• Tuesday, July 03, 2018 9:04 AM | Carol Burke (Administrator)

    The CMS Data Element Library Webinar

    • Title: CMS Data Element Library
    • Date: Wednesday, July 11, 2018
    • Time: 1-2 p.m. ET
    Event Registration: https://engage.vevent.com/rt/cms/index.jsp?seid=1083

    The Centers for Medicare & Medicaid Services (CMS) is hosting a webinar to provide information on and discuss features of the recently launched Data Element Library (DEL).

    Topics include:

    • A review of the IMPACT Act
    • Standardization and Interoperability
    • DEL
    • DEL demonstration

    The audio portion of this webinar will be broadcast through the web. You can listen to the presentation through your computer speakers. If you cannot hear audio through your computer speakers, please contact CMSQualityTeam@ketchum.com.

    Dial in numbers for the Q&A portion over the phone will be published during the webinar.

  • Tuesday, July 03, 2018 8:43 AM | Carol Burke (Administrator)

    Billing Manual 6.26.2018.PDF

    The information contained in the billing manual, subject to required State and Federal approvals, reflects the billing structures for the Children’s System Transformation scheduled to begin on January 1, 2019. TBD Billing criteria will be updated by the State. Future updates will only supplement current information, not change what is already in place.

    Please use this manual to begin preparation of your claiming systems. 

    A supplemental billing manual, New York State Children’s Health and Behavioral Health (BH) Services – Children’s Medicaid System Transformation Guidance for the Transitional Period, will be released shortly that will include guidance on transitional billing procedures, including transitional billing procedures for waiver providers that will transition to Health Home rates and for HCBS services that will transition to State Plan services after January 1, 2019.

  • Monday, July 02, 2018 10:32 AM | Carol Burke (Administrator)

    You can access your performance feedback and final score by:

    • Going to the Quality Payment Program website
    • Logging in using your Enterprise Identity Management (EIDM) credentials; these are the same EIDM credentials that allowed you to submit your MIPS data

      If you don’t have an EIDM account, refer to this guide and start the process now

      In the coming weeks, we’ll provide additional guidance to help walk through how to review your feedback and to assist in answering your questions.

      Please note: The final performance year for the Value-Based Modifier and Physician Quality Reporting System (PQRS) programs was 2016; therefore, CMS will no longer provide PQRS Feedback Reports or Quality and Resource Use Reports (QRURs). The final reports under these programs were provided in September 2017 and remain available for download through the end of this year.  

      MIPS Eligible Clinicians Participating in Medicare Shared Savings Program or Next Generation ACOs
    If you participated in a MIPS Alternative Payment Model (APM) in 2017, specifically in a Medicare Shared Savings Program (Shared Savings Program) or Next Generation Accountable Care Organization (ACO), your performance feedback is now available to your ACO (APM Entity) via the Quality Payment Program website.  Participant TINs in Shared Savings Program will be able to log into the Quality Payment Program website directly to access final performance feedback. Participants in Next Generation ACOs will need to request feedback from a representative (such as a security official) within their APM Entity.

    Please note:  Because all clinicians in the Next Generation ACO Model were Qualifying APM participants, performance feedback for the 2017 performance year will not be provided.

    Under the MIPS APM Scoring Standard, the performance feedback, accessible to the APM Entity, will be based on the APM Entity score and is applicable to all MIPS eligible clinicians within the APM Entity group. This feedback and score does not have any impact on the Shared Savings Program or Next Generation ACOs’ quality assessment.

    Questions?  If you have questions about your performance feedback or MIPS final score, please contact the Quality Payment Program by: 
  • Thursday, June 21, 2018 8:10 AM | Carol Burke (Administrator)

    Monroe County has consolidated opioid-related web content -- Health, Law Enforcement (in progress), training, general overview -- in one website:


  • Wednesday, June 20, 2018 10:38 AM | Carol Burke (Administrator)

    Dear Friend,

    Common Ground Health, working in partnership with the public health directors in each of our nine Finger Lakes counties,* is conducting an important health survey. I am writing to ask for your help.  

    We are gathering health stories from as many residents of our region as possible in order to learn more about our region’s health-related needs and help our county health departments develop strategies for addressing public health priorities. Please tell us your story through the survey below and then share the link with family, friends and colleagues. The survey will take 15 to 20 minutes of your time. 

    You can complete the survey anonymously, or enter your name and email for a chance to win a $500 gift card to a local supermarket or gas station. **

    To begin the survey in English, click here: MyHealthStory2018.com. For Spanish, follow this link: MiHistoriadeSalud2018.com.

    I can’t thank you enough,


    Trilby de Jung


    *Chemung, Livingston, Monroe, Ontario, Schuyler, Seneca, Steuben, Wayne and Yates counties

    **Survey participation is not required to enter the drawing. See official rules here.

  • Tuesday, June 19, 2018 11:38 AM | Carol Burke (Administrator)

    Complimentary Webinar from Garfunkel Wild, PC Attorneys at Law

    "Right to Try" Act: What you need to know

    Wednesday, June 20, 2018

    12:00 PM - 1:00 PM EST

    On May 30, 2018, a new Federal "right to try" act became effective which gives patients with life-threatening conditions the right to use experimental medications without the approval of the Food and Drug Administration. This new Federal law impacts Hospitals, Physicians, Drug Manufacturers and Patients. Join us as we explore the consequences and questions of this new law.


    Andrew E. Blustein

                                                                                     Vice Chairman

    Lara Jean Ancona


      Stacey P. Klein


    Click Here To Register

    Registration is limited. After registering, you will receive a confirmation email containing information about joining the webinar.

  • Monday, June 18, 2018 9:42 AM | Carol Burke (Administrator)

    CMS has discovered an issue with the 2018 Quality performance category specialty measure sets within the updated “Explore Measures” tool on the Quality Payment Program website. They have temporarily removed the 2018 Quality performance category measures from this tool to improve the accuracy of the specialty measure sets. They will send a notification when the issue is resolved.

    In the meantime, please visit the 2018 QPP Resource Library on CMS.gov to view additional details on the 2018 Quality measures. You can download the Claims and Registry Measures, Web Interface Measures, and Quality Measure Specifications Supporting Documents to learn more.

    If you have any questions, please contact the Quality Payment Program Service Center by:

  • Thursday, June 07, 2018 9:24 AM | Carol Burke (Administrator)

    Beginning Monday, 7/10/2018, NGS will return to the provider any paper claim submitted with handwriting on the face of the claim that is not a signature field, (i.e., Items 12, 13, or 31). A notice will be attached to the front of the returned claim and you will need to submit a new claim.

    No more delays.

  • Wednesday, June 06, 2018 8:52 AM | Carol Burke (Administrator)

    Parent information fact sheet from NYS Health Foundation. 

    Click here to download.

  • Tuesday, May 22, 2018 2:00 PM | Carol Burke (Administrator)

    On 4/2/2018, CMS started mailing new Medicare cards with the Medicare Beneficiary Identifier (MBI) to all people with Medicare and will continue to mail

    On 4/2/2018, the Centers for Medicare & Medicaid Services (CMS) started mailing new Medicare cards with the Medicare Beneficiary Identifier (MBI) to all people with Medicare and will continue to mail new Medicare cards in phases by geographic location. This means that some of your patients may have already received their new Medicare card containing the MBI.

    If you are currently registered with NGSConnex, our free, secure internet portal you will be able to login and use the MBI Lookup Tool to obtain your patient's MBI, if CMS has mailed them their new Medicare card. To use this new self-service tool in NGSConnex, you will be required to validate using reCaptcha software and also you will need to enter the following search criteria:

    • Patient Last Name
    • Patient First Name
    • Patient Date of Birth
    • Patient Social Security Number
    • NPI

    We encourage you to watch this three-minute video, to learn more about the MBI Lookup Tool available in NGSConnex.

    If you are not already a registered NGSConnex user, we strongly encourage you to register now and take advantage of all the time money and time saving features NGSConnex has to offer.

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