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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 April 16, 2014- Special Open Door Forum (ODF): Suggested Electronic Clinical Template for Home Health for Tuesday, April 22, 2014 3:00pm – 4:00pm Eastern Time. This call will be conference call only. The Centers for Medicare & Medicaid Service will host a series of Special Open Door Forum (SODF) calls to allow physicians and other interested parties to give feedback on data elements for the Suggested Electronic Clinical Template for Home Health.  In order to enhance physician understanding of medical documentation requirements to support orders for Home Health services, CMS has developed a list of clinical elements within a Suggested Electronic Clinical Template that would assist physicians when documenting the Home Health (HH) face-to-face encounter for Medicare purposes. While not intended to be a data entry form, the template will describe the clinical elements that CMS believes would be useful in supporting the documentation requirements for coverage of Home Health services. CMS will work in collaboration with the DHHS Office of the National Coordinator for Health IT (ONC) and the electronic Determination of Coverage (eDoC) workgroup which are focused on giving practitioners access to payer approved tools for the electronic submission of medical documentation. You can find the proposed document by going to:
http://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/HomeHealthHHElectronicClinicalTemplate.html. Comments on the document can be sent to eclinicaltemplate@cms.hhs.gov.  If you wish to participate, dial: 1-800-837-1935 & Conference ID: 20361722.  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 April 15, 2014- Special Open Door Forum (ODF): Comprehensive ESRD Care Initiative, Request for Application (RFA) for Thursday, April 24, 2014 2:00pm - 3:30pm Eastern Time. This call will be conference call only. Center for Medicare and Medicaid Innovation (CMMI), will host this Special Open Door Forum (ODF) to allow dialysis facilities, nephrologists, other Medicare providers of services, suppliers, and other interested parties to ask questions on the revisions to the Request for Application (RFA) for the Comprehensive ESRD Care Initiative that was released on April 15, 2014.   The purpose of the Comprehensive ESRD Care (CEC) Initiative is to improve outcomes for Medicare beneficiaries with end-stage renal disease (ESRD) and reduce total per capita expenditures by creating financial incentives for dialysis facilities, nephrologists, and other Medicare providers of services and suppliers to collaboratively and comprehensively address the extensive needs of the complex ESRD beneficiary population. You can find the RFA by going to: http://innovation.cms.gov/initiatives/comprehensive-ESRD-care/.  For frequently asked questions, please visit: http://innovation.cms.gov/initiatives/comprehensive-ESRD-care/.  Feedback and questions on the revisions to the Request for Application (RFA) for the Comprehensive ESRD Care Initiative review can be sent to: ESRD-CMMI@cms.hhs.gov If you wish to participate, dial: 1-(800) 837-1935 & Conference ID: 3416531.  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 April 8, 2014- Special Open Door Forum (ODF): Introduction to the Medicare Care Choices Model for Wednesday, April 16, 2014  2:00pm – 3:00 pm Eastern Time.This call will be conference call only. This Special ODF will allow providers, beneficiary advocacy groups, and other interested parties to learn more about the Medicare Care Choices Model.   The Medicare Care Choices Model will provide a new option for Medicare beneficiaries to receive palliative care services from certain hospice providers while concurrently receiving services provided by their curative care providers. CMS will evaluate whether providing hospice services can improve the quality of life and care received by Medicare beneficiaries and increase patient satisfaction via this model of care.  Materials to be discussed during the call will be available for downloading from the model website (http://innovation.cms.gov/initiatives/Medicare-Care-Choices) prior to the Open Door Forum taking place. If you wish to participate, dial: 1-(800) 837-1935 & Conference ID: 71067933.  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 April 8, 2014 - “The Skilled Nursing Facilities/Long Term Care Open Door Forum scheduled for Thursday, April 17th at 2-3pm ET, has been rescheduled to Tuesday, May 6th, 2-3pm ET. Stay tuned for the agenda and participation information. Thank you for your continued interest in the CMS Open Door Forums.”