NAMDRC

The National Association for Medical Direction of Respiratory Care

The Washington Watchline

DME and the New CMS Provider Documentation Manual

The Centers for Medicare and Medicaid (CMS) Center for Program Integrity has recently announced a new project related to its oversight of the use of durable medical equipment (DME). The Center is creating a Provider Documentation Manual that is to be accessed on the CMS web site with the purpose of ensuring that orders for durable medical equipment meet all existing regulations.

The Proposed 2019 Inpatient Prospective Payment System

On April 24, 2018, the Centers for Medicare & Medicaid Services (CMS) released the proposed Inpatient Prospective Payment System (IPPS) for 2019. In the proposed rule the current CMS administration continues to unwind the quality reporting complexity instituted under the previous administration. Under the new leadership the agency’s priority has been to reduce reporting burdens so that hospitals can divert staff from paperwork to patient care. The Agency’s administration has been focused on defining a smaller set of patient-centered outcome measures.

Will the MIPS be Repealed in the Near Future?

While the attention of most physician organizations has been on implementation of the Merit-based Incentive Payment System (MIPS), it is possible that this program may soon be radically altered or discarded through Congressional action. In its March report to Congress, the influential Medicare Payment Advisory Commission (MedPAC) has taken a strong stance that MIPS should be repealed as soon as possible.

Pending Legislation for Graduate Medical Education Funding

Companion bills that would expand funding for Graduate Medical Education (GME) have been introduced in the House of Representative and the Senate.  The Resident Physician Shortage Reduction Act of 2017, H.R.2267 was introduced May 1, 2017 by Representatives Joseph Crowley (D-NY) and Ryan Costello (R-PA) with 67 cosponsors followed by the June 7, 2017 introduction of S.1301 by Senator C. William Nelson (D-FL) with 4 cosponsors. These bills have been informed and strongly supported by the American Association of Medical Colleges (AAMC).

The AAMC Weighs in on the MACRA Regulations

On January 2, 2018 Janis M. Orlowski, M.D., M.A.C.P.  Chief, Health Care Affairs, American Association of Medical Colleges (AAMC) sent a letter to Ms. Seema Verma, Administrator,  Centers for Medicare and Medicaid Services (CMS) commenting on the evolving regulations for the Medicare Access and CHIP Reauthorization Act (MACRA). One section of the letter addresses the important issue of risk adjustment for the Medicare physician performance metrics. Dr. Orlowski states:   

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