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Thursday, February 2, 2023


Claims, Pricers, & Codes


MLN Matters® Articles



Aligning Quality Measures across CMS — The Universal Foundation

Read the New England Journal of Medicine article to learn about adult and pediatric Universal Foundation of quality measures to improve outcomes, reduce burden, advance equity, and aid the transition to digital reporting.


Medicare Ground Ambulance Data Collection System: Portal to Report is Open

Ground ambulance organizations selected in Year 1 and Year 2 must report data starting in 2023, within 5 months after their data collection period ends. Submit your data through the Medicare Ground Ambulance Data Collection System (GADCS) portal. Get quick tips on GADCS registration and access.


Skilled Nursing Facilities: Care Compare January Refresh

View the January refresh of Skilled Nursing Facility Quality Reporting Program data on Care Compare and in the Provider Data Catalog.

See the Updates Section at the bottom of the Public Reporting Webpage for more information. 


Expanded Home Health Value-Based Purchasing Model: January Newsletter & Performance Reports

Read the January Home Health Value-Based Purchasing (HHVBP) Newsletter for the latest information, tools, and insights about the Expanded HHVBP Model.

Download your January 2023 Pre-Implementation Performance Report from iQIES. See instructions for accessing reports.


Therapy Services: Per-Beneficiary CY 2023 Threshold Amounts

The CY 2023 KX modifier threshold amounts are:

  • $2,230 for physical therapy and speech-language pathology services combined
  • $2,230 for occupational therapy services 

Get the 2023 Therapy Code List and Dispositions, which indicates whether codes are sometimes or always therapy services.

More Information:


Claims, Pricers, & Codes

Federally Qualified Health Center Prospective Payment System: CY 2023 Pricer

Based on data through June 2022, the CY 2023 Federally Qualified Health Center (FQHC) prospective payment system base payment rate is $187.19; 3.9% higher than 2022. Find your geographic adjustment factor.

More Information:



Shared Savings Program & Community-Based Organization Collaboration Webinar — February 14

Tuesday, February 14 from 4–5 pm ET

The Shared Savings Program, in partnership with the Administration for Community Living and the Administration for Children and Families, will discuss opportunities for Medicare providers to coordinate with community-based organizations to holistically address patient social needs. The Shared Savings Program will offer Advance Investment Payments starting in 2024, which can be used to support this work and promote coordinated, high-quality care.

How to participate:

  • Join the webinar: passcode 273872
  • Call 833-568-8864: webinar ID 161 585 3793

Check Application Types & Timeline this Spring for additional information on applying to the Shared Savings Program and Advance Investment Payments for the 2024 performance year.


Medicare Ground Ambulance Data Collection System: Q&A Session — February 23

Thursday, February 23 from 2–3 pm ET

Register for this webinar. You’ll get an email confirming your registration and telling you how to join the session.

Do you have questions about the Medicare Ground Ambulance Data Collection System? Join our live Q&A session for all ground ambulance organizations and related stakeholders.  

Send questions in advance to AmbulanceDataCollection@cms.hhs.gov with “February 23 Q&A” in the subject line. During the webinar, we’ll answer these and live questions from the chat box.

For more information, see Medicare Ground Ambulance Data Collection System, including:


MLN Matters® Articles

Provider Enrollment: Regulatory Changes

Learn about recent changes, including:

  • Skilled nursing facility screening and fingerprinting requirements
  • Screening of certain changes of ownership
  • Screening for “bump-ups”


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