Medicare News: August 31, 2013
CMS Opens Physician Value – PQRS Registration
CMS has an online portal which will allow physician groups of all sizes to elect their PQRS submission option for 2013. Groups of more than 100 will also be able to elect quality tiering for calculation of the 2015 Physician Value (PV) modifier. Individual physicians and small groups will be able to elect the administrative claims option to avoid a negative modifier in PV 2015. Additional information is available here.
Open Payments has started
The Open Payments, commonly known as the Physician Payments Sunshine Act, 2013 reporting period August 1, 2013 – December 31, 2013) has begun. Manufacturers and group purchasing organizations are required to report payments and "transfers of value" to physician of more than $10. The 2013 data will be reviewable by physicians after March 31 and release publicly in September. Information on the website will include name, address, date, amount, form and nature of the payment/transfer of value. Additional information can be found at the CMS website or by contacting Ruth Cornwall, KMS Director of Health Care Finance at 785.235.2383.
WPS offers online assistance
WPS Medicare has an online tool, C-SNAP, that allows you to verify Medicare patient eligibility which includes managed care enrollment, secondary payer status, claim status, and other important information you should know in advance of providing services. WPS has an FAQ document available on their website.