8 hours ago Calculating Patient Volume Threshold Medicaid Patient Volume Threshold is calculated by dividing Medicaid patient encounters by total patient encounters. The Centers for Medicare & Medicaid Services (CMS) have provided three possible methods for calculating Medicaid Patient Volume Threshold: 1) Individual, 2) Group Proxy, and 3) Practitioner Panel. >> Go To The Portal
The reporting thresholds are applicable to liability insurance (including self-insurance) TPOCs. For workers’ compensation, RREs are required to report TPOCs with dates of October 1, 2010 and subsequent. RREs may, but are not required to include TPOCs with dates prior to October 1, 2010. Mandatory Reporting Threshold Monday, July 12, 2021
Patient preference information (PPI) is a topic of interest to regulators and industry. One of many known methods for eliciting PPI is the threshold technique (TT). However, empirical studies of the TT differ from each other in many ways and no effort to date has been made to summarize them or the evidence regarding the performance of the method.
To review: ORM exists as of 1/1/2010, the workers’ compensation ORM reporting threshold was exceeded because medicals were greater than $750, and the beneficiary was out of work for more than the associated time allowable for a ‘medicals only’ claim. As a result, the claim should be reported.
There is no de minimis dollar threshold for reporting the assumption/establishment of ORM. ORM is to be reported as an add record as soon as it has been established. RREs are required to report no -fault insurance ORM that exists on or after January 1, 2010, regardless of the date of an initial acceptance of payment responsibility.
It is recommended that the applicable Centers for Medicare & Medicaid (CMS) Certification and Survey Provider Enhanced Reports (CASPER) reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted.
All data must be submitted no later than 11:59 p.m. on May 17, 2021. It is recommended that the applicable CMS Certification and Survey Provider Enhanced Reports (CASPER) reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted.
View the list of measures required for the February 16, 2021 deadline on the SNF QRP Measures Information webpage. For submission information, visit the QTSO Nursing Home (MDS) Reference & Manuals webpage.
The Centers for Medicare & Medicaid Services (CMS) will host a webinar on Tuesday, March 30, 2021, from 1:00 p.m. to 2:30 p.m. ET to educate providers about the Annual Payment Update (APU) process to achieve full APU. This webinar will cover the relationship between the APU and the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP), ...
These policies go into effect for the FY 2018 reporting year, which begins January 1, 2016.
The CASPER Reporting application enables hospice providers with a Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) User ID to connect electronically to the National Reporting Database. Currently, there are several CASPER reports available for hospice providers. CASPER reports can help hospice providers monitor the status of the HIS records submitted to the QIES ASAP system. Current CASPER reports allow providers to track HIS record status and determine when correction of errors, should they be present, is needed. On July 17, 2016, CMS released the Hospice Timeliness Compliance Threshold Report, which is a CASPER report that allows providers to check their preliminary compliance with the 70/80/90 compliance threshold. Specifically, this report will display:
What is the IRF QRP? The IRF QRP creates IRF quality reporting requirements, as mandated by Section 3004 (b) of the Patient Protection and Affordable Care Act (ACA) of 2010.
CMS must make quality data available to the public through the Care Compare website. To ensure accuracy of this publicly reported data, CMS gives IRFs the opportunity to review the data before they are posted. The Care Compare website began reporting quality measure data in late 2016.