CMS published 2021 Alternative Payment Model (APM) Incentive Payment details on the Quality Payment Program (QPP) website; eligible clinicians and surrogates can log in to see what we paid by your National Provider Identifier and organization. Read 2021 Learning Resources for Qualifying APM Participant (QP) Status and APM Incentive Payment to learn more.

Compliance

Inhalant Drugs: Bill Correctly

An Office of Inspector General (OIG) report found that CMS improperly paid suppliers for inhalation drugs. Review the Provider Compliance Tips for Nebulizers and Related Drugs (PDF) fact sheet to help you bill correctly. Additional resources:

Medicare Benefit Policy Manual, Chapter 15 (PDF), Sections 110, 110.1, 110.3
Medicare Program Integrity Manual, Chapter 5 (PDF), Sections 5.2, 5.7, 5.8, 5.9
2018 Medicare Fee-for-Service Supplemental Improper Payment Data (PDF)
National Coverage Determination for Durable Medical Equipment Reference List (280.1) webpage
Liberty Medical, LLC, Received Unallowable Medicare Payments for Inhalation Drugs OIG Report, August 2018

Events

Organ Procurement Organization Conditions for Coverage Webinar — July 7

Wednesday, July 7 from 1- 2 pm ET

Learn about the Organ Procurement Organization (OPO) Conditions for Coverage (CfC) final rule that went into effect on March 30. CMS revised the CfCs to increase:

Donation and transplant rates by replacing outcome measures with new transparent, reliable, and objective ones
Competition for open donation service areas

CMS experts will also address trending questions. We encourage you to send your questions as a part of the registration process.

MLN Matters® Articles

July 2021 Update of the Ambulatory Surgical Center [ASC] Payment System

Learn about changes to payment policies and billing instructions (PDF).

Publications

Medicare Preventive Services — Revised

Read updated information in this Medicare Learning Network educational tool:

Coding
Coverage
Copayment/coinsurance and deductible
Health disparities

Multimedia

LTCH QRP: Achieving a Full APU — May 27 Webinar Materials

Review the presentation (PDF) from the May 27 Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP): Achieving a Full Annual Payment Update (APU) webinar. For more information see the LTCH QRP Training webpage.

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News

Quality Payment Program: 2021 APM Incentive Payments