CMS published Special Edition MLN Matters 17033 on December 6 as a reminder that it will not pay acute care hospitals for outpatient services provided to beneficiaries who are covered under a Part A inpatient stay at a separate facility.
This week’s Medicare updates include two new advisory opinions; updates to the Physician Compare, Long-Term Care Hospital Compare, and Inpatient Rehabilitation Facility Compare websites; a republished version of the OPPS final rule to include a previously omitted section, and more!
Most physicians are familiar with the MIPS quality models: These are the Physician Quality Reporting System (PQRS) measures that we’ve been reporting for years with the old Medicare value-based purchasing program. What we don’t know much about are the new cost efficiency models in MIPS, which are based solely on hospital and physician ICD-10-CM/CPT claims data rather than a clinical abstraction of our medical records.
CMS announced December 14 that it added quality information to its Physician Compare website. The website is designed to help providers and caregivers make educated decisions about Medicare patient care.