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American Association of Hip and Knee Surgeons

Advocacy, Education, Research

‘CMS’

AAHKS Comments on CMS IPPS Proposed Rule

AAHKS submitted comments to CMS this week regarding the proposed rule, “Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2018 Rates.” Our comments were guided by three principles: Payment reform is most effective when physician-led. The burden of excessive physician… Read More

CMS Replacing Medicare Cards

The Centers for Medicare & Medicaid Services (CMS) is readying a fraud prevention initiative that removes Social Security numbers from Medicare cards to help combat identity theft, and safeguard taxpayer dollars. The new cards will use a unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI), to replace the Social Security-based Health Insurance Claim Number (HICN) currently used… Read More

CMS Finalized Delay of EPMs

On Thursday, May 18, 2017, the Centers for Medicare & Medicaid Services (CMS) officially finalized its plan to delay the start of a bundled payment initiative for episode payment models (EPMs) from October 1, 2017 to January 1, 2018 following a previous three-month delay. Under the EPM initiative, acute care hospitals in certain selected geographic areas will be… Read More

Look Up Your MIPS Status

Unsure of your participation status in the Merit-based Incentive Payment System (MIPS)? Physicians can now use an interactive tool on the Quality Payment Program website to determine if they should participate in 2017. To determine your status, enter your National Provider Identifier into the entry field on the tool and find out whether or not you should participate… Read More

MIPS Participation Status Letter in the Mail

CMS is reviewing claims and letting practices know which clinicians need to take part in the Merit-based Incentive Payment System (MIPS). In late April through May, you will get a letter from your Medicare Administrative Contractor that processes Medicare Part B claims, providing the participation status of each MIPS clinician associated with your Taxpayer Identification Number (TIN). Clinicians… Read More

AAHKS Submits Letter of Intent to Develop New Payment Model

On the day after Health and Human Services Secretary Tom Price announced that he wants physicians to “step up and recommend more payment alternatives to fee-for-service Medicare,” AAHKS submitted a letter of intent, which had already been in the works, to ensure AAHKS took the lead in innovating a payment model for TJR. The AAHKS Advanced Alternative Payment… Read More

MIPS Call for Measures and Activities

The Annual Call for Measures and Activities for the Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program (QPP) will be open through June 30. CMS encourages clinicians, measure stewards, organizations, and other stakeholders to identify and submit measures and activities to be considered for three performance categories of MIPS in future years. Full details.

Three-Month Delay for CJR Expansion

CMS announced this week that the effective date of the final rule for the Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) has been pushed back again to October 1, 2017. This includes delaying implementation of the CJR model, which could make it… Read More

AAHKS Signs Letter Urging Reduction in Regulatory Burdens

In a letter to CMS Administrator, Seema Verma, AAHKS joined numerous medical societies and subspecialty organizations urging the CMS to ease regulatory burdens. “We urge the Administration to take a series of steps to address these same challenges in MU, PQRS, and VM prior to their replacement by MACRA and minimize the penalties assessed for physicians who tried… Read More

Seema Verma to Head CMS

Indiana health care consultant, Seema Verma, was confirmed this week as the new director of the Center for Medicare and Medicaid Services (CMS). Verma has stated that she does not support turning Medicare into a voucher program and has defended her work on Medicaid expansion in Indiana. USA Today reported, “Some state officials are welcoming Verma’s arrival as… Read More