Improving Hypertension _ Diabetes Control and Prevention
An e-NEWSLETTER from Quality Insights                                                                                            May 1, 2017

In This Issue

letter icon mailboxThe Centers for Medicare & Medicaid Services (CMS) is reviewing claims and letting practices know which clinicians need to take part in the Merit-based Incentive Payment System (MIPS), an important part of the new Quality Payment Program (QPP). 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 should participate in MIPS in the 2017 transition year if they:
  • Bill more than $30,000 in Medicare Part B allowed charges a year and
  • Provide care for more than 100 Part B-enrolled Medicare beneficiaries a year
QPP intends to shift reimbursement from the volume of services provided toward a payment system that rewards clinicians for their overall work in delivering the best care for patients. It replaces the Sustainable Growth Rate formula and streamlines the "Legacy Programs" - Physician Quality Reporting System, the Value-based Payment Modifier, and the Medicare Electronic Health Records Incentive Program. During this first year of the program, CMS is committed to working with you to streamline the process as much as possible. Our goal is to further reduce burdensome requirements so that you can deliver the best possible care to patients. Learn more about the Quality Payment Program.

toolkit toolkitWhen patients and families are partners in planning and making decisions about their care, health outcomes are better, patient experience and satisfaction improves, and often, costs are lower.

Transform your practice by including the patient voice in every step of care delivery and quality improvement with the help of our new toolkit, "6 Steps to Creating a Culture of Person and Family Engagement in Health Care".

The PCPCC Support & Alignment Network (SAN) has designed this toolkit for healthcare practices participating in the Transforming Clinical Practice Initiative (TCPI). However, it is equally valuable to any practice seeking strategies to improve person and family engagement.

Jumpstart PFE in your practice by implementing these six key steps. Visit the SAN Resource Library to download a copy today.
Submit Comments on Proposed Changes to EHR Incentive Programs by June 13 

comments submitCMS issued the FY 2018 Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) rule on April 14, 2017, which proposes a number of changes to the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The publication date is scheduled for April 28, 2017.

The proposals include:
  • For CY 2018, modifying the EHR reporting period from the full calendar year to a minimum of any continuous 90-day period for new and returning participants in the Medicare and Medicaid EHR Incentive programs.
  • Adding a new exception from the Medicare payment adjustments for Eligible Professionals (EPs), Eligible Hospitals, and Critical Access Hospitals (CAHs) that demonstrate through an application process that complying with the requirement for being a meaningful EHR user is not possible because their certified EHR technology has been decertified under ONC's Health IT Certification Program.
  • Implementing a policy in which no payment adjustments will be made for EPs who furnish "substantially all" of their covered professional services in an ambulatory surgical center (ASC); applicable for the 2017 and 2018 Medicare payment adjustments.
  • Using Place of Service (POS) code 24 to identify services furnished in an ASC as well as requesting public comment on whether other POS codes or mechanisms should be used to identify sites of service in addition to or in lieu of POS code 24.
Submit a Formal Comment by 5:00 p.m. ET on Tuesday, June 13, 2017.  Please review the Proposed Rule for specific instructions on the accepted comment submission methods.
share your input on medical home issues for children, youth and young adults 

shareThe Pennsylvania Medical Home Initiative (MHI) is seeking input on opportunities and barriers related to medical homes and a medical home approach for Pennsylvania children, youth, and young adults, including those with special healthcare needs. Below is a list of the regional meetings hosted by the PA MHI to gather this important information.
community Northwest Region
May 9, 2017, 10:00 a.m. to 2:00 p.m.
North Central Pa. Regional Planning and Development Commission
49 Ridgmont Drive, Ridgway, PA 15853
Southwest Region
May 10, 2017, 10:00 a.m. to 2:00 p.m.
Blair County Convention Center
One Convention Center Drive
Altoona, PA 16602
Southeast Region
May 16, 2017, 10:00 a.m. to 2:00 p.m.
Berks County Intermediate Unit - #14
1111 Commons Blvd. PO Box 16050
Reading, PA 19612-6050
Northeast Region
May 17, 2017, 10:00 a.m. to 2:00 p.m.
Genetti Hotel & Conference Center
77 East Market Street, Wilkes-Barre, PA 18701
All of the facilities have free parking and are fully accessible. Space is limited, so RSVP early. A light lunch is included. Stipends are available for family members/caregivers.
RSVP by calling Todd Christophel at 717.772.2763 or email him at at least seven days prior to the meeting(s) you are attending.
contact information

For more details about the Improving Hypertension and Diabetes Care & Prevention project, please email Rhonda Dodson or call 1.800.642.8686, Ext. 7711.
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