Thursday, July 29, 2021
- Hospice Quality Reporting Program Forum: FY 2022 Final Rule — August 4
- Price Transparency Stakeholder Webinar — August 11
- Ambulance Open Door Forum — August 12
View this edition as PDF (PDF)
Compliance
Ambulance Services & SNF Consolidated Billing Requirements: Avoid Improper Payments
An Office of Inspector General report found that Medicare made improper Part B payments for services that were also included in our Skilled Nursing Facility (SNF) consolidated billing requirements. Review these resources to bill correctly:
- Ambulance Fee Schedule webpage
- Social Security Act, Sections 1861(e)(1) or 1861(j)(1)
- Medicare Benefit Policy Manual, Chapter 10 (PDF), Section 10.3.3
- Medicare Claims Processing Manual, Chapter 15 (PDF)
- Medicare Claims Processing Manual, Chapter 30 (PDF), Section 50
Events
Hospice Quality Reporting Program Forum: FY 2022 Final Rule — August 4
Wednesday, August 4 from 2-3 pm ET
During this webinar, learn about the Hospice Quality Reporting Program (HQRP) portion of the Fiscal Year (FY) 2022 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements final rule. Prepare for implementation on October 1. Topics:
- Summary of HQRP sections
- Public display of quality measures and other hospice data updates
Price Transparency Stakeholder Webinar — August 11
Compliance with Hospital Price Transparency Final Rule: 8 Steps to a Machine-Readable File
Wednesday, August 11 from 2-3:30 pm ET
Effective January 1, 2021, each hospital operating in the United States is now required to provide publicly accessible standard charge information online about the items and services they provide in 2 ways:
- Comprehensive machine-readable file with all items and services
- Display of 300 shoppable services in a consumer-friendly format
This webinar focuses on how to meet the requirements of the Hospital Price Transparency Final Rule for posting standard charge information in the comprehensive machine-readable file. CMS will review 8 Steps to a Machine-Readable File of All Items & Services (PDF) and hospital compliance examples.
The presentation will be available on the Resources webpage approximately 1 week before the webinar. Send feedback and questions to PriceTransparencyHospitalCharges@cms.hhs.gov.
Participation Instructions:
- See your confirmation for audio instructions
- For TTY services dial 7-1-1 or 1-800-855-2880; a Relay Communications Assistant will help
More Information:
- Hospital Price Transparency webpage
- FAQs (PDF)
- 10 Steps to a Consumer-Friendly Display (PDF)
- Quick Reference Checklist (PDF)
Ambulance Open Door Forum — August 12
Medicare Ground Ambulance Data Collection System
Thursday August 12 from 2-3:30 pm ET
Learn about the Medicare Ground Ambulance Data Collection System during this Open Door Forum:
- Current status and activities
- Information sampled organizations need to collect and report
- Proposed revisions and clarifications in the Calendar Year 2022 Physician Fee Schedule proposed rule
- CMS education activities and resources
The presentation will be available on the Ambulances Services Center webpage under Spotlights before the call.
Participation Instructions:
- Conference call only: Dial 888-455-1397; reference passcode 8604468
- You don’t need to RSVP
- Dial-in at least 15 minutes before call start time
- TTY services: Dial 7-1-1 or 800-855-2880
- Instant replay available 1 hour after the call ends: 866- 470-7051; no passcode needed
Multimedia
Medicare Secondary Payer Provisions Web-Based Training — Revised
See updated information in this Medicare Learning Network (MLN) web-based training course:
- Concepts and exceptions
- Benefits of compliance
- Penalties for non-compliance
Visit the MLN Web-Based Training webpage for a current list of courses.
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