Skip to Main Content
Date
2017-05-04
Subject
MLN Connects for May 4, 2017

MLN Connects banner

Thursday, May 4, 2017

News & Announcements

Provider Compliance

Upcoming Events

Medicare Learning Network Publications & Multimedia

View this edition as a PDF [PDF, 99KB]   

 

News & Announcements

 

DMEPOS Revised Blended Fee Schedule Amounts

Section 16007(a) of the 21st Century Cures Act

Information on the revised blended fee schedule payment amounts and adjustments for July through December 2016 required by Section 16007(a) of the 21st Century Cures Act is available on the Durable Medical Equipment, Prosthetics/Orthotics & Supplies (DMEPOS) Fee Schedule webpage.

 

TEP on SNF QRP Development and Maintenance of Quality Measures: Nominations due May 12

Nominations are due May 12 for a Technical Expert Panel (TEP) to obtain input on currently implemented Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) measures and areas for future measure development in support of CMS quality missions. Visit the Technical Expert Panels webpage for more information.

 

2018 Medicare Shared Savings Program: Submit Notice of Intent to Apply by May 31

CMS is accepting Notices of Intent to Apply (NOIA) for the January 1, 2018 start date. You must submit a NOIA if you intend to apply to the Medicare Shared Savings Program, Skilled Nursing Facility 3-Day Rule Waiver, and/or Medicare Accountable Care Organization Track 1+ Model. NOIA submissions are due no later than May 31, 2017, at noon ET.

A NOIA submission does not bind an organization to submit an application; however, you must submit a NOIA to be eligible to apply. See the NOIA Guidance Document and How to Apply webpage for eligibility requirements and detailed instructions on the submission process.

 

MIPS: Submit Measures for the Advancing Care Information Performance Category by June 30

CMS encourages providers to identify and submit measures for the Advancing Care Information performance category of the Merit-based Incentive Payment System (MIPS):

 

Hospice Item Set V2.00.0 Receives OMB Approval

The Office of Management and Budget (OMB) approved the Hospice Item Set (HIS) V2.00.0, effective April 1, 2017. The HIS Manual V2.00 and the HIS V2.00.0 forms are now final and posted in the downloads section of the HIS webpage. No changes were made to the HIS or the HIS Manual as part of OMB approval.

 

EHR Incentive Programs: Review 2017 Program Requirements

CMS encourages eligible hospitals, critical access hospitals, and dual-eligible hospitals to review 2017 program requirements for the Electronic Health Record (EHR) Incentive Programs, including:

 

Hand Hygiene Day is May 5

“Save Lives: Clean Your Hands.” Hand Hygiene Day is the World Health Organization’s annual call to action for health workers. Clean your hands at the right times and stop the spread of antibiotic resistance.

Take a web-based training course on Infection Control: Hand Hygiene from the Medicare Learning Network:

  • Learn about hand hygiene in patient care zones and nearby administrative areas, including appropriate methods for maintaining good hand hygiene
  • Physician and non-physician practitioners may receive continuing education credit for successful completion
  • Available on the Learning Management System

 

Provider Compliance

 

Cochlear Devices Replaced Without Cost: Bill Correctly

In November 2016, the Office of the Inspector General (OIG) reported that hospitals did not always comply with Medicare requirements for reporting cochlear devices replaced without cost to the hospital or beneficiary. In 116 of 149 claims reviewed, hospitals did not report the appropriate modifiers and charges or a combination of the appropriate value code and condition codes. Medicare Administrative Contractors use this information to adjust payment; incorrect billing led to Medicare overpayments of $2.7 million.

  • Services furnished on or after January 1, 2014: outpatient hospitals should report value code “FD” along with condition code 49 or 50
  • Services furnished prior to January 1, 2014: outpatient hospitals should report the modifier “FB” on the same line as the procedure code (not the Cochlear Device code)

Use the following resources to bill correctly and avoid overpayment recoveries:  

 

Upcoming Events

 

MIPS Group Reporting 101 Webinar — May 11

Thursday, May 11 from 1 to 2:30 pm ET

Visit the event webpage to register.

During the webinar, CMS provides an overview of group reporting under the Merit-based Incentive Payment System (MIPS) and highlights requirements for participation, including:

  • Individual vs. group reporting
  • Group reporting requirements
  • Performance category measures
  • Data submission mechanisms
  • Post-data submission
  • Participation milestones

 

Medicare Learning Network Publications & Multimedia

 

Medicare Shared Savings Program Call: Audio Recording and Transcript — New

An audio recording and transcript are available for the April 19 call on the Medicare Shared Savings Program. During this call, learn helpful tips to complete a successful application for the 2018 Medicare Shared Savings Program, the Medicare Accountable Care Organization Track 1+ Model, and/or Skilled Nursing Facility 3-Day Rule Waiver.

 

Medicare Fraud & Abuse: Prevention, Detection, and Reporting Web-Based Training Course — Revised

With Continuing Education Credit

A revised Medicare Fraud & Abuse: Prevention, Detection, and Reporting Web-Based Training (WBT) course is available through the MLN LMS. Learn about:

  • Fraud and abuse in health care
  • Laws governing fraud and abuse activities
  • Government partnerships fighting fraud and abuse
  • Where to report suspected fraud and abuse

 

Medicare Ambulance Transports Booklet — Revised

A revised Medicare Ambulance Transports Booklet is available. Learn about:

  • Ambulance transport benefit
  • Types of transports
  • Ground and air ambulance providers and suppliers; vehicles; and personnel requirements
  • Documentation requirements
  • Coverage, billing, and payments
  • Advance Beneficiary Notice of Noncoverage

 

Looking for the Latest National Medicare Policy Information?

Visit the MLN Matters® Articles webpage. Learn about coverage, billing, and payment rules for specific provider types.

 


 

Like the newsletter? Have suggestions? Please let us know!

Subscribe to MLN Connects. Previous issues are available in the archive.

This newsletter is current as of the issue date. View the complete disclaimer.

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).