Thursday, October 29, 2020
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News
Quality Payment Program APMs: Update Billing information by November 13
Many Qualifying Alternative Payment Model (APM) Participants (QPs) got 2020 5% APM incentive payments last month. Some clinicians need to update their Medicare billing information by November 13 to get paid.
Do You Need to Verify Your Medicare Billing Information?
- If you didn’t get paid, find your name on the spreadsheet to find out which form(s) to send us. Log in to the QPP website using your HARP credentials to update your billing information; see detailed instructions.
- If you got paid, you don’t need to do anything.
For More Information:
- QPP website
- Public Notice
- 2020 APM Incentive Payment fact sheet
- Contact QPP@cms.hhs.gov or 866-288-8292; if you have trouble hearing, dial 711 for a TRS communications assistant
Compliance
Hospice Aide Services: Enhancing RN Supervision
An Office of Inspector General (OIG) report found that Registered Nurses (RNs) didn’t always:
- Visit hospice patients’ homes at least once every 14 days to assess the quality of care and services provided by hospice aides
- Document these visits as required
The Enhancing RN Supervision of Hospice Aide Services (PDF) fact sheet educates hospices on the RN supervisory role. Additional resources:
- Hospice Conditions of Participation Final Rule
- Medicare Fee-for-Service Response to the Public Health Emergency on COVID-19 (PDF) MLN Matters Article
- State Operations Manual Appendix M – Guidance to Surveyors: Hospice (PDF)
MLN Matters® Articles
Change to the Payment of Allogeneic Stem Cell Acquisition Services — Revised
CMS revised MLN Matters Article MM11729 on Change to the Payment of Allogeneic Stem Cell Acquisition Services (PDF) to update the release date, transmittal number, and web address.
Publications
Medicare Quarterly Provider Compliance Newsletter
CMS issued a new Medicare Learning Network educational tool, Medicare Quarterly Provider Compliance Newsletter [Volume 11, Issue 1]. Learn about:
- Critical care billed on the same day as emergency room services
- Pneumatic compression device: medical necessity and documentation
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