Thursday, April 2, 2020
- IRF Provider Preview Reports: Review Your Data by April 13
- LTCH Provider Preview Reports: Review Your Data by April 13
- Hospice Provider Preview Reports: Review Your Data by April 13
- July 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
- NCD (20.32) Transcatheter Aortic Valve Replacement (TAVR)
- Quarterly Update for the Temporary Gap Period of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2020
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.2, Effective July 1, 2020
- Activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations – Update — Revised
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.1, Effective April 1, 2020 — Revised
View this edition as a PDF (PDF)
News
IRF Provider Preview Reports: Review Your Data by April 13
Inpatient Rehabilitation Facility (IRF) Provider Preview Reports are available with fourth quarter 2018 to third quarter 2019 data. Review your performance data on quality measures by April 13, prior to public display on the IRF Compare website in June. Corrections to the underlying data are not permitted during this time; request a CMS review if you believe that your data is inaccurate.
Access your report by logging into the Internet Quality Improvement and Evaluation System (iQIES). At the main screen, select “Reports,” then “My Reports”. For more information, visit the IRF Quality Public Reporting webpage.
LTCH Provider Preview Reports: Review Your Data by April 13
Long-Term Care Hospital (LTCH) Provider Preview Reports are available with fourth quarter 2018 to third quarter 2019 data. Review your performance data on quality measures by April 13, prior to public display on the LTCH Compare website in June. Corrections to the underlying data are not permitted during this time; request a CMS review if you believe that your data is inaccurate.
Access your report by logging into the Internet Quality Improvement and Evaluation System (iQIES). At the main screen, select “Reports,” then “My Reports”. For more information, visit the LTCH Quality Public Reporting webpage.
Hospice Provider Preview Reports: Review Your Data by April 13
Two reports are available in your Certification and Survey Provider Enhanced Reports (CASPER) non-validation reports folder:
- Hospice provider preview report: Review Hospice Item Set (HIS) quality measure results from the third quarter of 2018 to the second quarter of 2019
- Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS®) provider preview report: Review facility-level CAHPS survey results from the third quarter of 2017 to the second quarter of 2019
Review your results by April 13, prior to public display on the Hospice Compare website in May. If you believe the denominator or other HIS quality metric is inaccurate or if there are errors in the results from the CAHPS survey data, request a CMS review.
For More Information:
- HIS Preview Report Access Instructions (PDF)
- Hospice CAHPS Provider Preview Reports Access Instructions (PDF)
- HIS Preview Reports and Requests for CMS Review webpage
- CAHPS Preview Reports and Requests for CMS Review webpage
Events
Interoperability and Patient Access Final Rule Call — April 7
Tuesday, April 7 from 2 to 3:30 pm ET
Register for Medicare Learning Network events.
On March 9, 2020, CMS released the Interoperability and Patient Access final rule, outlining opportunities to put patients first by giving them better access to their health information. CMS and the Office of the National Coordinator for Health Information Technology (ONC) identified technical standards to support data exchange through secure Application Programming Interfaces (APIs). This secure, standards-based approach will help unleash innovation in health care, empower patients to be informed decision makers, and reduce burden on payers and providers. CMS Administrator Seema Verma opens this call, followed by an overview by CMS experts.
Learn about the provisions that impact you and get answers to your questions. Topics:
- Patient access API
- Provider directory API
- Payer-to-payer data exchange
- Improving the dual eligible experience
- Public reporting and information blocking
- Provider digital contact information
- Revisions to the conditions of participation for hospitals and critical access hospitals
We encourage you to review the final rule prior to the call.
Target Audience: All Medicare fee-for-service providers and industry-wide stakeholders.
MLN Matters® Articles
July 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
A new MLN Matters Article MM11745 on July 2020 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files (PDF) is available. Learn about new and revised pricing files.
NCD (20.32) Transcatheter Aortic Valve Replacement (TAVR)
A new MLN Matters Article MM11660 on NCD (20.32) Transcatheter Aortic Valve Replacement (TAVR) (PDF) is available. Learn about continued coverage of TAVR.
Quarterly Update for the Temporary Gap Period of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2020
A new MLN Matters Article MM11718 on Quarterly Update for the Temporary Gap Period of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2020 (PDF) is available. Learn about changes to the HCPCS, ZIP code, and supplier files.
Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.2, Effective July 1, 2020
A new MLN Matters Article MM11734 on Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.2, Effective July 1, 2020 (PDF) is available. Learn about the test and final files available in May.
Activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations – Update — Revised
A revised MLN Matters Special Edition Article SE19007 on Activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations – Update (PDF) is available. Learn about a delay until further notice.
Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.1, Effective April 1, 2020 — Revised
A revised MLN Matters Article MM11628 on Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.1, Effective April 1, 2020 (PDF) is available. Learn about the final file.
Publications
MLN Catalog – April 2020 Edition
The April 2020 Edition of the MLN Catalog (PDF) is available. Learn about:
- Products and services you can download for free
- Web-based training courses; some offer continuing education credits
- Helpful links, tools, and tips
Multimedia
Open Payments Call: Audio Recording and Transcript
An audio recording (ZIP) and transcript (PDF) are available for the March 19 Medicare Learning Network call on Open Payments: Your Role in Health Care Transparency. Learn about the program timeline, registration process, and deadlines for physicians and teaching hospitals to review and dispute data.
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