Physician Office

CMS Announces Historic Changes to Physician Self-Referral Regulations

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CMS Memo | November 22, 2020 – Today, the Centers for Medicare & Medicaid Services (CMS) finalized changes to outdated federal regulations that burdened health care providers with added administrative costs and impeded the health care system’s move toward value-based reimbursement. The Physician Self-Referral Law, also known as the “Stark Law,” generally prohibits a physician …

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Learn More About 2020 Medicare Promoting Interoperability Program Requirements

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In 2020, the Centers for Medicare & Medicaid Services (CMS) continued its overhaul of the Medicare Promoting Interoperability Program to continue the advancement of certified electronic health record technology (CEHRT) utilization, focusing on burden reduction, and improving interoperability and patient access to health information. As a reminder, below are detailed requirements for the 2020 Medicare …

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Physician Compare Preview Period: Informational Presentations Now Available

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The Centers for Medicare & Medicaid Services (CMS) has posted two new informational presentations focused on the Physician Compare Preview Period that began on June 22 and will close on August 20. The period gives clinicians and groups an opportunity to preview their 2018 Quality Payment Program performance information before it is publicly reported. The …

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COVID-19: Coverage of Physician Telehealth Services Provided to SNF Residents

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The current COVID-19 Public Health Emergency (PHE) does not waive any requirements related to Skilled Nursing Facility (SNF) Consolidated Billing (CB). However, CMS added CPT codes 99441, 99442, and 99443, to the list of telehealth codes coverable under the waiver during the COVID-19 PHE. These codes designate three different time increments of telephone evaluation and …

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The 2021 MIPS Self-Nomination Period is Now Open

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The 2021 MIPS Self-Nomination Period for QCDRs and Qualified Registries is Now Open As of today, July 1, 2020, the 2021 Merit-Based Incentive Payment System (MIPS) Performance Period Self-Nomination period for Qualified Clinical Data Registries (QCDRs) and Qualified Registries is now open. QCDRs and Qualified Registries are CMS-approved vendors that collect clinical data on behalf …

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2021 MIPS Self-Nomination Materials Now Available

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Visit the Quality Payment Program Resource Library to Access 2021 MIPS Self-Nomination Materials  This message is notification that the 2021 Merit-based Incentive Payment System (MIPS) Self-Nomination Materials are now posted on the Quality Payment Program Resource Library. You may access the 2021 Self-Nomination Toolkit for Qualified Clinical Data Registry (QCDRs) and Qualified Registries zip file …

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CMS Announces Relief for Clinicians Participating in the Quality Payment Program in 2020

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In response to the 2019 Coronavirus (COVID-19) public health emergency, the Centers for Medicare & Medicaid Services (CMS) is announcing flexibilities for clinicians participating in the Quality Payment Program (QPP) Merit-based Incentive Payment System (MIPS) in 2020: Clinicians significantly impacted by the public health emergency may submit an Extreme & Uncontrollable Circumstances Application to reweight …

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CMS Unveils Major Organizational Change to Reduce Provider and Clinician Burden and Improve Patient Outcomes

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New office to continue agency’s work of reducing regulatory burden to allow providers to focus on patients instead of paperwork and reducing health care costs Today, the Centers for Medicare & Medicaid Services (CMS) is announcing the creation of the Office of Burden Reduction and Health Informatics to unify the agency’s efforts to reduce regulatory …

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CMS Accepting Proposals for New Measures for the Medicare Promoting Interoperability Program Until July 1

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The Centers for Medicare & Medicaid Services (CMS) wants to remind eligible hospitals and critical access hospitals that the Annual Call for Measures for the Medicare Promoting Interoperability Program is still open. Submit a measure proposal by July 1, 2020. Proposals submitted by the deadline will be considered for inclusion in future rulemaking. CMS is …

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Quality Payment Program: 2019 Performance Period Suppressed MIPS Quality Measures

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In the Calendar Year (CY) 2019 Physician Fee Schedule Final Rule (83 FR 59847), the Centers for Medicare & Medicaid Services (CMS) established a policy that provides for the suppression of measures in certain circumstances. Starting with the 2019 performance period, for measures significantly impacted by clinical guideline changes or other changes where we believe …

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