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Update on Blood Pressure Medication Recall.pdf
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Updated Independent Medical Examiner List
Please be advised that effective November 29, 2018, editing will be implemented on prescriptions for topical compounded drug products. See attachment for details.
New Online Tool Displays Cost Differences for Certain Surgical ProceduresProcedure Price Lookup will help patients with Medicare consider potential cost differences when choosing among safe and clinically appropriate settings
Today, the Centers for Medicare & Medicaid Services (CMS) launched a new online tool that allows consumers to compare Medicare payments and copayments for certain procedures that are performed in both hospital outpatient departments and ambulatory surgical centers. The Procedure Price Lookup tool displays national averages for the amount Medicare pays the hospital or ambulatory surgical center and the national average copayment amount a beneficiary with no Medicare supplemental insurance would pay the provider.
“Price transparency in health care is a priority for the Trump Administration. Working with their clinicians, the Procedure Price Lookup will help patients with Medicare consider potential cost differences when choosing where to have a medical procedure that best meets their needs,” said CMS Administrator Seema Verma.
The Procedure Price Lookup tool is launching as required by Congress in the 21st Century Cures Act. Medicare’s statutes require that CMS maintain separate payment systems for different types of healthcare providers, meaning both CMS and patients may pay different amounts for the same service, depending on the site of care.
“The different payment rates are a prime example of Medicare’s misaligned financial incentives, under which providers can make more money if they see patients at one location as opposed to another,” Administrator Verma said.
Procedure Price Lookup, part of the agency’s eMedicare initiative, joins other patient-oriented transparency tools, including an overhauled version of the agency’s drug pricing and spending dashboards, which provide patients with Medicare and Medicaid spending information for thousands more drugs than ever before and, for the first time, list the prescription drug manufacturers that were responsible for price increases.
CMS recently launched the eMedicare initiative to empower beneficiaries with cost and quality information. This announcement included the launch of an enhanced interactive online decision support feature to help people better understand and evaluate their Medicare coverage options. eMedicare also offers a mobile-optimized out-of-pocket cost calculator to provide beneficiaries with information on overall plan costs and prescription drug costs.
For a blog post on the Procedure Price Lookup took by Administrator Verma, please visit: https://www.cms.gov/blog/you-have-right-know-price.
The Procedure Price Lookup tool is available at: https://www.medicare.gov/procedure-price-lookup/.
Below are links to MLMIC’s most recent issues of Dateline and Case Review that can be found at MLMIC.com.
11.1.18 Fact Sheet PFS (CMS-1693-F).pdf
11.1.18 Press Release 2019 PFS-QPP (CMS-1693-F).pdf
EM Payment Chart-Updated-Nov1.pdf
https://www.eventbrite.com/e/offender-accountability-victim -safety-dv-t raining-opportunity tickets-51517636638
The 2018 performance year for the Merit-based Incentive Payment System (MIPS) ends on December 31, 2018. To access the Quality Payment Program Portal and submit your 2018 performance data, you’ll need your EIDM User ID and Password.
Creating an EIDM Account
CMS established the EIDM system to provide clinicians and practices with a single User ID that can be used to access one or more CMS Applications.
How to Obtain an EIDM Account
If you do not have an EIDM account, navigate to the CMS Enterprise Portal and select ‘New User Registration’ to create one. The following information is required for registration:
Your organization or CMS can help you identify the information needed for your application.
Once you complete your EIDM account registration, you will receive an e-mail acknowledging your successful account creation with your EIDM User ID. Use your unique EIDM User ID and Password to login to the Quality Payment Program Portal.
CMS encourages you to create an EIDM account or verify your EIDM credentials now to prepare for your 2018 MIPS data submission.
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