CMS

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Now Available on the CMS Web Site: Medicare Shared Savings Program 2012 ACO Narrative Quality Measures Specifications Manual and Application Crosswalks

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From CMS

The Centers for Medicare & Medicaid Services (CMS) has added new information to the Medicare Shared Savings Program (Shared Savings Program) Web site at www.cms.gov/sharedsavingsprogram. External

2012 Physician Quality Reporting System Educational Products Are Now Available!

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From CMS

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the posting of 2012 Physician Quality Reporting System educational products at http://www.cms.gov/PQRS on the CMS Web site.

2012 Physician Quality Reporting System Measures List – this document identifies and explains the measures used in Physician Quality Reporting, including information on the reporting options/methods, measure developers and their contact.

CMS Publishes new standards for EFT Transfers

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New standards for electronic funds transfers in health care, required by the Affordable Care Act, will reduce up to $4.5 billion off administrative costs for doctors and hospitals, private health plans, states, and other government health plans, over the next ten years, according to estimates included in new rules published today by the U.S. Department of Health and Human Services (HHS).

A Gentle Reminder from CMS

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A recent notice on the Medicare Part B Website is titled : Electronic Inquiries Must Not Include Protected Health Information

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Providers are reminded that National Government Services is unable to accept e-mail inquiries that include beneficiary/claim-specific information due to protected health information (PHI) Internet security policy requirements. When sending your request, please make sure it does not include any of the following information:

CMS Announces Delay to the Prepayment Review and Prior Authorization for PMDs Demonstration and the Recovery Audit Prepayment Review Demonstration

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News from CMS.

On November 15, 2011 CMS announced three demonstration projects. The CMS plans to conduct these demonstration projects to strengthen Medicare by aiming at eliminating fraud, waste, and abuse. Reductions in improper payments will help ensure the sustainability of the Medicare Trust Funds and protect beneficiaries who depend upon the Medicare program.

CMS Has extended the hardship exemption date to Nov. 8

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If you missed the November 1st exemption deadline, CMS has extended the deadline to declare hardship exemption to November 8th. Please read more to get the links to apply for the exemption.

CMS has mandated that physicians e-prescribe at least 10 prescriptions by June 30th, and at least 25 by the end of 2011. These prescriptions must be associated with eligible Evaluation and Management (E/M) services on Medicare participants - EM codes, not procedures.. The physician must also have the reporting code G8553 on the claim.

HHS announces refined survey standards to examine and help eliminate differences in care based on race, ethnicity, sex, primary language, or disability

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The U.S. Department of Health and Human Services today released final standards to more consistently measure race, ethnicity, sex, primary language, and disability status, thereby improving the ability to highlight disparities in health status and target interventions to reduce these disparities.

New ABN must be used effective a January 2012

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From the CMS website:

The latest version of the ABN (with the release date of 3/2011 printed in the lower left hand corner) is now available for immediate use and can be accessed via the link below. In order for providers and suppliers to have time to transition to using the newly posted notice, mandatory use of this version begins on January, 1 2012. All ABNs with the release date of 3/2008 that are issued on or after January 1, 2012 will be considered invalid.

Affordable Care Act program to help healthcare professionals improve care for patients and reduce costs in their communities

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Today, the Centers for Medicare & Medicaid Services announced that it was accepting applications for a new Innovation Advisors program to help health professionals deepen skills that will drive improvements to patient care and reduce costs. These health care improvements will benefit people enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Made possible by the Affordable Care Act, this initiative will be managed by the Center for Medicare and Medicaid Innovation (Innovation Center).

CMS publishes ICD 10 tools

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CMS has created a web page with information and tools for the conversion to ICD 10. They will be keeping the web site up to date will all of the latest ICD 10 information. It is worth visiting and bookmarking.

The web site is at http://www.cms.gov/ICD10/02b_Latest_News.asp#TopOfPage

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