Provider Advisory Group Meeting Covers Key Points for Physicians and their Staff

The Ohio Provider Outreach and Education Advisory Group (POE AG), of which the AMCNO has been a longstanding member, met earlier this week. Key points from the meeting are included in this link to the CGS Administrators’ latest newsletter.

In summary, CMS finalized a data collection strategy to gather information needed to value global surgical services. Beginning July 1, 2017, some practitioners are required to report claims showing that a visit occurred during the post-operative period for select global services. The Quality Payment Program (QPP) and its two designated tracks were also discussed in more detail during the meeting. Clinicians can now submit QPP hardship exception applications, if they meet one of the defined qualifications set by CMS. Some eligible physicians who are considered “Special Status” will be automatically reweighted and do not need to submit a hardship request. Also discussed were the Physician Quality Reporting System (PQRS) and Value-Based Payment Modifier (VPM). In addition, the Social Security Number Removal Initiative (SSNRI) has been renamed as the New Medicare Card Project. New Medicare cards, without SSN-based identifiers, will be mailed between April 2018 and April 2019. They will contain a new Medicare Beneficiary Identifier (MBI), which is a randomly generated “non-intelligent” 11-character alpha/numeric identifier. There will be a transition period for using either the MBI or SSN-based number for transactions, but beginning Jan. 1, 2020, only the MBI can be used. Additional information was shared during the meeting and can be reviewed in the newsletter.

The CGS Administrators’ newsletter is provided to the AMCNO on a regular basis. It contains a wealth of information for providers and their staff. The primary function of the POE AG is to assist in the creation, implementation, and review of provider education strategies and efforts. Members provide input and feedback on training topics, provider education materials, and dates and locations of provider education workshops and events. The group also identifies widespread provider education needs and assists in developing solutions and sharing information.

The Pollen Line is now closed. See you in the spring!

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