Medicare & Medicaid
6.29.17: Healthcare Providers: Get Ready for New Medicare Cards
Medicare is taking steps to remove Social Security numbers from Medicare cards. Through this initiative the Centers for Medicare & Medicaid Services (CMS) will prevent fraud, fight identity theft and protect essential program funding and the private healthcare and financial information of our Medicare beneficiaries.
CMS will issue new Medicare cards with a new unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI) to replace the existing Social Security-based Health Insurance Claim Number (HICN) both on the cards and in various CMS systems physicians use now. CMS will start mailing new cards to people with Medicare benefits in April 2018. All Medicare cards will be replaced by April 2019.
CMS is committed to helping providers by giving them the tools they need. Based on feedback from healthcare providers, practice managers and other stakeholders, CMS is developing capabilities where doctors and other healthcare providers will be able to look up the new MBI through a secure tool at the point of service. To make this change easier for you and your business operations, there is a 21-month transition period where all healthcare providers will be able to use either the MBI or the HICN for billing purposes.
Beginning in April 2018, Medicare patients will be issued new cards.
Here are 5 steps to help your physicians get ready:
To learn more, click here.
5.18.17: CMS Releases Lookup Tool to Help Clinicians Determine their MIPS Participation Status
Physicians can now use an interactive tool on the CMS Quality Payment Program website to determine if they should participate in the MIPS track of the Quality Payment Program in 2017.
For physicians to determine their status, visit the Quality Payment Program website at https://qpp.cms.gov/ and enter national provider identifier (NPI) into the entry field on the tool at the top of the page. Information will then be provided on whether or not they should participate in MIPS this year and where to find resources.
Providers who are new to Medicare in 2017 do not participate in MIPS. They may also be exempt if they qualify for one of the special rules for certain types of clinicians, or are participating in an Advanced Alternative Payment Model (APM). To learn more, review the MIPS Participation Fact Sheet.
If you are not in the program in 2017, you can participate voluntarily and you will not be subject to negative payment adjustments.
Participation Notification Letters – CMS recently sent letters in the mail notifying clinicians of their MIPS participation status. See a sample of the letter on the Education page of https://qpp.cms.gov/. This tool is another resource for clinicians to use to determine their status.
Worried About MACRA? ACP Has You Covered
With MACRA implementation on its way, here are the ten most important things you must do to be ready for its arrival.
If you need help with practice transformation, there are several Practice Transformation Networks (PTNs) in New York State. Find out more about these PTNs and other ACP Practice transformation resources by clicking here or e-mail firstname.lastname@example.org. Be sure to note that the New York Chapter referred you.
Resources to Assist with Meaningful Use and EHR Concerns
While the Office of National Coordinator (ONC) and Centers for Medicare & Medicaid Services (CMS) already have online resources addressing many meaningful use and EHR concerns, a new form gives physicians a place to share their certified health IT-related issues with the federal government if they cannot find a resolution within existing ONC resources.
While the ONC may not always be able to step in and fix the problem, they may be able to help in other ways, such as beginning a dialogue between physicians and their EHR vendors/developers. Submitting concerns to the ONC also helps the agency better understand the extent of problems as they work with other federal agencies to develop solutions.
Last Updated 1.31.19
Alternative Payment Models (APMS)
Medicare & Medicaid