Home Health, Hospice & Durable Medical Equipment Open Door Forum
**Updated January 24, 2013 - We are aware that many people were not able to participate during today’s Future Development of the QIO Program Special Open Door Forum due to a limited number of phone lines available. We apologize for this inconvenience. An encore replay of this call will be available beginning today at 4pm ET and will continue until midnight, Friday, January 25, 2013. To access the encore feature, dial: 1-855-859-2056; Conference ID: 90637068. A transcript and copy will also be made available in the coming days and will be posted on our website. You will receive notification when the transcript and audio copy are available on our website. Thank you for your continued interest in the CMS Open Door Forums.**Updated January 24, 2013 - The slides for today's (12:30pm - 2:00pm ET) Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum are now available on our website at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityImprovementOrgs/Downloads/QIOSODF01-24-13.pdf . If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 17, 2013 - The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum, entitled "Future Development of the Quality Improvement Organization (QIO) Program," on January 24, 2013 from 12:30pm - 2:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 9, 2013 - Urgent Hospice Quality Reporting Registration Information has been added to the Downloads section below. Thank you.
**Updated January 7, 2013 - A reminder that the next Home Health, Hospice & Durable Medical Equipment (DME) Open Door Forum is scheduled for Wednesday, January 9, 2013, from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 78868196. Please see the agenda in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 3, 2013 - The transcript and audio file of the December 19, 2012 Hospice Special Open Door Forum is available on the Special Open Door Forum web page in the Downloads section: http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpecialODF.html . Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 2, 2013 - The next Home Health, Hospice & Durable Medical Equipment (DME) Open Door Forum is scheduled for Wednesday, January 9, 2013, from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 78868196. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 2, 2013 - CMS Announces 90-Day Period of Enforcement Discretion for Compliance with Eligibility and Claim Status Operating Rules. Please see Downloads section below for full announcement.
**Updated December 17, 2012 - The Centers for Medicare & Medicaid Services (CMS) will host a National Provider Call on the Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments on Tuesday, January 8, 2013 from 1:30pm - 3:30pm ET. Please see the full announcement in the Downloads section below for registration information. Thank you.
**Updated December 14, 2012 - Please see the "New Electronic Mailing List to Keep Fee-For-Service Providers Informed" announcement in the Downloads section below.
**Updated December 13, 2012 - The Centers for Medicare & Medicaid Services (CMS) will host a Hospice Special Open Door Forum on Wednesday, December 19, 2012 from 1:00pm - 2:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 81540883. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated December 13, 2012 - The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum entitled Suggested Electronic Clinical Template for Power Mobility Devices on Wednesday, December 19, 2012 from 4:00pm - 5:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 69289478. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated December 10, 2012 - Hospice Quality Reporting Program Data Submission Webex is available:
A WebEx training about the web-based data submission is available on the QTSO website. Hospices can access the WebEx at their convenience at: https://www.qtso.com/hospicetrain.html
For the first year of reporting affecting the FY 2014 payment determination, hospices are submitting two measures: The Structural/QAPI measure and the NQF 0209 measure. The data collection period is Oct 1-Dec 31, 2012. The structural measure must be reported by January 31, 2013 and the NQF #0209 by April 1, 2013. Additional information and materials about the hospice quality reporting program are available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Spotlight.html
**Updated December 3, 2012 - The transcript and audio file for the October 22, 2012 Manual Medical Review of Therapy Claims Special Open Door Forum is available on the Special Open Door Forum web page: http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpecialODF.html . Thank you for your continued interest in the CMS Open Door Forums.
**Updated November 27, 2012 - The Agenda for the next Home Health, Hospice & Durable Medical Equipment Open Door Forum, scheduled for Wednesday, November 28, 2012, from 2:00pm – 3:00pm, ET, is now available in the Downloads section below. If you wish to participate, dial 1-800-837-1935; Conference ID: 72193272. Thank you for your continued interest in the CMS Open Door Forums.
**Updated November 19, 2012 - The next Home Health, Hospice & Durable Medical Equipment (DME) Open Door Forum is scheduled for Wednesday, November 28, 2012, from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 72193272. Another notification will be sent before the call with the agenda. Thank you for your continued interest in the CMS Open Door Forums.
**Updated November 13, 2012 - CMS has updated Spotlight & Announcements with information about upcoming WebEx training on the Hospice Quality Reporting Program Data Entry and Submission:
CMS has posted information on the Spotlight & Announcement page of the Hospice Quality Reporting website about the upcoming availability of WebEx training for hospices. The training will help hospices prepare for web-based data entry and submission of quality data affecting the FY 2014 payment determination. The WebEx will be available beginning the week of November 12, 2012. Hospices can access additional details about the WebEx here: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Spotlight.html
**Updated September 27, 2012 - The next Home Health, Hospice & Durable Medical Equipment (DME) Open Door Forum is scheduled for Wednesday, October 3, 2012, from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 76245818. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated April 6, 2012 -The Centers for Medicare and Medicaid Services is pleased to announce the scheduled release of modifications to the Healthcare Common Procedure Coding System (HCPCS) code set. These changes have been posted to the HCPCS website at http://www.cms.gov/HCPCSReleaseCodeSets/02_HCPCS_Quarterly_Update.asp . Changes are effective on the date indicated on the update.
In response to shortage of liposomal doxorubicin (Doxil), the FDA is permitting the temporary importation of Lipodox, a brand of liposomal doxorubicin hydrochloride.
See http://www.fda gov/NewsEvents/Newsroom/PressAnnouncements/ucm292658.htm . The Centers for Medicare and Medicaid Services’ (CMS) HCPCS Quarterly update includes 2 new codes (Q2048 and Q2049) for liposomal doxorubicin that will become effective July 1, 2012. The code descriptors are worded in a manner that distinguishes Lipodox and Doxil. As of July 1, 2012, HCPCS code J9001 will not be used for Medicare billing. CMS will release a Change Request (CR) with additional instructions in the near future.
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Home Health, Hospice, and Durable Medical Equipment Open Door Forum (ODF) Overview:
The Home Health, Hospice & Durable Medical Equipment ODF addresses the concerns of three unique health care areas within the Medicare & Medicaid programs. Issues related to Home Health PPS, the newly proposed competitive bidding for DME, and the Medicare Hospice benefit are all topics the forum has covered. Many of the issues covered bridge concerns within all three settings, and the combination of the topics under one Forum has been useful to many participants. We continue to hold Special ODFs when individual policy issues require special attention. Timely announcements and clarifications regarding important rulemaking, agency program initiatives, and other related areas are also included in the forums.
Downloads
- Thursday, January 24, 2013 - Announcement - Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum [PDF, 244KB]
- January 9, 2013 - Hospice Quality Reporting Registration Information [PDF, 85KB]
- Wednesday, January 9, 2013 - Agenda - Home Health, Hospice & DME Open Door Forum [PDF, 72KB]
- CMS Announces 90-Day Period of Enforcement Discretion for Compliance with Eligibility and Claim Status Operating Rules [PDF, 77KB]
- Tuesday, January 8, 2013 - Announcement - Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments National Provider Call [PDF, 277KB]
- New Electronic Mailing List to Keep Medicare Fee-For-Service Providers Informed [PDF, 263KB]
- Wednesday, December 19, 2012 - Announcement - Hospice Special Open Door Forum [PDF, 274KB]
- Wednesday, December 19, 2012 - Announcement - Suggested Electronic Clinical Template for Power Mobility Devices Special Open Door Forum [PDF, 150KB]
- Wednesday, November 28, 2012 - Agenda - Home Health, Hospice & DME Open Door Forum [PDF, 69KB]
- Wednesday, October 3, 2012 - Announcement - Home Health, Hospice & DME Open Door Forum [PDF, 22KB]
- Wednesday, August 22, 2012 - Announcement - Home Health, Hospice & DME/Quality Open Door Forum [PDF, 24KB]
- July 11, 2012 - Home Health, Hospice & Durable Medical Equipment Open Door Forum Agenda [PDF, 23KB]
- A/B MAC Jurisdictions Map [PDF, 32KB]
Related Links
- Home Health Agency (HHA) Center
- Hospice Center
- Durable Medical Equipment (DME) Center
- DMEPOS Competitive Bidding
- Durable Medical Equipment, Prosthetics/Orthotics & Supplies Fee Schedule
- Survey & Certification - General Information
- HCPCS - General Information
- Outcome and Assessment Information Set (OASIS)
Hospitals Open Door Forum
**Updated January 24, 2013 - We are aware that many people were not able to participate during today’s Future Development of the QIO Program Special Open Door Forum due to a limited number of phone lines available. We apologize for this inconvenience. An encore replay of this call will be available beginning today at 4pm ET and will continue until midnight, Friday, January 25, 2013. To access the encore feature, dial: 1-855-859-2056; Conference ID: 90637068. A transcript and copy will also be made available in the coming days and will be posted on our website. You will receive notification when the transcript and audio copy are available on our website. Thank you for your continued interest in the CMS Open Door Forums.**Updated January 24, 2013 - The slides for today's (12:30pm - 2:00pm ET) Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum are now available on our website at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityImprovementOrgs/Downloads/QIOSODF01-24-13.pdf . If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 17, 2013 - The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum, entitled "Future Development of the Quality Improvement Organization (QIO) Program," on January 24, 2013 from 12:30pm - 2:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 2, 2013 - CMS Announces 90-Day Period of Enforcement Discretion for Compliance with Eligibility and Claim Status Operating Rules. Please see Downloads section below for full announcement.
**Updated December 17, 2012 - The Centers for Medicare & Medicaid Services (CMS) will host a National Provider Call on the Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments on Tuesday, January 8, 2013 from 1:30pm - 3:30pm ET. Please see the full announcement in the Downloads section below for registration information. Thank you.
**Updated December 14, 2012 - Please see the "New Electronic Mailing List to Keep Fee-For-Service Providers Informed" announcement in the Downloads section below.
**Updated December 7, 2012 - The transcript & audio file from the Thursday, October 18, 2012 Long Term Care Hospital Quality Reporting Program Special Open Door Forum is now available on the CMS Special Open Door Forum webpage: http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpecialODF.html . Thank you for your continued interest in the CMS Open Door Forums.
**Updated November 26, 2012 - The Agenda for the next Hospital & Hospital Quality Open Door Forum, scheduled for Tuesday, November 27, 2012, from 2:00 pm – 3:00 pm, ET, is now available in the Downloads section below. If you wish to participate, dial 1-800-837-1935; Conference ID: 72188364. Thank you for your continued interest in the CMS Open Door Forums.
**Updated November 16, 2012 - The next Hospital & Hospital Quality Open Door Forum is scheduled for Tuesday, November 27, 2012, from 2:00 pm – 3:00 pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 72188364. A follow-up notification will be sent when the agenda becomes available. Thank you for your continued interest in the CMS Open Door Forums.
**Updated September 28, 2012 - CMS has posted its Preliminary Decisions on the Recommendations of the Hospital Outpatient Payment Panel on Supervision Levels for Individual Services. These preliminary decisions are open for public comment for 30 days through October 24, 2012, and the posting provides instructions for submitting a comment. Additional information is available on the Hospital Outpatient PPS web page: http://cms.hhs.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/index.html
**Updated September 17, 2012 - The next Hospital & Hospital Quality Open Door Forum is scheduled for Wednesday, September 19, 2012, from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 76245290. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated September 10, 2012 - CMS has made available two new recorded training sessions for IRFs on the QIES Technical Support Office (QTSO) website. The sessions are as follows:
1. IRF-PAI Assessment Submission Process – provides the necessary instructions for submitting IRF-PAI assessment data to the ASAP IRF-PAI Submission System beginning October 1, 2012.
2. CASPER Reports for IRFs – provides information about accessing and interpreting the ASAP system-generated IRF-PAI Facility Final Validation Report, identifies other reports available to IRFs and gives an overview of the basic functionality of the CASPER Reporting application.
• The recordings can be accessed via the e-University page on the QTSO website at https://www.qtso.com/webex/qiesclasses.php .
• Please contact the QTSO Help Desk at (800) 339-9313 or help@qtso.com if you have questions regarding this training session.
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Hospital & Hospital Quality Open Door Forum (ODF) Overview:
The Hospital Open Door Forum (ODF), addresses the concerns and questions of the Hospital service setting, The very broad scope of topics discussed within this forum, include payment, coverage, conditions of participation, billing, and many other current issues that are related to policy implementation. The Inpatient PPS, Outpatient PPS, provisions of the Affordable Care Act and other laws that affect the setting are all covered, and a recurring update from the areas of the Hospital Quality Initiative including the Hospital CAHPS initiative. Timely announcements and clarifications regarding important rulemaking, agency program initiatives, and other related areas are also included in the forums.
Downloads
- Thursday, January 24, 2013 - Announcement - Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum [PDF, 244KB]
- CMS Announces 90-Day Period of Enforcement Discretion for Compliance with Eligibility and Claim Status Operating Rules [PDF, 77KB]
- Tuesday, January 8, 2013 - Announcement - Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments National Provider Call [PDF, 277KB]
- New Electronic Mailing List to Keep Medicare Fee-For-Service Providers Informed [PDF, 263KB]
- Tuesday, November 27, 2012 - Agenda - Hospital & Hopital Quality Open Door Forum [PDF, 77KB]
- Wednesday, September 19, 2012 - Announcement - Hospital & Hospital Quality Open Door Forum [PDF, 21KB]
- Q&A- Type A and B Emergency Departments Under the OPPS (PDF, 43KB) [PDF, 43KB]
- CMS Intermediary/Carrier Directory [PDF, 371KB]
- Q&A- OPPS Device Upgrade (PDF, 12KB) [PDF, 11KB]
- RevisedIRFconfannouncement030512 [PDF, 25KB]
Related Links
Skilled Nursing Facilities/Long-Term Care Open Door Forum
**Updated January 24, 2013 - We are aware that many people were not able to participate during today’s Future Development of the QIO Program Special Open Door Forum due to a limited number of phone lines available. We apologize for this inconvenience. An encore replay of this call will be available beginning today at 4pm ET and will continue until midnight, Friday, January 25, 2013. To access the encore feature, dial: 1-855-859-2056; Conference ID: 90637068. A transcript and copy will also be made available in the coming days and will be posted on our website. You will receive notification when the transcript and audio copy are available on our website. Thank you for your continued interest in the CMS Open Door Forums.**Updated January 24, 2013 - The slides for today's (12:30pm - 2:00pm ET) Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum are now available on our website at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityImprovementOrgs/Downloads/QIOSODF01-24-13.pdf . If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 17, 2013 - The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum, entitled "Future Development of the Quality Improvement Organization (QIO) Program," on January 24, 2013 from 12:30pm - 2:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 16, 2013 - The Centers for Medicare & Medicaid Services (CMS) will host a National Provider Call, entitled "CMS National Partnership to Improve Dementia Care in Nursing Homes," on Thursday, January 31, 2013 from 1:30pm - 3:00pm ET. Please see the full announcement in the Downloads section below for registration information. Thank you.
**Updated January 2, 2013 - The Skilled Nursing Facilities (SNFs)/Long-Term Care (LTC) Open Door Forum scheduled for Thursday, January 3, 2013, from 2:00pm – 3:00pm, ET is cancelled. The next Skilled Nursing Facilities (SNFs)/Long-Term Care (LTC) Open Door Forum is scheduled for Thursday, February 14, 2013, from 2:00pm - 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 78866871. We apologize for any inconvenience this rescheduling may cause and thank you for your continued interest in the CMS Open Door Forums.
**Updated January 2, 2013 - CMS Announces 90-Day Period of Enforcement Discretion for Compliance with Eligibility and Claim Status Operating Rules. Please see Downloads section below for full announcement.
**Updated December 20, 2012 - The next Skilled Nursing Facilities (SNFs)/Long-Term Care (LTC) Open Door Forum is scheduled for Thursday, January 3, 2013, from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 78902294. Thank you for your continued interest in the CMS Open Door Forums.
**Updated December 17, 2012 - The Centers for Medicare & Medicaid Services (CMS) will host a National Provider Call on the Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments on Tuesday, January 8, 2013 from 1:30pm - 3:30pm ET. Please see the full announcement in the Downloads section below for registration information. Thank you.
**Updated December 14, 2012 - Please see the "New Electronic Mailing List to Keep Fee-For-Service Providers Informed" announcement in the Downloads section below.
Updated November 13, 2012 - Special Disaster-Related Information:
On the CMS Emergency home page at www.cms.gov/emergency, the “Downloads” section contains links to two sets of fee-for-service emergency Q&As: one for situations with §1135 waivers in effect, and the other for situations without such waivers. A set of Survey & Certification All Hazards FAQs is also available online, at www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertEmergPrep/downloads/AllHazardsFAQs.pdf.
In addition, the Federal Emergency Management Agency (FEMA) website has established a web page dedicated to information about Hurricane Sandy, at www.fema.gov/sandy. It contains information on special disaster assistance, including the availability of emergency shelters for those who are unable to remain in or return to their homes due to the disaster. For assistance, New York providers may contact the New York State Department of Health’s special emergency hotline number at (866) 544-1303. New Jersey providers may contact the New Jersey State Department of Health’s special emergency hotline number at (866) 234-0964.
**Updated September 28, 2012 - The next Skilled Nursing Facilities (SNFs)/Long-Term Care (LTC) Open Door Forum is scheduled for Thursday, October 4, 2012, from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 76246137. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated March 30, 2012 - A new clarification memo has been posted to the SNF PPS website. This memo is intended to provide clarification of a number of questions that we have received on various SNF policies as well as introduce a new policy, effective April 1, 2012, for handling interviews on unscheduled PPS assessments. The memo may be accessed through the following link: http://www.cms.gov/SNFPPS/Downloads/SNF-Clarification-Memo-20120308.pdf.
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Skilled Nursing Facilities/Long Term Care Open Door Forum (ODF) Overview:
The Skilled Nursing Facilities / Long-Term Care Open Door Forum (ODF) addresses the concerns and issues of both the Medicare SNF, the Medicaid NF, and the nursing home industry generally. The types of issues that come up during this forum are often related to the Minimum Data Set, SNF Consolidated Billing, the roles and responsibilities of different SNF, NF or LTC professional staff under CMS regulations, clarifications of issues that are covered during a survey and certification process, and the many rules and requirements under which different related services can be payable. Timely announcements and clarifications regarding important rulemaking, quality program initiatives, and other related areas are also included in the forums.
Downloads
- Thursday, January 24, 2013 - Announcement - Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum [PDF, 244KB]
- Thursday, January 31, 2013 - National Provider Call - To Improve Dementia Care in Nursing Homes [PDF, 299KB]
- CMS Announces 90-Day Period of Enforcement Discretion for Compliance with Eligibility and Claim Status Operating Rules [PDF, 77KB]
- Tuesday, January 8, 2013 - Announcement - Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments National Provider Call [PDF, 277KB]
- New Electronic Mailing List to Keep Medicare Fee-For-Service Providers Informed [PDF, 263KB]
- Thursday, November 15, 2012 - Agenda - Skilled Nursing Facilities (SNFs)/Long Term Care (LTC) Open Door Forum [PDF, 68KB]
- Thursday, October 4, 2012 - Announcement - Skilled Nursing Facilities/Long-Term Care Open Door Forum [PDF, 21KB]
- SE1005 [PDF, 69KB]
- Medicare Learning Network (MLN) Special Edition Article #SE1005: Providers Randomly Selected to Participate in the Medicare Contractor Provider Satisfaction Survey (MCPSS) Urged to Respond (PDF, 66KB) [PDF, 76KB]
- Survey and Cert Letter 09-17 (PDF, 149 KB) [PDF, 29KB]
Related Links
- Skilled Nursing Facility Center
- Nursing Home Quality Initiative
- Medicare Contracting Reform
- Nursing Homes
- Beneficiary Notices Initiative (BNI)
- SNF Consolidated Billing
Physicians, Nurses and Allied Health Professionals Open Door Forum
**Updated January 24, 2013 - We are aware that many people were not able to participate during today’s Future Development of the QIO Program Special Open Door Forum due to a limited number of phone lines available. We apologize for this inconvenience. An encore replay of this call will be available beginning today at 4pm ET and will continue until midnight, Friday, January 25, 2013. To access the encore feature, dial: 1-855-859-2056; Conference ID: 90637068. A transcript and copy will also be made available in the coming days and will be posted on our website. You will receive notification when the transcript and audio copy are available on our website. Thank you for your continued interest in the CMS Open Door Forums.**Updated January 24, 2013 - The slides for today's (12:30pm - 2:00pm ET) Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum are now available on our website at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityImprovementOrgs/Downloads/QIOSODF01-24-13.pdf . If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 22, 2013 - The next Physicians, Nurses & Allied Health Professionals Open Door Forum is scheduled for Tuesday, January 29, 2013 from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 78870847. An agenda will be posted before the scheduled call and you will receive a separate notification. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 17, 2013 - The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum, entitled "Future Development of the Quality Improvement Organization (QIO) Program," on January 24, 2013 from 12:30pm - 2:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 10, 2013 - CMS is providing an opportunity to preview the redesigned Physician Compare website prior to its release early this year. Please see the Downloads section below for further details. Thank you.
**Updated January 2, 2013 - CMS Announces 90-Day Period of Enforcement Discretion for Compliance with Eligibility and Claim Status Operating Rules. Please see the Downloads section below for full announcement.
**Updated December 17, 2012 - The Centers for Medicare & Medicaid Services (CMS) will host a National Provider Call on the Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments on Tuesday, January 8, 2013 from 1:30pm - 3:30pm ET. Please see the full announcement in the Downloads section below for registration information. Thank you.
**Updated December 13, 2012 - The next Physicians, Nurses & Allied Health Professionals Open Door Forum is scheduled for Wednesday, December 19, 2012 from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 78846043. An agenda will be posted before the scheduled call and you will receive a separate notification. Thank you for your continued interest in the CMS Open Door Forums.
**Updated December 13, 2012 - The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum entitled Suggested Electronic Clinical Template for Power Mobility Devices on Wednesday, December 19, 2012 from 4:00pm - 5:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 69289478. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated December 13, 2012 - Please see the "New Electronic Mailing List to Keep Fee-For-Service Providers Informed" announcement in the Downloads section below.
**Updated December 11, 2012 - On Wednesday, December 12, 2012 from 4:00pm - 5:00pm ET, The Centers for Medicare & Medicaid Services will host a Special Open Door Forum to review the upcoming increase in Medicaid payments for certain primary care services to equal the Medicare payment rate. The Affordable Care Act calls for this increase to be in effect in 2013 and 2014 with the federal government paying the difference between a state’s Medicaid payment rate for a primary care service and the Medicare rate. If you wish to participate, dial 1-800-837-1935; Conference ID: 80451033. Thank you for your continued interest in the CMS Open Door Forums.
**Updated December 3, 2012 - The Centers for Medicare & Medicaid Services (CMS) will host a National Provider Call entitled "Preparing for Therapy Functional Reporting Implementation in CY 2013" on Wednesday, December 12, 2012 from 1:30pm - 3pm ET. Please see the full participation announcement in the Downloads section below.
**Updated December 3, 2012 - The transcript and audio file for the October 22, 2012 Manual Medical Review of Therapy Claims Special Open Door Forum is available on the Special Open Door Forum web page: http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpecialODF.html . Thank you for your continued interest in the CMS Open Door Forums. **Updated November 6, 2012 - The next Physicians, Nurses & Allied Health Professionals Open Door Forum is scheduled for Friday, November 9, 2012, from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 76246301. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated September 21, 2012 - The next Physicians, Nurses & Allied Health Professionals Open Door Forum is scheduled for Friday, September 28, 2012, from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 76253141. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
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Physicians Nurses & Allied Health Professionals Open Door Forum Overview
The Physicians, Nurses, and Allied Health Professionals Open Door Forum addresses the concerns and issues of Medicare and Medicaid physicians, non-physician practitioners, nurses, and other allied health care specialists. This diverse group of providers serves Medicare and Medicaid beneficiaries in almost all service settings, ranging from independent physician offices to specialized departments within larger facilities. The types of issues that come up during this forum are as varied as the providers who participate, but some frequent topics include the Physician Fee Schedule, Stark regulations, care plan oversight, payment and documentation rules, Provider Enrollment Chain Ownership System (PECOS), as well as the roles and responsibilities of different allied health professional staff under CMS regulations. Timely announcements and clarifications regarding important rulemaking, quality program initiatives, and other related areas are also included in the forums.
Downloads
- Thursday, January 24, 2013 - Announcement - Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum [PDF, 244KB]
- January 10, 2013 - Feedback on Physician Compare Redesign & Public Reporting Accepted through January 14, 2013 [PDF, 236KB]
- CMS Announces 90-Day Period of Enforcement Discretion for Compliance with Eligibility and Claim Status Operating Rules [PDF, 77KB]
- Tuesday, January 8, 2013 - Announcement - Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments National Provider Call [PDF, 277KB]
- Wednesday, December 19, 2012 - Announcement - Suggested Electronic Clinical Template for Power Mobility Devices Special Open Door Forum [PDF, 150KB]
- New Electronic Mailing List to Keep Medicare Fee-For-Service Providers Informed [PDF, 263KB]
- Wednesday, December 12, 2012 - Announcement - National Provider Call: Preparing for Therapy Functional Reporting Implementation in CY 2013 [PDF, 274KB]
- Tuesday, November 20, 2012 - Announcement - Physician Quality Reporting & Electronic Prescribing Incentive Program National Provider Call [PDF, 274KB]
- Friday, November 9, 2012 - Announcement - Physicians, Nurses & Allied Health Professionals Open Door Forum [PDF, 67KB]
- Friday, September 28, 2012 - Announcement - Physicians, Nurses & Allied Health Professionals Open Door Forum [PDF, 21KB]
Related Links
- Physician Center
- Physician Quality Reporting System
- Electronic Prescribing (eRx) Incentive Program
- Physician Regulatory Issues Team (PRIT)
- Health Care Consumer Initiatives
- Therapy Services
- Prevention - General Information
Ambulance Open Door Forum
**Updated January 24, 2013 - We are aware that many people were not able to participate during today’s Future Development of the QIO Program Special Open Door Forum due to a limited number of phone lines available. We apologize for this inconvenience. An encore replay of this call will be available beginning today at 4pm ET and will continue until midnight, Friday, January 25, 2013. To access the encore feature, dial: 1-855-859-2056; Conference ID: 90637068. A transcript and copy will also be made available in the coming days and will be posted on our website. You will receive notification when the transcript and audio copy are available on our website. Thank you for your continued interest in the CMS Open Door Forums.**Updated January 24, 2013 - The slides for today's (12:30pm - 2:00pm ET) Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum are now available on our website at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityImprovementOrgs/Downloads/QIOSODF01-24-13.pdf . If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 17, 2013 - The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum, entitled "Future Development of the Quality Improvement Organization (QIO) Program," on January 24, 2013 from 12:30pm - 2:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 2, 2013 - CMS Announces 90-Day Period of Enforcement Discretion for Compliance with Eligibility and Claim Status Operating Rules. Please see Downloads section below for full announcement.
**Updated December 17, 2012 - The Centers for Medicare & Medicaid Services (CMS) will host a National Provider Call on the Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments on Tuesday, January 8, 2013 from 1:30pm - 3:30pm ET. Please see the full announcement in the Downloads section below for registration information. Thank you.
**Updated December 14, 2012 - Please see the "New Electronic Mailing List to Keep Fee-For-Service Providers Informed" announcement in the Downloads section below.
**Updated October 11, 2012- The next Ambulance Open Door Forum is scheduled for Wednesday, October 17, 2012 from 2pm-3pmET. If you wish to participate; dial 1-800-837-1935 Conference ID: 76246632. Please see the Downloads section below for the full participation announcement. Thank you for your continued interest in the CMS Open Door Forums.
**Updated June 12, 2012- The next Ambulance Open Door Forum is scheduled for Wednesday, June 13, 2012 from 2pm-3pmET. If you wish to participate; dial 1-800-837-1935 Conference ID: 52261320. This call will be Conference Call Only. Please see the Downloads section below for the full participation announcement. Thank you for your continued interest in the CMS Open Door Forums.
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Ambulance Open Door Forum Overview:
The Ambulance Open Door Forum handles issues related to the payment, billing, coverage and delivery of services in the ambulance industry. The Ambulance Fee Schedule rules, rural and other ambulance payment enhancements, requirements for ambulance service certification and payment determinations, are just some of the many types of issues addressed within the forum. In addition, discussions differentiating the rules related to provider-based and independent ambulance services are facilitated. Timely announcements and clarifications regarding important rulemaking, agency program initiatives, and other related areas are also included in the forums.
Downloads
- Thursday, January 24, 2013 - Announcement - Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum [PDF, 244KB]
- CMS Announces 90-Day Period of Enforcement Discretion for Compliance with Eligibility and Claim Status Operating Rules [PDF, 77KB]
- Tuesday, January 8, 2013 - Announcement - Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments National Provider Call [PDF, 277KB]
- New Electronic Mailing List to Keep Medicare Fee-For-Service Providers Informed [PDF, 263KB]
- Wednesday, October 17, 2012 - Announcement - Ambulance Open Door Forum [PDF, 67KB]
- Wednesday, June 13, 2012 – Announcement: Ambulance Open Door Forum [PDF, 17KB]
- Medicare Learning Network (MLN) Matters Special Edition Article #SE0433: Skilled Nursing Facility Consolidated Billing As It Relates to Ambulance Services (PDF, 81KB) [PDF, 82KB]
Related Links
- Medicare Provider-Supplier Enrollment
- National Provider Identifier Standard (NPI)
- Ambulances Services Center
- Paperwork Reduction Act (PRA) of 1995
- Transmittals
- MLN Matters Articles
- CMS Regional Offices
Low-Income Health Access Open Door Forum
**Updated January 24, 2013 - We are aware that many people were not able to participate during today’s Future Development of the QIO Program Special Open Door Forum due to a limited number of phone lines available. We apologize for this inconvenience. An encore replay of this call will be available beginning today at 4pm ET and will continue until midnight, Friday, January 25, 2013. To access the encore feature, dial: 1-855-859-2056; Conference ID: 90637068. A transcript and copy will also be made available in the coming days and will be posted on our website. You will receive notification when the transcript and audio copy are available on our website. Thank you for your continued interest in the CMS Open Door Forums.**Updated January 24, 2013 - The slides for today's (12:30pm - 2:00pm ET) Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum are now available on our website at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityImprovementOrgs/Downloads/QIOSODF01-24-13.pdf . If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 17, 2013 - The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum, entitled "Future Development of the Quality Improvement Organization (QIO) Program," on January 24, 2013 from 12:30pm - 2:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated December 17, 2012 - The Centers for Medicare & Medicaid Services (CMS) will host a National Provider Call on the Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments on Tuesday, January 8, 2013 from 1:30pm - 3:30pm ET. Please see the full announcement in the Downloads section below for registration information. Thank you.
**Updated December 14, 2012 - Please see the "New Electronic Mailing List to Keep Fee-For-Service Providers Informed" announcement in the Downloads section below.
**Updated December 3, 2012 - Reminder that the next Low Income Health Access Open Door Forum is scheduled for Wednesday, December 5, 2012, from 2:00pm – 3:30pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 75154169. Please see the full participation announcement with agenda in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated November 27, 2012 - The next Low Income Health Access Open Door Forum is scheduled for Wednesday, December 5, 2012, from 2:00pm – 3:30pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 75154169. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated September 10, 2012 - The next Low Income Health Access Open Door Forum is scheduled for Wednesday, September 12, 2012, from 2:00pm – 3:30pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 76244792. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated March 6, 20121- The proposed agenda for the next Low Income Health Access Open Door Forum is scheduled for Wednesday, March 14, 2012 from 2:00pm-3:30pmET is as follows: Strong Start Initiative; CMS and HRSA Text4Baby activities; HRSA Healthy Weight Collaborative. This agenda is subject to Change. If you wish to participate, dial 1-800-837-1935 Conference ID 27277720. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
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Low Income Health Access ODF Overview
The Low Income Health Access ODF addresses the concerns of the beneficiary advocates, providers, and information intermediaries throughout the country interested in improving access to Medicare and Medicaid for lower income Americans. Generally, CMS addresses are new guidance or initiatives in programs for people with low-incomes, such as the Medicaid and SCHIP programs. Also, CMS provides information on the Medicare Prescription Drug Benefit, as well as the low-income subsidy. Services settings such as Federally Qualified Health Centers (FQHCs), Community Health Centers (CHCs) and 340(b) Hospitals and other providers are also often discussed. CMS co-hosts this forum with the Health Resources & Services Administration (HRSA). Timely announcements and clarifications regarding important rulemaking, agency program initiatives, and other related areas impacting the lower income beneficiaries are also included in the Forums.
Downloads
- Thursday, January 24, 2013 - Announcement - Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum [PDF, 244KB]
- Tuesday, January 8, 2013 - Announcement - Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments National Provider Call [PDF, 277KB]
- New Electronic Mailing List to Keep Medicare Fee-For-Service Providers Informed [PDF, 263KB]
- Wednesday, December 5, 2012 - Agenda - Low Income Health Access Open Door Forum [PDF, 194KB]
- Wednesday, September 12, 2012 - Announcement - Low Income Health Access Open Door Forum [PDF, 28KB]
- HRSA Affordable Care Act Provisions Updated PPT Slides (pdf, 24KB) [PDF, 1008KB]
- AgendaLowIncomeHealthAccess031412 [PDF, 21KB]
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