Skip to Main Content

Special Open Door Forums

When a Special Open Door Forum (ODF) is scheduled, please refer to the "Downloads" section below for the Special ODF details and RSVP information. Approximately one week after the Special ODF has passed, the announcement, transcript and MP3 audio file will be posted under the "Downloads" section in one Download link for 30 days.

CMS has Special Forums throughout the year, to independently discuss new and important program topics. 

*************

**Updated: December 13, 2018 - Special Open Door Forum (SODF): Changes to Level II Healthcare Common Procedure Coding System (HCPCS) Coding and Application Submission Procedures for 2019, Tuesday, December 18, 2018, from 1:30 – 2:30pm. Eastern Time. The purpose of this SODF to announce changes to CMS’ Level II HCPCS Coding Procedures and HCPCS Code Application Procedures effective in the 2019-2020 HCPCS coding cycle, and to allow all stakeholders of these processes, and other interested parties, to ask questions regarding our process changes, as detailed on CMS’ HCPCS web site at http://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/index.html. CMS is interested in adopting changes to the HCPCS process that facilitate the adoption of new technologies while balancing the burden on payers and providers and considers program needs. If you wish to participate, dial: 1-800 837-1935 & Conference ID: 3073759. 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: November 21, 2018 - Special Open Door Forum (SODF): Review Choice Demonstration for Home Health Services, Tuesday, November 27, 2018, from 1:30 – 3:00pm. Eastern Time. The purpose of this SODF to invite home health agencies, physicians, and other Medicare practitioners to discuss the Review Choice Demonstration (RCD) for Home Health Services.  As announced in the Federal Register Notice 83 FR 25012, as published on May 31, 2018, CMS has revised the previous Pre-claim Review Demonstration to offer more flexibility and choice for providers, as well as risk-based changes to reward providers who show compliance with Medicare home health policies.  The proposed Review Choice Demonstration for Home Health Services will give providers in the demonstration states an initial choice of three options – pre-claim review, post payment review, or minimal post payment review with a 25% payment reduction for all home health services. A provider’s compliance with Medicare billing, coding, and coverage requirements determines that provider’s next steps under the Demonstration. CMS will implement the Demonstration for the Home Health and Hospice Medicare Administrative Contractor Jurisdiction M (Palmetto) providers operating in Illinois, Ohio, North Carolina, Florida, and Texas for five years, with the option to expand to other states in the Palmetto/JM Jurisdiction. CMS proposes to begin the demonstration on December 10, 2018, in Illinois. This revised demonstration would assist in developing improved procedures for the identification, investigation, and prosecution of potential Medicare fraud. The RCD would help make sure that payments for home health services are appropriate through either pre-claim or post payment review, thereby working towards the prevention and identification of potential fraud, waste, and abuse; the protection of Medicare Trust Funds from improper payments; and the reduction of Medicare appeals. Here is the link to our Review Choice Demonstration page where slides will be posted in advance of this ODF: https://go.cms.gov/homehealthRCD. You can find the 60-day Federal Register Notice here. You can find the Paperwork Reduction Act (PRA) here. Feedback and questions on to the Review Choice Demonstration for Home Health Services can be sent to: homehealthRCD@cms.hhs.gov. If you wish to participate, dial: 1-800 837-1935 & Conference ID: 2037247. 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: July 24, 2018 - Special Open Door Forum (SODF): Non-Emergency Ambulance Transportation (NEAT) Templates and Clinical Data Elements (CDEs), Thursday, July 26, 2018 from 2:00-3:00pm Eastern Time. This SODF will allow physicians, provider and supplier professional associations, and/or all other interested parties to provide feedback on the draft Templates and CDEs for NEAT services that are posted on the CMS.gov website. The printable clinical templates and suggested CDEs describe the data elements that CMS believes would be useful in supporting the documentation requirements for coverage of scheduled and repetitive NEAT services, as follows: 1. Order / Physician Certification Statement (PCS) 2. Progress Note 3. Prior Authorization (PA) Request. The NEAT Templates and CDEs will be available on the CMS.gov website just prior to the SODF, and can be accessed through the link below: https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/Other-Benefit-Templates/Other-Templates-Non-Emergency-Ambulance-Transportation.html. Providers and IT vendors can choose whether or not to use the printable clinical templates and/or the suggested CDEs. The suggested CDEs aren't a form, but a tool that IT vendors can integrate into electronic health record (EHR) systems to create prompts to assist providers with their medical record documentation for Medicare purposes. The templates and CDEs are intended to be a helpful guide, but every section may not apply to all types of patients’ services. Providers can choose the information or CDEs that do apply. Once completed by the physician or other practitioner, the resulting documentation would become part of the medical record. To better assist providers in medical record documentation, for Medicare Fee for Service purposes, CMS has developed lists of clinical elements within a printable clinical template. This development will allow EHR vendors to create prompts to assist the practitioner when documenting. These Templates and CDEs for NEAT services are some of the many on the list of topics posted on our website. Feedback and questions on our drafts can be sent to: clinicaltemplates@cms.hhs.gov. We look forward to your participation. If you wish to participate, dial: 1-(888)-989-4575 & Conference ID: 3068545. Please see the Downloads section below for the full call announcement. We look forward to your participation. Thank you for your continued interest in the CMS Open Door Forums.

**Updated (Conference ID & Number): July 11, 2018 - Special Open Door Forum (SODF): Templates and Clinical Data Elements (CDEs), Draft Release 2, Thursday, July 12, 2018 from 2:00-3:00pm Eastern Time. To allow physicians, provider and supplier professional associations, and/or all other interested parties to provide feedback on Draft Release 2 of the Home Health Templates and CDEs that are posted on the CMS.gov website. CMS held a SODF for Home Health Templates and CDEs on March 1, 2018. The updates reflected in Draft Release 2 are a result of the comments and recommendations that CMS received following the previous SODF. The updated printable clinical templates and suggested CDEs describe the data elements that CMS believes would be useful in supporting the documentation requirements for coverage of Home Health Services as follows: 1. Plan of Care & Certification, and 2. Face-to-Face Encounter. The updated Draft Release 2 Home Health Templates and CDEs will be available on the CMS.gov website just prior to the SODF, and can be accessed through the link below: https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/Other-Benefit-Templates/Other-Templates-home-health.html. Providers and IT vendors can choose whether or not to use the printable clinical templates and/or the suggested CDEs. The suggested CDEs aren't a form, but a tool that IT vendors can integrate into electronic health record (EHR) systems to create prompts to assist providers with their medical record documentation for Medicare purposes. The templates and CDEs are intended to be a helpful guide, but every section may not apply to all types of patients’ services. Providers can choose the information or CDEs that do apply. Once completed by the physician or other practitioner, the resulting documentation would become part of the medical record. To better assist providers in medical record documentation, for Medicare Fee for Service purposes, CMS has developed lists of clinical elements within a printable clinical template. This development will allow EHR vendors to create prompts to assist the practitioner when documenting. These Home Health Templates and CDEs are some of the first of many on the list of topics that CMS is currently working to address. Feedback and questions on our drafts can be sent to: clinicaltemplates@cms.hhs.gov. We look forward to your participation. If you wish to participate, dial: 1-(800)-857-1738 & Conference ID: 7785347. Please see the Downloads section below for the full call announcement. We look forward to your participation. Thank you for your continued interest in the CMS Open Door Forums.

.