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17 Provider Compliance Tips Fact Sheets

Thursday, October 8, 2020





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Hospice Quality Reporting Program: Successful Facilities for FY 2021

CMS posted the Fiscal Year (FY) 2021 list of successful hospices (PDF) for the Hospice Quality Reporting Program. These hospices met the calendar year 2019 hospice quality data reporting requirements that impact FY 2021 payment. Successful hospices get their full annual payment update. See the October 1 update on the Requirements and Best Practices webpage for more information. 


Laboratories: Pay Your CLIA Certification Fees Online

You now have the option to pay Clinical Laboratory Improvement Amendments (CLIA) certification fees through a secure platform hosted by the Treasury Department. Online payments process overnight.

For More Information:


Institutional Providers: Give Us Your Feedback on the Provider Specific File by November 1

CMS is updating the Provider Specific File to improve your experience, and we need your feedback. Information in this file affects payments under the prospective payment systems. Send your comments or suggestions to ModernizingMedicare@cms.hhs.gov by November 1. We’ll only respond to messages related to the Provider Specific File. Visit the Provider Specific Data webpage for more information.


Submit Medicare GME Affiliation Agreements during COVID-19 PHE by January 1

CMS extended the deadline to submit Medicare Graduate Medical Education (GME) affiliation agreements to January 1, 2021. Two or more teaching hospitals can form a GME group to combine direct and/or indirect medical education resident caps and train residents. During the Public Health Emergency (PHE), email new or amended agreements by January 1 to Medicare_GME_Affiliation_Agreement@cms.hhs.gov with “new” or “amended” in the subject line, and send a copy to your MAC.

For More Information:


COVID-19: Optimizing PPE and Child Health and Wellness

The Office of the Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE) released:

For More Information:


Ostomies are Life-Savers

Ostomy Awareness Day increases awareness of bowel and urinary diversion surgery and proper care for patients. Review the Provider Compliance Tips for Ostomy Supplies (PDF) Medicare Learning Network Fact Sheet and learn about:

  • Coverage requirements
  • Billing
  • Guidelines for refills




CMS-CDC Fundamentals of COVID-19 Prevention for Nursing Home Management Call — October 8

Thursday, October 8 from 4 to 5 pm ET

CMS, CDC, and the Quality Improvement Organization (QIO) Program present this live Question and Answer (Q&A) series:

Target Audience: Clinical and administrative nursing home staff members.




Laboratory Quick Start Guide for CLIA Certification

Read the CMS Laboratory Quick Start Guide (PDF) to learn how to get CMS Clinical Laboratory Improvement Amendments (CLIA) certification to perform testing on human specimens.

For More Information:


Provider Compliance Tips — Revised

CMS revised the following Medicare Learning Network Fact Sheets with Provider Compliance Tips. Learn about coverage and documentation requirements to prevent claim denials.


ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Code Sets — Revised

CMS revised the ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Code Sets Medicare Learning Network Fact Sheet. Learn:

  • Details for each code set
  • Payment information


DMEPOS Accreditation — Revised

CMS revised the DMEPOS Accreditation Medicare Learning Network Fact Sheet. Learn about:

  • Accreditation requirements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers
  • Quality Standards
  • Exempted supplies


SNF and LTCH Quality Reporting Programs: COVID-19 Public Reporting — Revised

CMS updated Coronavirus Disease 2019 (COVID-19) public reporting tip sheets for Skilled Nursing Facilities (PDF) (SNFs) and Long-Term Care Hospitals (PDF) (LTCHs):

  • Strategy for data exempted from public reporting
  • Impact on the Nursing Home Compare website refresh



Dementia Care Call: Audio Recording and Transcript

An audio recording (ZIP) and transcript (PDF) are available for the September 22 Medicare Learning Network call on Dementia Care. Learn about the unique challenges facing nursing home residents living with dementia during the coronavirus disease 2019 pandemic and best practices to support them.


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