CMS-1734-P: CY 2021 Physician Fee Schedule Proposed Rule - Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2021. For more information, see the Press Release or Fact Sheet.
ABN Form Renewal
The Office of Management and Budget approved the Advance Beneficiary Notice of Noncoverage (ABN) (Form CMS-R-131 (ZIP)) and instructions (PDF) for renewal. You must use the renewed form with the expiration date of June 30, 2023, beginning August 31. There are no other changes to the form. Visit the ABN webpage for more information.
Clinical Laboratory Data Reporting: Enforcement Discretion
On March 30, CMS announced that it will exercise enforcement discretion until May 30, 2017, with respect to the data reporting period for reporting applicable information under the Clinical Laboratory fee Schedule (CLFS) and the application of the Secretary’s potential assessment of civil monetary penalties for failure to report applicable information.
On August 19, 2013, in the FY2014 IPPS/LTCH final rule CMS clarified and revised the conditions of payment for hospital inpatient services under Medicare Part A related to patient status. On September 5, 2013, CMS released guidance (PDF) that discussed the provisions of the final rule regarding the physician order and physician certification of hospital inpatient services. This document includes further clarification of issues addressed in the previous guidance.
The guidance provided in this document has been further clarified in Additional Clarification of Guidance on the Physician Order and Physician Certification for Hospital Inpatient Admissions. This version of the guidance document will remain online for comparison purposes.
Physician Groups of 100 or More: The Registration Period to Avoid a -1% Payment Adjustment Extended to Friday, October 18 - The Physician Value-Physician Quality Reporting System (PV-PQRS) Registration System is open through October 18, 2013. Representatives of group practices can select their group’s PQRS reporting mechanism for CY 2013, and groups with 100 or more eligible professionals (EPs), can elect quality tiering to calculate the Value Modifier for CY 2015.
The PV-PQRS Registration System can be accessed at https://portal.cms.gov using a valid IACS User ID and password. For additional information regarding registration and obtaining or modifying an IACS account, please see the Quick Reference Guide on the Self Nomination/Registration web page.
- Frequently Asked Questions Regarding Change Request 7631 (Transmittal 2679) (PDF)--Revised and Clarified Place of Service (POS) Coding Instructions.
Revised Fact Sheet for Referral Agents - Where are the Round 2 areas? What if a beneficiary travels? What do you need to know before prescribing a DMEPOS item or referring the beneficiary to a DMEPOS supplier? Want more information on the national mail-order program for diabetic testing supplies?
For answers to these questions and more, see the revised “Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program: Referral Agents (PDF)” Fact Sheet (ICN 900927), which is now available in downloadable format.
- Blood Clotting Factor Furnishing Fee
- Medicare FFS Physician Feedback Program/Value-Based Payment Modifier
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