Hospitals Open Door Forum

Overview:

The Hospital & Hospital Quality 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.

The Centers for Medicare & Medicaid Services (CMS) is seeking input from providers related to the implementation of the new LTCH Quality Reporting Programs (QRP) established in the Patient Protection and Affordable Care Act, also known as The Affordable Care Act, Section 3004. Please see the Downloads section below for full details. Thank you.
The Centers for Medicare & Medicaid Services (CMS) is seeking input from providers related to the implementation of the new Inpatient Rehabilitation Facility Quality Reporting Program (QRP) established in the Patient Protection and Affordable Care Act, also known as The Affordable Care Act, Section 3004. Please see the Downloads section below for full details. Thank you.
The Centers for Medicare & Medicaid Services is extending the deadline for Long-Term Care Hospitals (LTCHs) and Inpatient Rehabilitation Facilities (IRFs) submitting first quarter 2013 (January – March) quality data to 11:59:59 p.m. on August 23, 2013. The original deadline was 11:59:59 on August 15, 2013. Due to data submission challenges with both CMS reporting and the National Healthcare Safety Network systems, the extension applies to both clinical data and data on healthcare-associated infections.
CMS will host a Special Open Door Forum (ODF) call to allow hospitals, practitioners, and other interested parties to give feedback on the physician order and physician certification, inpatient hospital admission and medical review criteria, and Part B inpatient billing provisions that were released on August 2, 2013 in the FY 2014 Inpatient Prospective Payment System (IPPS) final rule (CMS-1599-F). If you wish to participate, dial 1-877-251-0301; Conference ID: 31049561. Please see the full announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
As part of our ongoing effort to keep you informed of the latest developments related to the OPEN PAYMENTS Program (Physician Payments Sunshine Act), new resources are now available. Please see the Downloads section below for more information.
The agenda for the Tuesday, August 6, 2013, Hospital & Hospital Quality Open Door Forum is now available in the Downloads section below. If you wish to participate, dial 1-800-837-1935; Conference ID: 14949842. Thank you for your continued interest in the CMS Open Door Forums.
The next Hospital & Hospital Quality Open Door Forum is scheduled for Tuesday, August 6, 2013 from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 14949842. An agenda will be posted in the Downloads section below prior to the call. Thank you for your continued interest in the CMS Open Door Forums.
The Centers for Medicare & Medicaid Services will host an ICD-10 Basics National Provider Call on Thursday, August 22, 2013, from 1:30-3:00pm ET. The target audience is medical coders, physicians, physician office staff, nurses and other non-physician practitioners, provider billing staff, health records staff, vendors, educators, system maintainers, laboratories, and all Medicare providers. Please see the Downloads section below for the full announcement including registration instructions. Thank you.
There was an error in the announcement for the two ESRD Quality Incentive Program National Provider Calls. The error has been fixed. Please see the updated announcement in the Downloads section below. Thank you.
The Centers for Medicare & Medicaid Services is pleased to offer an opportunity to provide feedback to CMS on a proposed rule that makes revisions to the Medicare Quality Improvement Organization (QIO) program. The proposed rule is open for comment until September 6, 2013. Please see the Downloads section below for more information.
The Centers for Medicare & Medicaid Services will host two ESRD Quality Incentive Program National Provider Calls. The dates of the calls are Wednesdays, August 7&14, 2013. Registration is open now. Please see the Downloads section below for full announcement and registration instructions. Thank you.
Thursday, August 8, 2013 – Open Payments: Policy Updates on Payments and the Physician Resource Toolkit – Registration Now Open. Please see the Downloads section below for full announcement.
CMS is hosting a series of EHR Incentive Program related national calls. The calls will take place on July 23, 2013, July 24, 2013 & August 15, 2013. Please see the Downloads section below for registration information.
We are extending the deadline for submitting informal public comments on three candidate measures for the PCHQR program to 11:59 PM (EDT) on July 19, 2013. This extension provides stakeholders and interested parties two additional weeks to submit informal public comments, while still allowing CMS to meet its programmatic goals. Thank you again for your support and participation. Please see Downloads section below for the full announcement.
The June 25, 2013, from 2:00pm - 3:00pm ET, Hospital & Hospital Quality Open Door Forum is Question & Answer only. If you wish to participate, dial 1-800-837-1935; Conference ID: 97148514. Thank you for your continued interest in the CMS Open Door Forums.
The next Hospital & Hospital Quality Open Door Forum is scheduled for Tuesday, June 25, 2013 from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 97148514. An agenda will be posted in the Downloads section below prior to the call. Thank you for your continued interest in the CMS Open Door Forums.
Please see the announcement in the Downloads section below titled, "Informal Public Comment Period: Proposed CMS PPS-Exempt Cancer Hospital Measures. CMS is requesting that stakeholders review and provide feedback on these measures. All comments on the measures must be received by July 3, 2013 at 11:59 PM (EDT), prior to the July 4th holiday.
On Thursday, May 16th, CMS hosted a webinar titled, “Data.Medicare.Gov: Get Started!” Please see the Downloads section below for the link to the May 16th webinar. Thank you.
On Thursday, May 16th, 1pm-2pm ET, The Centers for Medicare & Medicaid Services will be hosting a webinar, “Data.Medicare.Gov: Get Started!” to: Provide an introduction to Data.Medicare.Gov; Demonstrate options for accessing the data; and Describe how to make use of the site’s tools for exploring and interacting with the data. Please see the Downloads section below for full announcement with background information and registration instructions.
CMS Seeks Public Comment on Defining QIO Service Areas - Comments Accepted through Friday, May 31, 2013. Please see Downloads section below for full announcement.
CMS will host a National Provider Call on Wednesday, May 22, 2013, titled: National Physician Payment Transparency Program (Open Payments) - What You Need To Know. Please see Downloads section below for full announcement.
LTCH Quality Reporting Program Requirements for FY 2014 - May 15, 2013 Deadline for FY 2014 Payment Determination. See Downloads section below for full Announcement/Reminder.
The Durable Medical Equipment, Orthotics and Supplies (DMEPOS) Competitive Bidding Program will be changing how some Medicare patients get covered supplies. Be sure to give your Medicare patients the correct information. Please review (copy and paste the link into your web browser) the following link for information for people who refer Medicare beneficiaries for DMEPOS: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/DMEPOSCompetitiveBid/index.html?redirect=/DMEPOSCompetitiveBid/01_overview.asp.
Please see the "New Electronic Mailing List to Keep Fee-For-Service Providers Informed" announcement in the Downloads section below.
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.