" >
Skip to Main Content
MLN Connects Provider eNews for June 2, 2016

Medicare Learning Network, MLN Connects Weekly eNews logo


Thursday, June 2, 2016

MLN Connects® Events

Other CMS Events

Medicare Learning Network® Publications and Multimedia


Claims, Pricers, and Codes


View this edition as a PDF [PDF, 118KB]


MLN Connects® Events 


Physician Compare Initiative Call — Register Now

Thursday, June 16 from 1:30 to 3 pm ET

To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

Interested in learning more about Physician Compare and the future of public reporting? Physician Compare provides information to consumers to help them make informed health care decisions and incentivizes physicians to maximize their performance. CMS experts will walk you through the information currently available, upcoming plans, and the future of Physician Compare under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Learn more on the Physician Compare Initiative page. A question and answer session will follow the presentation.


  • Physician Compare overview
  • Your information on Physician Compare
  • Quality data and public reporting standards
  • Publicly reported benchmark
  • 5-star ratings
  • Impact of MACRA

Target Audience:  Physicians and other health care professionals, medical group practices, practice managers, medical and specialty societies, and other interested stakeholders.

Continuing education credits may be awarded by some organizations for participation in MLN Connects Calls. For more information, visit the Continuing Education Credit Information webpage.


Quality Measures and the IMPACT Act Call — Registration Now Open

Thursday, July 7 from 1:30 to 3 pm ET

To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

During this call, CMS experts discuss key quality measures related to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) and how they will affect you. Also, find out about upcoming stakeholder engagement activities. Following the presentation, participants can share insights and thoughts on the measures during the question and answer/discussion session.

The IMPACT Act requires the reporting of standardized patient assessment data on quality measures, resource use, and other measures by Post-Acute Care (PAC) providers, including skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, and long-term care hospitals.  

Target Audience: PAC providers, healthcare industry professionals, clinicians, researchers, health IT vendors, and other interested stakeholders.

Continuing education credits may be awarded by some organizations for participation in MLN Connects Calls. For more information, visit the Continuing Education Credit Information webpage.


New Audio Recording and Transcript Available

An audio recording, transcript, and updated presentation are available for the May 19 webcast on 2015 Mid-Year QRURs. This event gives an overview of the 2015 Mid-Year Quality and Resource Use Reports (QRURs) and explains how to interpret and use the information.


Other CMS Events 


SNF Quality Reporting Program Provider Training: Reserve Your Hotel Room by June 8

Tuesday, June 21 through Wednesday, June 22

CMS is hosting a 2-day, in-person, train-the trainer event for the Skilled Nursing Facilities (SNF) Quality Reporting Program (QRP) in Atlanta, GA for SNF providers, associations, and organizations. The objective is to provide SNFs with an overview of the requirements under the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) and the QRP.

Visit the event webpage for more information and to register:

  • Registration is limited to 250 people
  • CMS negotiated a discounted room rate of $138 per night for reservations made by June 8; see your confirmation email for instructions
  • Requests for reasonable accommodations must be sent to Glenna Davis at PACTraining@EconometricaInc.com with a copy to carol.bowers@cms.hhs.gov no later than 5 business days prior to the event
  • For questions or additional information about the logistics, contact PACTraining@econometricainc.com


Medicare Learning Network® Publications and Multimedia 


CMS Provider Minute Videos for Part A and Part B Providers and DMEPOS Suppliers

The Medicare Learning Network has a series of CMS Provider Minute videos on compliance for Part A and Part B providers and Durable Medical Equipment, Prosthetics, Orthotic, and Supplies (DMEPOS) suppliers. These videos have tips to help you properly submit claims with sufficient documentation in order to receive correct payment the first time.




Medicare’s “Big Data” Tools Fight and Prevent Fraud to Yield Over $1.5 Billion in Savings

Over the past five years, CMS has successfully implemented a Fraud Prevention System (FPS) using “big data” and predictive analytics approaches to fight fraud, waste and abuse in the Medicare Fee-For-Service program. This effort has had a profound impact on fraudulent providers and illegitimate payments by allowing us to quickly identify issues and take action.

Since the beginning of the program, over $1.5 billion in inappropriate payments have been identified by the system through new leads or contributions to existing investigations. CMS is now working to develop next-generation predictive analytics with a new system design that even further improves the usability and efficiency of the FPS.

See the full text of this excerpted CMS blog (issued May 27).


Integrated Efforts to Improve Patient Safety and Reduce Hospital Readmissions

CMS continues progress toward a safer health care system by releasing a Request for Proposal (RFP) for Hospital Improvement and Innovation Networks (HIINs).The HIINs, which will be part of the Quality Improvement Organization (QIO) initiative, will continue the work started by the Hospital Engagement Networks (HENs) under the Partnership for Patients initiative. The HIINs will engage and support the nation’s hospitals, patients, and their caregivers in work to implement and spread well-tested, evidence-based best practices.

The procurement for the HIINs will be a full and open competition, and CMS encourages all interested parties to submit a proposal. Organizations who were a HEN in the first and second rounds of the Partnership for Patients or QIOs and other organizations that meet the RFP criteria are welcome to submit a proposal for the HIIN opportunity, but will compete for selection against all other organizations submitting proposals.

See the full text of this excerpted CMS blog (issued May 25).


DMEPOS Competitive Bidding Program Round 2 Recompete and National Mail-Order Recompete: List of Contract Suppliers Available

On April 28, CMS announced the contract suppliers for Round 2 Recompete and the national mail-order recompete of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program, which will begin in applicable areas on July 1, 2016. A list of Round 2 Recompete and national mail-order recompete contract supplier locations for each product category and competitive bidding area is now available at www.medicare.gov/supplier. For more information, visit the Competitive Bidding Implementation Contractor website. You can also review the Educational Resources and DMEPOS Toolkit, or your Medicare patients may contact 1-800-MEDICARE (1-800-633-4227) with any questions.


ICD-10 Resources: Clinical Concepts Series

To help health care providers continue to familiarize themselves with ICD-10 codes and clinical concepts, CMS offers the ICD-10 Clinical Concepts Series with tailored guidance for:

Each guide in the series compiles key information about ICD-10 codes from Road to 10, including:

  • Common ICD-10 codes and corresponding ICD-9 codes
  • Clinical documentation tips
  • Clinical scenarios
  • Links to interactive cases studies, in-depth webinars, and other features

Visit the ICD-10 and Road to 10 websites for the latest news and official resources, including the Next Steps Toolkit, Quick Start Guide, and a contact list for provider Medicare and Medicaid questions.


June is National Safety Month

Help save lives and prevent injuries. National Safety Month focuses on reducing leading causes of injury and death.

Practice infection control to create a safe environment for your patients and staff. Find out more with Medicare Learning Network Web-Based Training courses on the Learning Management and Product Ordering System. Physician and non-physician practitioners may receive continuing education credit for successful completion:

  • Infection Control: Environmental Safety — Learn about proper cleaning practices in health care facilities, including information on the categories of environmental surfaces and turnover cleaning versus terminal cleaning
  • Infection Control: Injection Safety — Learn about proper injection practices in health care facilities, including information on safe injection practices and single dose/single use versus multidose medications
  • Infection Control: Hand Hygiene — Learn about hand hygiene in patient care zones and nearby administrative areas; appropriate methods for maintaining good hand hygiene; and how to recognize opportunities for hand hygiene in a health care setting


Claims, Pricers, and Codes 


July 2016 Average Sales Price Files Available

CMS posted the July 2016 Average Sales Price (ASP) and Not Otherwise Classified (NOC) pricing files and crosswalks on the 2016 ASP Drug Pricing Files webpage.



Subscribe to the eNews. Previous issues are available in the archive.

Follow the MLN on Twitter #CMSMLN, and visit us on YouTube.

The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered trademarks of the U.S. Department of Health and Human Services (HHS).