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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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**Updated September 11, 2014 - The proposed agenda for the next Physician Nurses & Allied Health Open Door Forum is scheduled for Tuesday, September 16, 2014 from 2:00pm-3:00pmET is as follows: Announcements & Updates; SBA webinar schedule on ACA on Small Businesses: The Hospice Attending Physician and the FY 15 Hospice Final Rule: (Fact sheet: http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2014-Fact-sheets-items/2014-08-04-3.html); CERT A/B MAC Outreach & Education Task Force; PQRS Feedback Report, Notification Letters,  & PQRS Payment Adjustment; Medicare Electronic Health Record Incentive Program payment adjustments for eligible professionals: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/PaymentAdj_Hardship.html; Action to Take for Groups with 10 or More Eligible Professionals In Order To Avoid the Automatic CY 2016 Value-Based Payment Modifier Downward Payment Adjustment: (http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Self-Nomination-Registration.html). If you wish to participate, dial 1-800-837-1935 Conference ID 44449613. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.

**Updated September 10, 2014 - Special Open Door Forum (ODF): Prior Authorization of Repetitive Scheduled Non-Emergent Ambulance Transport, Monday, September 15, 2014 from 1:00pm - 2:00pm Eastern Time. This call to allow ambulance suppliers, other Medicare providers, and additional interested parties to learn about the upcoming Prior Authorization of Repetitive Scheduled Non-Emergent Ambulance Transport model in the states of New Jersey, Pennsylvania, and South Carolina. This Special ODF, the second on this prior authorization model, will include updated information and a Q&A period.  The purpose of this model is to test whether prior authorization helps reduce expenditures, while maintaining or improving quality of care. You can find more information on the model by going to: http://go.cms.gov/PAAmbulance. Questions on the model can be sent to: AmbulancePA@cms.hhs.gov. This call will be conference call only. If you wish to participate, dial: 1-800-837-1935 & Conference ID: 97298639.  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.