MLN Connects: Thursday, January 11, 2018

MLN Connects is the official news source of the Medicare Learning Network (MLN). Here is the latest news, posted January 11, 2018.  Click on the header links for detailed information about each bullet item.

News & Announcements

  • New Payment Model to Improve Quality, Coordination, and Cost-effectiveness for Both Inpatient and Outpatient Care
  • SNF Quality Reporting Program Confidential Feedback Reports
  • Hospital Quality Reporting: Updated CY 2018 QRDA I Schematron
  • January is Cervical Health Awareness Month

Provider Compliance

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

Upcoming Events

  • New Medicare Card Project Special Open Door Forum – January 23
  • ESRD QIP: Final Rule for CY 2018 Call – January 23

Medicare Learning Network Publications & Multimedia

  • Major Joint Replacement (Hip or Knee) Booklet – New
  • Medicare-Required SNF PPS Assessments Educational Tool – Revised

2018 NCMGMA Legislative Priorities Survey

The NCMGMA Advocacy Leadership have identified the following issues as top priorities for 2018. You can click on the following links for information on our top priority issues:

We are looking for to help prioritize these issues. We would appreciate it if you would please take a moment to take our brief survey.

You can access the survey here.

MLN Connects: Thursday, January 4, 2018

News & Announcements

  • CMS Launches Data Submission System for Clinicians in the Quality Payment Program
  • CMS Updates Website to Compare Hospital Quality
  • Patients over Paperwork: Get Updates on Burden Reduction
  • Quality Payment Program: Qualified Registries and QCDRs
  • Quality Payment Program Resources
  • EHR Incentive Program Hospitals: Use QNet to Attest
  • Medicare Diabetes Prevention Program Resources
  • Post-Acute Care Quality Reporting Program Section GG Web-based Training
  • Hospice Compare Update
  • Are You Prepared for a Health Care Emergency?
  • Get Your Patients Off to a Healthy Start in 2018

Provider Compliance

  • Hospice Election Statements Lack Required Information or Have Other Vulnerabilities – Reminder

Upcoming Events

  • Low Volume Appeals Settlement Option Call – January 9
  • ESRD QIP: Final Rule for CY 2018 Call – January 23

Medicare Learning Network Publications & Multimedia

  • Dementia Care Call: Audio Recording and Transcript – New
  • Avoiding Medicare Fraud & Abuse: A Roadmap for Physicians Booklet – Revised

New and Revised Articles Posted to MLN Matters

New Articles

Revised Articles

New Medicare Card: Less Than Four Months until Transition Begins

Originally published in the Thursday, December 14, 2017 issue of MLN Connects
Reprinted with permission from CMS

On April 1, 2018, CMS will start mailing Medicare cards with new Medicare Beneficiary Identifiers (MBIs) to everyone with Medicare. The MBI will replace the Social Security Number (SSN)-based Health Insurance Claim Number for transactions like billing, eligibility status, and claim status after a transition period.

You must be ready to accept the MBI beginning April 1. People new to Medicare after April 1 will only get a card with the MBI.

  • Get ready to use the new MBI Format. Ask your billing and office staff if your system(s) will be ready to accept the 11 digit alpha numeric MBI. If you use vendors to bill Medicare, ask them about their MBI practice management system changes and make sure they are ready.
  • Consider automatically accepting the new MBI from the remittance advice (835) transaction.
  • Prepare to process Railroad Retirement Board (RRB) claims: Ensure your staff can identify the RRB Medicare card; program your system to send these patients’ claims to the Specialty Medicare Administrative Contractor (the MBI itself will not indicate it is an RRB beneficiary).
  • Make and internally test changes to your practice management systems and business processes before April 2018.
  • Sign up for your Medicare Administrative Contractor’s portal now, so you can use the provider MBI look-up tool starting in June 2018.
  • Subscribe to the weekly MLN Connects newsletter for updates and new information.
  • Attend our quarterly calls to learn more. We will let you know when calls are scheduled in MLN Connects.

For More Information:

New and Revised Articles Posted to MLN Matters

Revised Articles

SE1128 – Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1128.pdf

House Passes Repeal of IPAB; Tell Your Senators to do the Same!

Originally published in the November 8th issue of MGMA’s Washington Connection
Reprinted with permission from MGMA

Last week, the House of Representatives passed a bipartisan bill, the Protecting Seniors’ Access to Medicare Act (H.R. 849), to repeal the Independent Payment Advisory Board (IPAB) by a vote of 307–111. The IPAB is a cost containment tool created under the Affordable Care Act to convene if Medicare spending exceeds a particular limit. The board has draconian power to make changes to Medicare spending, leaving little-to-no room for recourse if IPAB-mandated payment cuts are triggered.

The fight to eliminate the IPAB is not yet over. The companion bill (S.260) to H.R. 849 now moves to the Senate; if it is successful there, it will advance to the President for his signature. Please join MGMA in urging the Senate to expeditiously pass this important legislation, before future actuary reports trigger the IPAB and activate payment reductions to Medicare providers. Contact your senators now via MGMA’s Advocacy Center to express support for IPAB repeal!