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Physicians, Nurses and Allied Health Professionals Open Door Forum

Overview:

The Physicians, Nurses and Allied Health Professionals Open Door Forum (ODF) addresses the concerns and issues of Medicare and Medicaid physicians, non-physician practitioners, nurses, and other allied health care specialists. This diverse group of providers serves Medicare and Medicaid beneficiaries in almost all service settings, ranging from independent physician offices to specialized departments within larger facilities. The types of issues that come up during this forum are as varied as the providers who participate, but some frequent topics include the Physician Fee Schedule, Stark regulations, care plan oversight, payment and documentation rules, Provider Enrollment Chain Ownership System (PECOS), as well as the roles and responsibilities of different allied health professional staff under CMS regulations. Timely announcements and clarifications regarding important rulemaking, quality program initiatives, and other related areas are also included in the forums.

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**Additional Updated October 30, 2014 - Special Open Door Forum (ODF): Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP), Wednesday, November 5, 2014 from 1:00pm - 2:30pm Eastern Time. The purpose of this SODF is to provide data collection and submission information to LTCH providers for the quality measures NHSN Facility-wide Inpatient Hospital-onset Methicillin-resistant Staphylococcus aureus (MRSA) Bacteremia Outcome Measure (NQF #1716), and NHSN Facility-wide Inpatient Hospital-onset Clostridium difficile Infection (CDI) Outcome Measure (NQF #1717), which LTCH providers are required to report to CMS beginning January 1, 2015. These measures were finalized as requirements for the LTCH QRP in the FY 2014 IPPS/LTCH PPS Final Rule, published in the Federal Register on August 19, 2013 (Vol. 78, No. 160), which is available at the following link:  http://www.gpo.gov/fdsys/pkg/FR-2013-08-19/pdf/2013-18956.pdf.  The most recent updates to the LTCHQR Program were published in the Federal Register on August 22, 2014 (Vol. 79, No. 163), which is available at the following link: http://www.gpo.gov/fdsys/pkg/FR-2014-08-22/pdf/2014-18545.pdf.  CMS and the CDC strongly encourage LTCH Providers to take the MRSA Bacteremia and CDI LabID Event Reporting training prior to participating in this SODF.  This training is available on the CDC’s NHSN website at http://www.cdc.gov/nhsn/LTACH/mdro-cdi/index.html.  The Power Point presentation that will be used for this SODF will be posted prior to the SODF on the LTCH Quality Reporting Program Training webpage available at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/LTCH-Quality-Reporting-Training.html. If you wish to participate, dial: 1-800-837-1935 & Conference ID: 24797181.  We look forward to your participation. Please see the Downloads section below for the full call announcement. Thank you for your continued interest in the CMS Open Door Forums.

**Updated October 30, 2014 - Special Open Door Forum: Prior Authorization of Non-Emergent Hyperbaric Oxygen Therapy - Tuesday, November 4, 2014; from 1:0pm- 2:00pm ET. This Special Open Door Forum will allow Medicare providers, hospitals, and additional interested parties to learn about the upcoming Prior Authorization of Non-Emergent Hyperbaric Oxygen Therapy in the states of Illinois, Michigan, and New Jersey. This Special ODF will include information on the prior authorization process and a Q&A period. You can find more information on the model by going to: http://go.cms.gov/PAHBO. Questions on the model can be sent to: HBOPA@cms.hhs.gov. If you wish to participate, dial 1-877-357-7851 Conference ID 22111903. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.