Electronic Signatures Is Available

Category: 

For medical review purposes, Medicare requires that services provided/ordered be authenticated by the author. The method used shall be a handwritten or electronic signature. Stamped signatures are not acceptable.

Provider who need additional information on the guidelines for using an electronic signature may reference CMS' Medicare Program Integrity Manual

Pages

User login

CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.