MedPAC Meeting on Medicare Payment Updates (Dec. 18 & 19)

On December 18-19, 2014, the Medicare Payment Advisory Commission (MedPAC) is meeting to discuss payment adequacy and payment update recommendations for Medicare payment systems.

CMS Call on Adding Star Ratings to Medicare Home Health Compare (Dec. 17)

On December 17, 2014, CMS is hosting a Special Open Door Forum (SODF) call to allow stakeholders to provide feedback on the planned addition of star ratings to the Medicare.gov Home Health Compare web site. 

FDA Public Meeting on Regulatory Oversight of Laboratory Developed Tests (Jan 8-9)

The FDA has scheduled a public workshop on the “Framework for Regulatory Oversight of Laboratory Developed Tests'' on January 8 – 9, 2015. The purpose of the workshop is to discuss FDA's proposal for a risk-based framework for addressing the regulatory oversight of “laboratory developed tests,” a subset of vitro diagnostic devices intended for clinical use and designed, manufactured and used within a single laboratory. Among other things, the FDA will address LDT labeling considerations; clinical validity and intended use; enforcement discretion; adverse event reporting; quality system regulation; and procedural issues. The workshop registration deadline is December 12, 2014. FDA will accept comments related to the public workshop until February 2, 2015.

CMS Town Hall Meeting on FY 2016 New Technology Add-on Payments (Feb. 3)

On November 21, 2014, CMS is publishing a notice announcing that it will be holding a town hall meeting on February 3, 2015 to discuss fiscal year (FY) 2016 applications for add-on payments for new medical services and technologies under the Medicare hospital inpatient prospective payment system. Interested parties will have an opportunity to present comments and data regarding whether the FY 2016 new medical services and technologies applications meet the substantial clinical improvement criterion.

CMS Call on Changes to Physician Quality Reporting Programs for 2015 (Dec. 2)

On December 2, 2014, CMS is hosting a provider call to discuss changes to the Medicare physician quality reporting programs in the 2015 Medicare Physician Fee Schedule final rule. Among other things, the call will cover changes impacting the Physician Quality Reporting System (PQRS), Value-based Payment Modifier, Physician Compare, Electronic Health Record (EHR) Incentive Program, Comprehensive Primary Care Initiative (CPC), and Medicare Shared Savings Program.

CMS Call: Certifying Patients for the Medicare Home Health Benefit (Dec. 16)

CMS is hosting a call on December 16, 2014 to discuss a provision of the CY 2015 Home Health Prospective Payment System final rule that established a new patient certification requirement for home health agencies beginning January 1, 2015.  Registration information is available here.  

CMS Call: National Partnership to Improve Dementia Care in Nursing Homes (Dec. 9).

On December 9, 2014, CMS is hosting a call to provide an update on the CMS National Partnership to Improve Dementia Care in Nursing Homes. The partnership focuses on continuing to reduce the use of unnecessary antipsychotic medications and other potentially-harmful medications in nursing homes and eventually other care settings.

Congressional Hearing on Government Response to Ebola Crisis (Nov. 6)

On November 6, 2014, the Senate Appropriations Committee is holding a hearing on the U.S. government response to the Ebola outbreak. This follows an October 24 House Oversight Committee hearing on coordination of a multi-agency response to the Ebola crisis, along with an October 16 House Energy and Commerce Committee hearing on the U.S. public health response to the Ebola outbreak.

CMS Open Door Forum on IRF Quality Reporting Program (Oct. 29)

CMS is hosting a conference call for inpatient rehabilitation facility (IRF) providers regarding the IRF Quality Reporting Program on October 29, 2014. Specifically, CMS will discuss data collection and submission information for outcome measures related to hospital-onset methicillin-resistant Staphylococcus aureus (MRSA) bacteremia and Clostridium difficile infection (CDI), which IRF providers are required to report to CMS beginning January 1, 2015.

HHS Office of Medicare Hearings and Appeals (OMHA) Hosting Second Medicare Appellant Forum (Oct. 29)

On October 29, 2014, the OMHA is hosting its second OMHA Medicare Appellant Forum. The meeting will update OMHA appellants on the status of OMHA operations and discuss OMHA and CMS initiatives designed to mitigate the Medicare appeals backlog at the OMHA-level of the administrative appeals process. The deadline for in-person registration is October 28, and registration for remote/webinar attendance ends October 24.

CMS Call on 2013 Physician Quality and Resource Use Reports (Oct. 23)

On October 23, 2014, CMS is hosting a call on 2013 Quality and Resource Use Reports (QRURs) for physician group practices and physician solo practitioners. The 2013 QRURs contain quality and cost performance data that will be used in determining the applicable Value-Based Payment Modifier for 2015. 

Hospital Outpatient Payment Advisory Panel Meeting (March 9-10, 2015)

The Advisory Panel on Hospital Outpatient Payment will be holding its first semi-annual meeting for 2015 on March 9-10, 2015. The purpose of the Panel is to advise CMS on (1) the clinical integrity of the Ambulatory Payment Classification groups and their associated weights, and (2) hospital outpatient therapeutic services supervision issues. Registration will be open January 19 through February 20, 2015. CMS will accept comments and presentations for the agenda until February 6, 2015.

MedPAC Meeting on Medicare Policy Issues (Oct. 9-10)

MedPAC is meeting on October 9 and 10, 2014 to discuss a variety of Medicare policy issues, including: international comparison of rates paid to hospitals; sharing risk in Medicare Part D; potentially inappropriate opioid use in Medicare Part D; the next generation of Medicare beneficiaries; private-sector initiatives to manage post-acute care; and validating relative value units in Medicare’s fee schedule for physicians and other health professionals.

HHS Workshop: Integrating Plans for Long-Term Services and Supports & Health Care Delivery through Health IT (Oct. 16)

On October 16, 2014, the Administration for Community Living (ACL) and the HHS Office of the National Coordinator on Health Information Technology (ONC) are holding a public workshop entitled “Putting the Person at the Center: Integrating Plans for Long-Term Services and Supports and Health Care Delivery through Health Information Technology.” The workshop will focus on the use of health information technology to enable a person-centered approach for planning and delivering long-term services and supports and health care, including how to improve communication and collaboration among community-based organizations and health care partners. The agenda includes care planning, technology and integration; key opportunities and challenges; and delivery and payment reform policy levers. The registration deadline for the event is October 10, 2014.

CMS Call: Transitioning to ICD-10 (Nov. 5)

CMS is hosting a call on November 5, 2014 to discuss implementation issues associated with the transition to ICD-10 on October 1, 2015. The call will cover the following topics: final rule and national implementation; Medicare Fee-For-Service testing; the Medicare Severity Diagnosis Related Grouper (MS-DRG) Conversion Project; partial code freeze and annual code updates; plans for national coverage determinations and local coverage determinations; home health conversions; and claims that span the implementation date.

CMS Call: Hospital Appeals Settlement Update (Oct. 9)

CMS is hosting a call on October 9, 2014 to provide additional information on its proposed administrative agreement for acute care hospitals and critical access hospitals to resolve certain appeals of patient status denials. All administrative agreement requests are due to CMS on October 31, 2014.

CMS Call on Hospital Compare/HCAHPS Star Ratings (Oct. 8)

On October 8, 2014, CMS is hosting a call to discuss its plans to begin publicly reporting Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Star Ratings on the Hospital Compare website. CMS intends to begin the HCAHPS Star Ratings reporting in April 2015.

FDA Releases Final Medical Device Cybersecurity Guidance, Schedules Workshop on Topic

Yesterday the FDA issued final guidance entitled “Content of Premarket Submissions for Management of Cybersecurity in Medical Devices,” which includes recommendations for medical device manufacturers on cybersecurity management and information that should be included in a pre-market submission. The recommendations are intended to supplement previous FDA guidances, “Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices,” and “Guidance to Industry: Cybersecurity for Networked Medical Devices Containing Off-the-Shelf (OTS) Software.”

In a related development, on October 21-22, 2014, the FDA is holding a public workshop on “Collaborative Approaches for Medical Device and Healthcare Cybersecurity.” Through the workshop, FDA seeks to encourage collaboration among stakeholders, identify challenges, and discuss strategies and best practices for promoting medical device cybersecurity.

CMS Call: How to Avoid 2016 Negative Payment Adjustments under Medicare Quality Reporting Programs

On September 17, 2014, CMS is hosting a call on negative payment adjustments that could apply under several Medicare quality reporting programs in 2016.  Specifically, the call will offer instructions on how eligible professionals and group practices can avoid the 2016 Physician Quality Reporting System negative payment adjustment, satisfy the clinical quality measure component of the EHR Incentive Program, and avoid the automatic CY 2016 Value-Based Modifier downward payment adjustment.

CMS Offers Settlement to Acute Care Hospitals, CAHs to Resolve Patient Status Denial Appeals

In an effort to reduce the backlog in Medicare appeals related to certain short-stay hospital claims, CMS is offering an "administrative agreement" providing partial payment to hospitals that drop their appeals. Specifically, CMS would provide a payment equal to 68% of the net payable amount to acute care hospitals or critical access hospitals (CAH) willing to resolve their pending appeals (or waive their right to request an appeal) for inpatient-status claim denials with dates of admissions prior to October 1, 2013, and where the patient was not a Part C enrollee. Such denials involve services that may have been reasonable and necessary, but the contractor contends that treatment on an inpatient basis was not. A hospital may not choose to settle some claims and continue to appeal others, and certain hospitals could be excluded from participating in the settlement based on pending False Claims Act investigations. Also note that PPS-excluded hospitals are not eligible to participate in this program. CMS is encouraging eligible hospitals with such claim denials "to make use of this administrative agreement to alleviate the burden of current appeals on both the hospital and Medicare system." Hospitals should send their request for agreement by October 31, 2014 or request an extension from CMS. CMS is hosting a national provider call on September 9, 2014 to discuss the settlement process.

Older Entries

August 20, 2014 — ICD-10-CM/PCS Coordination and Maintenance Committee Meetings (Sept. 23-24)

August 19, 2014 — FDA Public Hearing on the Implementation of Generic Drug User Fee Amendments (Sept. 17)

August 8, 2014 — CMS Call on Expanded Medicare Prior Authorization for Power Mobility Devices Demonstration (Aug. 12)

July 22, 2014 — FDA Meeting on Biomarker Development (Sept. 5)

July 1, 2014 — CMS Plans Series of Calls this Month on Medicare Dialysis Quality Programs

June 13, 2014 — CMS Call on Medicare DMEPOS, Ambulance Prior Authorization Initiatives (June 17)

June 2, 2014 — Open Payments/Sunshine Act: CMS Registration Overview Call

May 22, 2014 — FDA Workshop to Focus on 3-D Printing of Medical Devices

May 19, 2014 — House Panel to Consider Bundled Post-Acute Care, Cancer Care Payment Parity Bills

May 14, 2014 — House Panel to Examine Medicare Hospital Issues (May 20)

May 10, 2014 — Next CMS Hospital Outpatient Payment Advisory Panel Meeting Set for August 25-26

April 28, 2014 — Congressional Hearings this Week to Focus on Medicare Fraud, Telehealth

April 22, 2014 — Individualized Quality Control Plan for CLIA Laboratory Non-Waived Testing (May 19)

April 22, 2014 — CMS Call: National Partnership to Improve Dementia Care in Nursing Homes (May 20)

April 18, 2014 — CMS to Host Calls on Electronic Clinical Template for Home Health Orders

April 17, 2014 — Highlights from Reed Smith's Post-Acute Care Conference

March 25, 2014 — Reed Smith Hosting Washington Health Care Conference: Focus on Post-Acute Care on April 4, 2014 - One Week Left to Register

March 25, 2014 — CMS Public Meeting on Clinical Lab Codes (July 14)

March 24, 2014 — CMS Call: Applying for the 2015 Medicare Shared Savings Program (April 8)

March 3, 2014 — MedPAC Meeting to Address Various Medicare Payment Policies (March 6-7)

February 24, 2014 — FDA to Overhaul an OTC System That "Isn't Working"

February 24, 2014 — CMS Sets Dates for 2014 HCPCS Public Meetings

February 18, 2014 — FTC Workshop on Health Care Competition (March 20-21)

February 11, 2014 — CMS to Host "Physician Compare Town Hall Meeting" (Feb. 24)

January 30, 2014 — CMS Call on Partnership to Improve Dementia Care in Nursing Homes (Feb. 26)

January 28, 2014 — CMS Special Open Door Forum on Hospital Inpatient Criteria/2-Midnight Benchmark (Feb. 4)

January 6, 2014 — House Panel to Examine Medicare "Extenders" Policy

January 6, 2014 — Office of Medicare Hearings and Appeals (OMHA) Medicare Appellant Forum (Feb. 12)

January 6, 2014 — CMS Call: ESRD Quality Incentive Program Payments (Jan. 15)

January 6, 2014 — CMS Call: 2-Midnight Benchmark for Inpatient Hospital Admissions (Jan. 14)

December 9, 2013 — CMS Town Hall Meeting on IPPS New Technology Add-on Payments (Feb. 12)

December 9, 2013 — Hospital Outpatient Payment (HOP) Advisory Panel Meeting - March 10-11, 2014

November 25, 2013 — CMS Call on Medicare Physician Quality Reporting in 2014 (Dec. 17)

November 25, 2013 — CMS Call Regarding the Medicare Physician Value-Based Payment Modifier (Dec. 3).

November 13, 2013 — CMS Call on IRF Quality Reporting Requirements (Nov. 14)

November 11, 2013 — CMS Call on Inpatient Hospital Admissions 2-Midnight Policy (Nov. 12)

November 11, 2013 — CMS Special Open Door Forum on LTCH Quality Reporting (Nov. 21)

November 11, 2013 — CMS Update on Medicare IVIG Demonstration (Nov. 22)

October 30, 2013 — CMS Call on Dementia Care in Nursing Homes (Nov. 25)

October 29, 2013 — CMS Call to Discuss Streamlined Access to PECOS, EHR, and NPPES (Nov. 15)

September 24, 2013 — CMS Call on Two Midnight Benchmark for Inpatient Hospital Admissions (Sept. 26)

September 12, 2013 — CMS Call on 2015 Value-Based Payment Modifier (Sept. 24)

August 27, 2013 — CMS Call on Draft Electronic Clinical Template for Lower Limb Prostheses (Sept. 11)

July 29, 2013 — CMS Call: ICD-10 Basics (Aug. 22)

July 29, 2013 — In Advance of Sunshine Act Reporting, CMS Releases Physician & Industry Resources

July 5, 2013 — CMS Call on EHR Incentive Program Clinical Quality Measures (July 23)

July 5, 2013 — CMS Call: PQRS Reporting and the Value-based Payment Modifier (July 25)

June 26, 2013 — HHS Seeks Comments on IRB Assessment of Risks in Standard of Care Interventions Research; Aug. 28 Meeting Scheduled

June 25, 2013 — CMS Call on PQRS Reporting and the Value-based Payment Modifier (July 31)

June 25, 2013 — CMS Call on Improving Dementia Care in Nursing Homes (July 10)

June 6, 2013 — CMS Call on Suggested Electronic Clinical Template for Lower Limb Prostheses (June 13)

June 6, 2013 — CMS Call on PQRS and eRx Incentive Program Payment Adjustment (June 18)

June 6, 2013 — CMS Hosts Calls on Medicare Shared Savings Program Application Process

June 6, 2013 — CMS Call on Medicare and Medicaid EHR Incentive Programs and Certified EHR Technology (June 27)

June 5, 2013 — HHS-Operated Risk Adjustment Data Validation Stakeholder Meeting (June 25)

June 5, 2013 — Advisory Panel on Hospital Outpatient Payment Meeting on August 26-27

June 5, 2013 — House SGR Reform Efforts Continue - Hearing Today

May 30, 2013 — CMS to Host July 10, 2013 Meeting on New Clinical Laboratory Test Payment Determinations

May 11, 2013 — Senate Finance Members Seek Physician Input on SGR Reform

May 8, 2013 — CMS Call on New Medicare Data Portal (May 16)

May 3, 2013 — CMS Sunshine Act Update: Covered Teaching Hospitals Listing, Industry Efforts, CMS Provider Call

April 15, 2013 — PCORI Comparative Effectiveness Data Infrastructure Event (April 23)

April 15, 2013 — CMS Meeting on Billing and Coding with Electronic Health Records (May 3)

April 8, 2013 — CMS Call: ESRD Low-Volume Payment Adjustment (April 24)

March 25, 2013 — CMS Call on Transitioning to ICD-10 in 2013 (April 18)

March 25, 2013 — CMS Call: PQRS Group Practice Reporting Option and Registry Reporting (April 16).

March 25, 2013 — CMS Call on Medicare Shared Savings Program Application Process (April 9 & 23)

March 13, 2013 — Implementation of Medicare Ordering/Referring Provider Edits (March 20 Call)

March 8, 2013 — CMS Call: "2013 PQRS and eRx Claims-Based Reporting Made Simple" (March 19)

March 8, 2013 — CMS Call: ESRD Quality Incentive Program (March 13)

March 8, 2013 — National Provider Call: Hospital Value-Based Purchasing FY 2015 Overview (March 14)

February 18, 2013 — CMS Announces Dates for 2013 HCPCS Public Meetings

February 18, 2013 — ICD-9-CM Coordination and Maintenance Committee Meeting (March 5, 2013)

February 15, 2013 — CMS Call: How to Avoid a 2014 eRx and 2015 PQRS Payment Adjustment (Feb. 19)

February 14, 2013 — March Meeting of the Advisory Panel on Hospital Outpatient Payment (March 11, 2013)

January 23, 2013 — CMS to Host Call on Future Development of the Quality Improvement Organization (QIO) Program (1/24)

January 14, 2013 — CMS Call to Focus on Improving Dementia Care in Nursing Homes (Jan. 31)

January 11, 2013 — CMS Call on Meaningful Use Stage 1 & 2 (Jan. 16)

January 11, 2013 — Access Board Committee to Meet on ACA Medical Diagnostic Equipment Standards (Jan. 22-23)

January 11, 2013 — FDA To Hold Workshop on Accessible Standardized Medical Device Labeling (April 29-30)

December 14, 2012 — PQRS and eRx Incentive Program National Provider Call (Dec. 18)

December 14, 2012 — CMS Call on ACA Medicare DSH Payment Provisions (Jan. 8, 2013)

December 5, 2012 — House Panel Schedules Hearing on Implementation of ACA's Exchanges and Medicaid Expansion (Dec. 13)

December 3, 2012 — CMS Medicaid Drug Pricing Webinar: Draft Federal Upper Limits and Draft Survey of Retail Prices (Dec. 5)

November 29, 2012 — CMS Schedules Feb. 5 Meeting on FY 2014 IPPS New Tech Add-on Applications

November 28, 2012 — Upcoming FDA Public Meeting: Framework for Pharmacy Compounding/State and Federal Roles (Dec. 19)

November 12, 2012 — MACPAC Meeting on Medicaid Policy Issues (Nov. 15)

November 12, 2012 — Meeting on ACA Medical Diagnostic Equipment Access Standards (Dec. 3-4)

October 31, 2012 — MedPAC Meeting on Medicare Policy Issues (Nov. 1-2)

October 15, 2012 — CMS Calls on IRF, LTCH Quality Reporting (Oct. 18)

October 15, 2012 — CMS Provider Call: PQRS Informal Review (Oct. 23)

October 11, 2012 — OIG to Host "Outlook 2013" Webcast (Oct. 24)

October 10, 2012 — IRS Schedules Hearing on Proposed Rules for Charitable Hospitals (Dec. 5)

October 8, 2012 — CMS Call on Medicare Provider Enrollment (Oct. 10)

September 27, 2012 — FDA Meetings on Patient-Focused Drug Development Initiative

September 25, 2012 — CMS Call: Manual Medical Review of Therapy Claims (Sept. 26)

September 24, 2012 — CMS Call: Preparing Physicians for ICD-10 Implementation (Oct. 25)

September 24, 2012 — CMS Call: Hospital Value-Based Purchasing for FY 2013 (Oct. 4).

September 24, 2012 — National Provider Call: Physician Quality Reporting System and E-Prescribing Incentive Program (Sept. 25)

September 24, 2012 — CMS Call on Medicare Prior Authorization for Power Mobility Devices Demonstration (Sept. 26)