Primary Cares Initiative: 5 New Payment Model Options

News

• HHS To Deliver Value-Based Transformation in Primary Care
• New Part D Opioid Overutilization Policies: Myths and Facts
• Medicare Shared Savings Program: Do You Plan to Apply to be an ACO?
• Open Payments: Review and Dispute Data by May 15
• Proposed Rules on Interoperability: Comment Period Extended to June 3
• Quality Payment Program: MIPS 2019 Call for Measures/Activities Ends July 1
• SNF PPS Patient Driven Payment Model: Get Ready for Implementation on October 1
• Ensuring Safety and Quality in America’s Nursing Homes

Compliance

• Proper Use of the KX Modifier for Part B Immunosuppressive Drug Claims

Claims, Pricers & Codes

• DMEPOS 2019 Fee Schedule File Revision

Events

• Vitamin D Testing: Comparative Billing Report Webinar — May 7
• Air Ambulance Transports: Comparative Billing Report Webinar — May 9
• Promising Practices for Duals with Substance Use Disorders Webinar— May 16

MLN Matters® Articles

• Appeals of Claims Decisions - Revisions
• New Waived Tests
• NCD: Next Generation Sequencing — Revised
• Implementation to eMDR for Registered Providers via the esMD System — Reissued

Publications

• 2019 MIPS Group Participation
• Provider Compliance Tips for Ordering Lower Limb Orthoses — Revised
• Provider Compliance Tips for Ordering Lower Limb Prostheses — Revised
• Provider Compliance Tips for Ostomy Supplies — Revised