Medicare This Week: National Provider Call on Registration and Attestation, New CMS Video Education on Youtube, Updates from the Medical Learning Network

  • National Provider Call: Medicare & Medicaid EHR Incentive Programs; Registration and Attestation for Eligible Professionals (jump to story)

  • Provider Education Video Presentations Now Available on the CMS YouTube Channel (jump to story)

  • Updates from the Medicare Learning Network (jump to story)

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National Provider Call: Medicare & Medicaid EHR Incentive Programs; Registration and Attestation for Eligible Professionals

Did you know that as of March 30, over $1.4 billion has been paid to eligible professionals (EPs) under the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs? Over 222,000 EPs have actively registered to participate in the programs. This is the last year EPs can earn the full Medicare incentive payment — don’t let this opportunity pass you by. Learn what you need to do to participate in the program.

Target Audience:  Eligible Professionals (EPs): Doctors of Medicine or Osteopathy, Doctors of Dental Surgery or Dental Medicine, Doctors of Podiatric Medicine, Doctors of Optometry, Chiropractors, Nurse Practitioners, Certified Nurse Midwives, Physician Assistants (PA) who practice at an FQHC/RHC led by a PA. (NOTE: Hospital-based EP’s may not participate — An EP is considered hospital-based if 90% or more of the EP’s services are performed in a hospital inpatient or emergency room setting). For more information, including Medicaid patient volume requirements, visit the EHR Incentive Programs Eligibility webpage.

Registration information will be provided soon on the CMS Upcoming National Provider Calls webpage.

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Provider Education Video Presentations Now Available on the CMS YouTube Channel

CMS has posted a selection of provider education presentations on a variety of Medicare Program topics to the CMS YouTube Channel, including the following presentations listed below. Click on the title to view the presentation.

Medicare Shared Savings Program

  • Medicare Shared Savings Program and Advance Payment Model Application Process — This presentation was presented on March 1, 2012. CMS subject matter experts provide an overview and updates to the Medicare Shared Savings Program application and Advance Payment Model application processes, followed by a question and answer session. Run time: 59 minutes.
    UPDATE: A new presentation has been posted with a slideshow from a national provider call on July 31st, 2012
    Watch the NEW Medicare Shared Savings Program and Advance Payment Model Application Process. Run time: 83 minutes.
  • Medicare Shared Savings Program Overview — This presentation was presented on December 7, 2011. John Pilotte, Director of the Performance-Based Payment Policy Group at CMS presents an overview of the Medicare Shared Savings Program, followed by a question and answer session. Run time: 50 minutes.

Hospital Value-based Purchasing  

  • Hospital Value-based Purchasing: Dry Run of the FY 2013 Hospital VBP Program — This presentation was presented on February 28, 2012. CMS subject matter experts provide an overview and updates on the Hospital Value-Based Purchasing Program for fiscal year 2013 and how hospitals will be evaluated. A question and answer session follows the presentations. Run time: 90 minutes.
  • Medicare Spending Per Beneficiary Measure — This presentation was presented on February 9, 2012. CMS subject matter experts provide an overview on the background of the Medicare Spending Per Beneficiary Measure, as well as an explanation of how the measure is calculated, including the approach to risk adjustment and payment standardization. Run time: 84 minutes.

Physician Quality Reporting System and Electronic Prescribing Incentive Program

  • Welcome to the Electronic Prescribing eRx Incentive Program — This presentation was recorded on March 28, 2012. CMS subject matter experts provide an overview of the Medicare Electronic Prescribing (eRx) Incentive Program. Highlights include a brief program background, a look at the program website and documentation, high-level steps on how to get started; available resources and who to contact for help. Run time: 16 minutes.
  • Welcome to the Physician Quality Reporting System — This presentation was recorded on February 1, 2012. CMS subject matter experts provide an overview of the Medicare Physician Quality Reporting System. Highlights include a brief background of the program, a look at the program website and documentation, high-level steps to get you started, available resources and who to contact for help. Run time: 15 minutes.

Medicare Physician Feedback Program

  • Medicare Physician Feedback Program: Payment Standardization and Risk Adjustment  – This presentation was presented on December 21, 2011. CMS subject matter experts discuss how and why per capita cost measures are adjusted under the Physician Feedback Program and in the Quality and Resource Use Reports. This call provided an opportunity to: (1) have a public dialogue about our methodology, (2) obtain stakeholder input, and (3) discuss ways to further improve these cost adjustment processes. Run time: 118 minutes.

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Updates from the Medicare Learning Network

From the MLN: New Fast Fact and Archive on MLN Provider Compliance Webpage – A new fast fact is now available on the MLN Provider Compliance webpage.  This webpage provides the latest Medicare Learning Network® (MLN) products designed to help Medicare Fee-For-Service providers understand – and avoid – common billing errors and other improper activities. You can now view previous fast facts on the MLN Provider Compliance Fast Fact Archive page. Please bookmark this page and check back often as a new fast fact is added each month.

From the MLN: “Negative Pressure Wound Therapy Interpretive Guidelines” MLN Matters® Article Released MLN Matters® Special Edition Article #SE1222, “Negative Pressure Wound Therapy Interpretive Guidelines” has been released and is now available in downloadable format. This article is designed to provide education on CMS-approved guidelines that accrediting organizations can use to accredit suppliers that provide Negative Pressure Wound Therapy (NPWT) equipment to Medicare beneficiaries.  It includes a list of relevant local coverage determinations and standards to help DMEPOS suppliers comply with standards and guidelines for NPWT equipment.

From the MLN:  “Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Quality Standards” Booklet Revised Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Quality Standards Booklet (ICN 905700) has been revised and is now available in downloadable and hard copy format. This booklet is designed to provide education on durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). It includes DMEPOS quality standards as well as information on Medicare deemed Accreditation Organizations (AOs) for DMEPOS suppliers.

From the MLN: “Quick Reference Information: Preventive Services” and “Quick Reference Information: Medicare Immunization Billing” Revised – The MLN has revised the recently updated Quick Reference Information: Preventive Services (ICN 006559) and Quick Reference Information: Medicare Immunization Billing (ICN 006799) educational tools.  We have updated these charts to include the recently released flu code Q2034.  All other information remains the same.

From the MLN: “Medicare Fraud & Abuse: Prevention, Detection, and Reporting” Web-Based Training — New – This Web-Based Training (WBT) course is designed to provide education on how to identify Medicare fraud and abuse and understand the related laws and penalties. It includes information on what entities and safeguards protect against and detect fraud and abuse, as well as how you can help prevent and report it. Continuing education credit is available for this course.  To access a new or revised WBT course, visit the MLN Products webpage and click on “Web-Based Training (WBT) Courses” under “Related Links” at the bottom of the webpage.

From the MLN: “Explaining the Difference Between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN)” MLN Matters® Article Released –

MLN Matters® Special Edition Article #SE1216, “Explaining the Difference Between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN)” has been released and is now available in downloadable format. This article is designed to provide education on the differences between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN). It includes information about new enrollees, revalidation, the relationship between the NPI and PTAN, and how providers can protect their identity in the Provider Enrollment Chain & Ownership System (PECOS).

From the MLN:  “MLN Products Catalog” Revised – The MLN has revised the MLN Products Catalog.  The May 2012 MLN Products Catalog is a free interactive downloadable document that links you to online versions of MLN products or the product ordering page for hardcopy materials. Once you have opened the catalog, you may either click on the title of an individual product or on “Formats Available.”

 

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