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CMS will host a MLN Connects National Provider Call on Tuesday, September 24, 2013 from 3:00pm – 4:30pm ET titled: Program Year 2012 Quality and Resource Use Report – Mapping a Route to Success for the 2015 Value-Based Payment Modifier.
To Register: Visit MLN Connects™ Upcoming Calls. Space may be limited, register early.
Target Audience: Groups with 25 or more eligible professionals.
On September 16, 2013, CMS will make available the 2012 Quality Resource Use Reports (QRURs) to group practices with 25 or more eligible professionals (EPs). These reports show how a group would fare under the policies CMS has finalized for the Physician Value-Based Payment Modifier. This MLN Connects™ National Provider Call will provide an overview of the QRUR and how to interpret and use the data in the report.
Authorized representatives of groups can access the QRURs at https://portal.cms.gov using an Individuals Authorized Access to the CMS Computer Services (IACS) account with one of the following group-specific Physician Value-Physician Quality Reporting System (PV-PQRS) Registration System roles:
- Primary PV-PQRS Group Security Official
- Backup PV-PQRS Group Security Official
- PV-PQRS Group Representative
If a group has already registered and selected its 2013 PQRS group reporting mechanism in the PV-PQRS Registration System, then that same person who registered the group can access the group's QRUR using their IACS User ID and password. If a group does not yet have an authorized representative with an IACS account, then one person representing the group must sign up for an IACS account with the primary Group Security Official role. If a group has a representative with an existing IACS account, but not one of the three group-specific Registration System roles listed above, then ensure that the account is still active and then add a group-specific Registration System role to that person's existing IACs account.
We strongly encourage representatives of groups to sign up for a new IACS account or modify an existing account at https://applications.cms.hhs. gov as soon as possible in order to be able to access the QRURs prior to the call. Quick Reference Guides that provide step-by-step instructions for requesting each PV-PQRS Registration System role for a new or existing IACS account are available in the “Downloads section” of the Self Nomination/Registration web page.
The call will be more meaningful if you have your QRUR in front of you to follow along. A Quick Reference Guide that provides instructions on how to obtain your 2012 QRUR will be available soon in the “Downloads” section of the QRUR Templates and Methodologies web page.
Agenda:
- Opening Remarks
- How to Understand and Use the 2012 QRUR
- Question & Answer Session
- Closing
Continuing education credit may be awarded for participation in certain MLN Connects Calls. Visit the Continuing Education Credit Information web page to learn more.
Physicians, Nurses and Allied Health Professionals Open Door Forum
Overview:
The Physicians, Nurses and Allied Health Professionals Open Door Forum (ODF) 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.******
CMS will host a MLN Connects National Provider Call on Tuesday, September 24, 2013 from 3:00pm – 4:30pm ET titled: Program Year 2012 Quality and Resource Use Report – Mapping a Route to Success for the 2015 Value-Based Payment Modifier. Please see Downloads section below for the full announcement including participation instructions.
Please see the Downloads section below for an ICD-10 announcement titled, “Wednesday, August 28, 2013 – Announcement – ICD-10: Implementation for Physicians, Partial Code Freeze and MS-DRG Conversion Project MLN Connects Video.” Thank you.
The Transcript & Audio File of the July 31, 2013 Suggested Electronic Clinical Template for Lower Limb Prostheses Special Open Door Forum is now available on the Special Open Door Forum webpage: http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpecialODF.html
The next Physicians, Nurses & Allied Health Professionals Open Door Forum is scheduled for Tuesday, August 27, 2013 from 2:00pm – 3:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 14980086. Please see the Downloads section below for full participation instructions including the agenda. Thank you for your continued interest in the CMS Open Door Forums.
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 Centers for Medicare & Medicaid Services will host a series of Special Open Door Forum (ODF) calls to allow physicians, prosthetists, and other interested parties to give feedback on the Suggested Electronic Clinical Template for Lower Limb Prostheses for possible Medicare use nationwide. The next call is scheduled for Wednesday, September 11, 2013 from 4pm - 5pm ET. Please see the Downloads section below for the full announcement including participation instructions.
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.
The Centers for Medicare & Medicaid Services will host a series of Special Open Door Forum (ODF) calls to allow physicians, prosthetists, and other interested parties to give feedback on the Suggested Electronic Clinical Template for Lower Limb Prostheses for possible Medicare use nationwide. The next call is scheduled for Wednesday, July 31, 2013 from 1pm - 2pm ET. Please see the Downloads section below for the full announcement including participation instructions.
An updated and more detailed agenda for the Tuesday, July 16, 2013, Physicians, Nurses & Allied Health Professionals Open Door Forum has been added to the Downloads section below. If you wish to participate, dial 1-800-837-1935; Conference ID: 14758940. Thank you for your continued interest in the CMS Open Door Forums.
The next Physicians, Nurses & Allied Health Professionals Open Door Forum is scheduled for Tuesday, July 16, 2013 from 2:00pm – 3:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 14758940. Please see the Downloads section below for full participation instructions including the agenda. Thank you for your continued interest in the CMS Open Door Forums.
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.
CMS is developing a registry of Medicare providers for participation in the MSI. To accomplish this effort, CMS is seeking to collect accurate contact information by having providers complete the MSI Participant Registration form. The form itself is not a survey. It is a method for gathering pertinent contact information such as name, email address, state, etc. It should take less than 1 minute to complete. For each MSI administration, CMS will randomly select its MSI sample from a list of providers who register to become participants. Please see the Downloads section below for the full registration announcement.
The transcript of the Tuesday, May 28, 2013 Data Elements for Lower Limb Prosthesis Documentation Special Open Door Forum is available in the Downloads section of the Special Open Door Forum Page: http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpecialODF.html . Thank you for your continued interest in the CMS Open Door Forums.
The Centers for Medicare & Medicaid Service will host a series of Special Open Door Forum (ODF) calls to allow physicians, prosthetists, and other interested parties to give feedback on the Suggested Electronic Clinical Template for Lower Limb Prostheses for possible nationwide use for Medicare. The first call was held on Tuesday, May 28, 2013. The next call will take place on June 13, 2013 from 4pm-5pm ET. Please see Downloads section below for the full announcement including participation instructions.
The next Physicians, Nurses & Allied Health Professionals Open Door Forum is scheduled for Tuesday, June 4, 2013 from 2:00pm – 3:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 78869207. Please see the Downloads section below for full participation instructions including the agenda. Thank you for your continued interest in the CMS Open Door Forums.The Centers for Medicare & Medicaid Service will host a series of Special Open Door Forum (ODF) calls to allow physicians, prosthetists, and other interested parties to give feedback on the Suggested Electronic Clinical Template for Lower Limb Prostheses for possible nationwide use for Medicare. The first call was held on Tuesday, May 28, 2013. The next call will take place on June 13, 2013 from 4pm-5pm ET. Please see Downloads section below for the full announcement including participation instructions.
National Provider Calls: Medicare Shared Savings Program Application Process — Register Now
Thursday, June 20; 1:30-3pm ET— Application Review
Thursday, July 18; 1-2:30pm ET— Application Question and Answer Session. Please see Downloads section below for full announcement, including registration instructions.
The Centers for Medicare & Medicaid Service will host a series of Special Open Door Forum (ODF) calls to allow physicians, prosthetists, and other interested parties to give feedback on the Suggested Electronic Clinical Template for Lower Limb Prostheses for possible nationwide use for Medicare. The first call is scheduled for Tuesday, May 28, 2013 from 2pm - 3pm ET. Please see Downloads section below for the full announcement including participation instructions.
If you help people with Original Medicare get certain durable medical equipment and supplies, such as oxygen, walkers, or wheelchairs, you should know about a Medicare program, called the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) competitive bidding program, that saves money for taxpayers and people with Medicare and may change the suppliers people with Medicare will need to use. Please see the Downloads section below for the link titled: "Information You Need: New Medicare Equipment and Supplies Program In Your Community."
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.
An updated agenda for the Tuesday, April 23, 2013 Physicians, Nurses & Allied Health Professionals Open Door Forum is available in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
The next Physicians, Nurses & Allied Health Professionals Open Door Forum is scheduled for Tuesday, April 23, 2013 from 2:00pm – 3:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 78874311. Please see the Downloads section below for full participation instructions including the agenda. Thank you for your continued interest in the CMS Open Door Forums.
National Provider Calls: Medicare Shared Savings Program Application Process — Registration Now Open
Tuesday, April 9; 2:30-4pm ET — Preparing to Apply
Tuesday, April 23; 1:30-3pm ET — Tips on Completing a Successful Application. See Downloads section below for full announcement.
National Provider Call: Begin Transitioning to ICD-10 in 2013 — Registration Now Open
Thursday, April 18; 1:30-3pm ET. See Downloads section below for full announcement.
The CMS Innovation Center will be hosting a conference call on Tuesday, March 12, 2013 from 3:00pm to 4:00pm ET. CMS Innovation Center Director, Richard Gilfillan, MD, and Karen Murphy, RN, PhD, Director of the State Innovations Group, will provide an overview of the Model Testing, Pre-Testing and Model Design awards as well as additional information on how providers can participate in the State Innovation Models initiative. Please see the Downloads section below for the full announcement with participation instructions. Thank you.
The next Physicians, Nurses & Allied Health Professionals Open Door Forum is scheduled for Tuesday, March 12, 2013 from 2:00pm – 3:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 78871126. Please see the Downloads section below for full participation instructions including the agenda. Thank you for your continued interest in the CMS Open Door Forums.
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.
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.
Please see the "New Electronic Mailing List to Keep Fee-For-Service Providers Informed" announcement in the Downloads section below.
Downloads
- Tuesday, September 24, 2013 - Announcement - Program Year 2012 Quality and Resource Use Reports - Mapping a Route to Success for the 2015 Value-Based Payment Modifier [PDF, 45KB]
- Wednesday, August 28, 2013 - Announcement - ICD-10: Implementation for Physicians, Partial Code Freeze and MS-DRG Conversion Project MLN Connects Video [PDF, 273KB]
- Tuesday, August 27, 2013 - Announcement & Agenda - Physicians, Nurses & Allied Health Professionals Open Door Forum [PDF, 97KB]
- Thursday, August 15, 2013 - Special Open Door Forum Announcement - Inpatient Hospital Admission and Medical Review Criteria (2-Midnight Provision) and Part B Inpatient Billing in Hospitals [PDF, 80KB]
- Open Payments Program (Physicians Payments Sunshine Act) - New Resources Are Now Available [PDF, 165KB]
- Wednesday, September 11, 2013 - Announcement - Suggested Electronic Clinical Template for Lower Limb Prostheses Special Open Door Forum [PDF, 76KB]
- Thursday, August 22, 2013 - ICD-10 Basics - MLN Connects National Provider Call [PDF, 297KB]
- Wednesday, July 31, 2013 - Special Open Door Forum - Suggested Electronic Clinical Template for Lower Limb Prostheses [PDF, 76KB]
- Tuesday, July 16, 2013 - Updated Agenda - Physicians, Nurses & Allied Health Professionals Open Door Forum [PDF, 194KB]
- Thursday, August 8, 2013 – Open Payments: Policy Updates on Payments and the Physician Resource Toolkit [PDF, 273KB]
- July 23, 24 & August 15, 2013 – Upcoming EHR Incentive Program Calls [PDF, 176KB]
- Register to Participate in the MAC Satisfaction Indicator [PDF, 171KB]
- Thursday, June 13, 2013 - National Provider Call - Suggested Electronic Clinical Template for Lower Limb Prostheses [PDF, 78KB]
- Tuesday, June 4, 2013 - Announcement - Physicians, Nurses & Allied Health Professionals Open Door Forum [PDF, 157KB]
- Thursday, June 20, 2013 & Thursday, July 18, 2013 - National Provider Calls - Medicare Shared Savings Program Application Process [PDF, 261KB]
- Tuesday, May 28, 2013 - Special Open Door Forum Announcement - Suggested Electronic Clinical Template for Lower Limb Prostheses [PDF, 77KB]
- May 9, 2013 - Information You Need: New Medicare Equipment and Supplies Program In Your Community [PDF, 190KB]
- Thursday, May 2, 2013 - CMS Seeks Public Comment on Defining QIO Service Areas - Comments Accepted through Friday, May 31st [PDF, 270KB]
- Wednesday, May 22, 2013 - National Provider Call - National Physician Payment Transparency Program (Open Payment) - What You Need To Know [PDF, 281KB]
- April 18, 2013 - National Provider Call - Begin Transitioning to ICD-10 in 2013 [PDF, 276KB]
- April 9 & 23, 2013 - National Provider Call - Medicare Shared Savings Program Application Process [PDF, 265KB]
- Tuesday, April 23, 2013 - Updated Agenda - Physicians, Nurses & Allied Health Professionals Open Door Forum [PDF, 155KB]
- Tuesday, March 12, 2013 - Announcement - State Innovation Conference Call for Providers [PDF, 73KB]
- Tuesday, March 12, 2013 - Announcement & Agenda - Physicians, Nurses & Allied Health Professionals Open Door Forum [PDF, 82KB]
- January 10, 2013 - Feedback on Physician Compare Redesign & Public Reporting Accepted through January 14, 2013 [PDF, 236KB]
- New Electronic Mailing List to Keep Medicare Fee-For-Service Providers Informed [PDF, 263KB]
Related Links
- Carrier/FI Directory (PDF, 338KB) - Opens in a new window
- Physicians Open Door Forum Mailing List Sign-Up - Opens in a new window
- Government Printing Office Federal Register - Opens in a new window
- Medicare Learning Network (MLN) Product Ordering Page - Opens in a new window
- 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
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