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Novitas: Complete Provider Enrollment Revalidation Cycle 2 to prevent potential loss of revenue
All Medicare Part A and B providers are required to recertify the accuracy of their enrollment information every five years through a process known as revalidation. The initial five-year revalidation cycle was completed in 2015 and the Centers for Medicare and Medicaid Services began Cycle 2 in March 2016. The current response rate is 50 percent.
The federal CMS implemented improvements to streamline the revalidation process during Cycle 2. One enhancement is that the agency is establishing due dates with six months' advance notice of when the revalidation application must be received by to remain compliant with Medicare's revalidation requirements. The federal CMS posts the due dates for all currently enrolled providers in the Medicare Revalidation Lookup Tool at Data.CMS.gov/revalidation. A due date of "TBD" (to be determined) means that the agency has not set the date yet. An application will be considered "unsolicited" if it is submitted but the provider/supplier is not due for revalidation in the current six-month period. If a due date is not established (i.e., "TBD"), a revalidation application should not be submitted. All unsolicited revalidation applications will be returned by Novitas.
The Revalidation Lookup Tool is updated every 60 days, so Novitas encourages providers to check the tool periodically and respond timely once your due date is established. Novitas is also issuing notices by mail to providers two to three months in advance of the due date.
Providers/suppliers must submit a complete revalidation application by the established due date and respond to all requests for additional information issued by Novitas in a timely manner. Failure to submit a revalidation application will result in a hold on Medicare payments and subsequent deactivation if the application is not submitted. If the revalidation application is received, but additional information is requested (through development) and not received within the allotted 30-day timeframe, the provider's Medicare enrollment will be deactivated.
Read more in this bulletin from Novitas. If you have questions, please contact the Novitas Provider Enrollment Help Line at 1-855-252-8782.
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PQRS: EIDM Accounts Required to Access Feedback Reports and 2015 Annual QRURs
The Centers for Medicare and Medicaid Services is releasing two reports in early fall that will require Enterprise Identity Management (EIDM) accounts to access:
- Physician Quality Reporting System (PQRS) feedback reports on your program year 2015 reporting results, including payment adjustment assessment for 2017, and
- 2015 Annual Quality and Resource Use Reports (QRURs) that will show how groups and solo practitioners performed in 2015 on the quality and cost measures used to calculate the 2017 Value Modifier.
Prepare now by either signing up for an EIDM account or ensuring that your existing account is active. The same EIDM account can be used to access both reports. To register for an EIDM account, visit the CMS Enterprise Portal. The EIDM System Toolkit has instructions for obtaining a new account, managing and updating information for an existing account, and adding account roles. For additional assistance, contact the QualityNet Help Desk at 866-288-8912 (TTY 877-715- 6222) or [email protected].
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Switching to the health care EFT standard: Four ways to ease the transition
Health care electronic funds transfers (EFTs) via ACH can make practice management easier and more affordable-and switching doesn't have to be difficult. In this article by a senior director of NACHA - The Electronic Payments Association, the author lists the benefits of transitioning to EFT via ACH, which allows for the transfer of funds electronically from the insurer's account to the provider's account. It's faster than other methods and can be more secure. Read more on CMS.org for four ways to ease the transition to EFT via ACH.
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Centers for Medicare and Medicaid Services: Application period open for Comprehensive Primary Care Plus
The Centers for Medicare and Medicaid Services opened the application period for practices to participate in the nation-wide primary care model, Comprehensive Primary Care Plus (CPC+). CPC+ is a five-year primary care medical home model beginning January 2017 that will enable primary care practices to care for their patients the way they think will deliver the best outcomes and to pay them for achieving results and improving care. CPC+ is an opportunity for practices of diverse sizes, structures, and ownership who are interested in qualifying for the incentive payment for Advanced Alternative Payment Models through the proposed Quality Payment Program. The federal CMS estimates that up to 5,000 primary care practices serving an estimated 3.5 million beneficiaries could participate in the model.
CPC+ is a public-private partnership in 14 regions across the nation, including the entire state of Colorado as one region. Eligible Colorado practices may apply between Aug. 1 and Sept. 15, 2016 to participate in CPC+.
Read more on CMS.org.
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Earn Meaningful Use credit through the National Ambulatory Medical Care Survey
The National Health Care Surveys, administered by the CDC's National Center for Health Statistics, now offers Eligible Providers the opportunity to receive meaningful use (MU) credit by providing data via the National Ambulatory Medical Care Survey (NAMCS). Submitting data through the NAMCS complies with: Meaningful Use Stage 2- Objective 10: Public Health Reporting;
- Measure 3: Specialized Registry Reporting;
Meaningful Use Stage 3- Objective 8: Public Health and Clinical Data Registry Reporting;
- Measure 4: Public Health Registry Reporting.
See the updated National Health Care Surveys Declaration of Readiness here and consider registering for the National Health Care Surveys. EPs can register their intent to submit data by emailing [email protected]. For more information, please visit the National Health Care Surveys page of the CDC Meaningful Use website or send your questions to [email protected]. The National Health Care Surveys include the National Hospital Care Survey (NHCS), National Hospital Ambulatory Medical Care Survey (NHAMCS), and the National Ambulatory Medical Care Survey (NAMCS). These nationally representative surveys provide data and information used by Congress, health care services researchers and others to shape health care policy and the future of health care in the United States.
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Take Credit Cards? Is Your Practice Ready for the Oct. 15 EMV Deadline?
Important! What your practice needs to know about switching to EMV: Click here.
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