Hospitals Open Door Forum
**Updated February 5, 2013 - The Durable Medical Equipment, Orthotics and Supplies (DMEPOS) Competitive Bidding Program will be changing how some Medicare patients get covered supplies. Be sure to give your Medicare patients the correct information. Please review (copy and paste the link into your web browser) the following link for information for people who refer Medicare beneficiaries for DMEPOS: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/DMEPOSCompetitiveBid/index.html?redirect=/DMEPOSCompetitiveBid/01_overview.asp .**Updated January 24, 2013 - We are aware that many people were not able to participate during today’s Future Development of the QIO Program Special Open Door Forum due to a limited number of phone lines available. We apologize for this inconvenience. An encore replay of this call will be available beginning today at 4pm ET and will continue until midnight, Friday, January 25, 2013. To access the encore feature, dial: 1-855-859-2056; Conference ID: 90637068. A transcript and copy will also be made available in the coming days and will be posted on our website. You will receive notification when the transcript and audio copy are available on our website. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 24, 2013 - The slides for today's (12:30pm - 2:00pm ET) Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum are now available on our website at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityImprovementOrgs/Downloads/QIOSODF01-24-13.pdf . If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 17, 2013 - The Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum, entitled "Future Development of the Quality Improvement Organization (QIO) Program," on January 24, 2013 from 12:30pm - 2:00pm ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 90637068. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated January 2, 2013 - CMS Announces 90-Day Period of Enforcement Discretion for Compliance with Eligibility and Claim Status Operating Rules. Please see Downloads section below for full announcement.
**Updated December 17, 2012 - The Centers for Medicare & Medicaid Services (CMS) will host a National Provider Call on the Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments on Tuesday, January 8, 2013 from 1:30pm - 3:30pm ET. Please see the full announcement in the Downloads section below for registration information. Thank you.
**Updated December 14, 2012 - Please see the "New Electronic Mailing List to Keep Fee-For-Service Providers Informed" announcement in the Downloads section below.
**Updated December 7, 2012 - The transcript & audio file from the Thursday, October 18, 2012 Long Term Care Hospital Quality Reporting Program Special Open Door Forum is now available on the CMS Special Open Door Forum webpage: http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/ODFSpecialODF.html . Thank you for your continued interest in the CMS Open Door Forums.
**Updated November 26, 2012 - The Agenda for the next Hospital & Hospital Quality Open Door Forum, scheduled for Tuesday, November 27, 2012, from 2:00 pm – 3:00 pm, ET, is now available in the Downloads section below. If you wish to participate, dial 1-800-837-1935; Conference ID: 72188364. Thank you for your continued interest in the CMS Open Door Forums.
**Updated November 16, 2012 - The next Hospital & Hospital Quality Open Door Forum is scheduled for Tuesday, November 27, 2012, from 2:00 pm – 3:00 pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 72188364. A follow-up notification will be sent when the agenda becomes available. Thank you for your continued interest in the CMS Open Door Forums.
**Updated September 28, 2012 - CMS has posted its Preliminary Decisions on the Recommendations of the Hospital Outpatient Payment Panel on Supervision Levels for Individual Services. These preliminary decisions are open for public comment for 30 days through October 24, 2012, and the posting provides instructions for submitting a comment. Additional information is available on the Hospital Outpatient PPS web page: http://cms.hhs.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/index.html
**Updated September 17, 2012 - The next Hospital & Hospital Quality Open Door Forum is scheduled for Wednesday, September 19, 2012, from 2:00pm – 3:00pm, ET. If you wish to participate, dial 1-800-837-1935; Conference ID: 76245290. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.
**Updated September 10, 2012 - CMS has made available two new recorded training sessions for IRFs on the QIES Technical Support Office (QTSO) website. The sessions are as follows:
1. IRF-PAI Assessment Submission Process – provides the necessary instructions for submitting IRF-PAI assessment data to the ASAP IRF-PAI Submission System beginning October 1, 2012.
2. CASPER Reports for IRFs – provides information about accessing and interpreting the ASAP system-generated IRF-PAI Facility Final Validation Report, identifies other reports available to IRFs and gives an overview of the basic functionality of the CASPER Reporting application.
• The recordings can be accessed via the e-University page on the QTSO website at https://www.qtso.com/webex/qiesclasses.php .
• Please contact the QTSO Help Desk at (800) 339-9313 or help@qtso.com if you have questions regarding this training session.
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Hospital & Hospital Quality Open Door Forum (ODF) Overview:
The Hospital Open Door Forum (ODF), addresses the concerns and questions of the Hospital service setting, The very broad scope of topics discussed within this forum, include payment, coverage, conditions of participation, billing, and many other current issues that are related to policy implementation. The Inpatient PPS, Outpatient PPS, provisions of the Affordable Care Act and other laws that affect the setting are all covered, and a recurring update from the areas of the Hospital Quality Initiative including the Hospital CAHPS initiative. Timely announcements and clarifications regarding important rulemaking, agency program initiatives, and other related areas are also included in the forums.
Downloads
- Thursday, January 24, 2013 - Announcement - Future Development of the Quality Improvement Organization (QIO) Program Special Open Door Forum [PDF, 244KB]
- CMS Announces 90-Day Period of Enforcement Discretion for Compliance with Eligibility and Claim Status Operating Rules [PDF, 77KB]
- Tuesday, January 8, 2013 - Announcement - Implementation of Section 3133 of the Affordable Care Act: Improvement to Medicare DSH Payments National Provider Call [PDF, 277KB]
- New Electronic Mailing List to Keep Medicare Fee-For-Service Providers Informed [PDF, 263KB]
- Tuesday, November 27, 2012 - Agenda - Hospital & Hopital Quality Open Door Forum [PDF, 77KB]
- Wednesday, September 19, 2012 - Announcement - Hospital & Hospital Quality Open Door Forum [PDF, 21KB]
- Q&A- Type A and B Emergency Departments Under the OPPS (PDF, 43KB) [PDF, 43KB]
- CMS Intermediary/Carrier Directory [PDF, 371KB]
- Q&A- OPPS Device Upgrade (PDF, 12KB) [PDF, 11KB]
- RevisedIRFconfannouncement030512 [PDF, 25KB]
Related Links
DMEPOS Competitive Bidding
Click here for information on the DMEPOS Competitive Bidding Program Round 1 Recompete. |
The resources and instructions included throughout these web pages are primarily intended for the Non-Contract Supplier and Referral Agent Community. Medicare beneficiaries may visit www.Medicare.gov to learn more; Bidding and Contract Suppliers should utilize the Competitive Bidding Implementation Contractor (CBIC) website as their primary source of program information (see link the in "Related Links Outside CMS" section below).
Section 302 of the Medicare Modernization Act of 2003 (MMA) established requirements for a new Competitive Bidding Program for certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). Under the program, DMEPOS suppliers compete to become Medicare contract suppliers by submitting bids to furnish certain items in competitive bidding areas, and the Centers for Medicare & Medicaid Services (CMS) awards contracts to enough suppliers to meet beneficiary demand for the bid items. The new, lower payment amounts resulting from the competition replace the Medicare DMEPOS fee schedule amounts for the bid items in these areas. All contract suppliers must comply with Medicare enrollment rules, be licensed and accredited, and meet financial standards. The program sets more appropriate payment amounts for DMEPOS items while ensuring continued access to quality items and services, which will result in reduced beneficiary out-of-pocket expenses and savings to taxpayers and the Medicare program.
Under the MMA, the DMEPOS Competitive Bidding Program was to be phased in so that competition under the program would first occur in 10 areas in 2007. As required by law, CMS conducted the Round One competition in 10 areas and for 10 DMEPOS product categories, and successfully implemented the program on July 1, 2008, for two weeks before the contracts were terminated by subsequent law.
The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) temporarily delayed the program in 2008, terminated the Round One contracts that were in effect, and made other limited changes. As required by MIPPA, CMS conducted the supplier competition again in 2009, referring to it as the Round One Rebid. On January 1, 2011, CMS launched the first phase of Medicare's competitive bidding program in nine different areas of the country for nine product categories.
MIPPA also required the competition for Round Two to occur in 2011 in 70 additional metropolitan statistical areas (MSAs) and authorizes competition for national mail order items and services after 2010. The Affordable Care Act of 2010 expanded the number of Round Two MSAs from 70 to 91 areas and mandates that all areas of the country are subject either to DMEPOS competitive bidding or payment rate adjustments using competitively bid rates by 2016.
CMS is required by law to recompete contracts for the DMEPOS Competitive Bidding Program at least once every three years. The Round One Rebid contract period for all product categories except mail-order diabetic supplies expires on December 31, 2013. CMS is conducting the Round One Recompete in the same competitive bidding areas as the Round One Rebid.
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