• Clinical billing paperwork

Verma identifies several CMS priorities for 2019

Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma identified several priorities for the agency during the recent 2019 CMS Quality Conference.

The event, held Jan. 29-31 in Baltimore, brought together 3,000 leaders from across the health care spectrum to discuss quality improvement. The theme of the conference was, “Innovating for Value and Results.”

Priorities described by Verma were:

  • Advancing the use of technology in Medicare, which includes an emphasis on the eMedicare initiative and a review of CMS processes in paying for new technologies
  • Potential payment adjustments for rural providers, including potential adjustments to the Medicare Area Wage Index and establishment of a new program designed to assist local communities in improving systems of care as they simultaneously focus on quality improvement
  • Encouraging more providers to enter value-based payment models by exploring models for complex conditions and removing barriers from participation in value-based payment models

Verma specifically mentioned the Stark Law as one of those barriers. While the AASM continues to advocate for a legislative exception to the Stark Law for all sleep medicine physicians, CMS actions may provide regulatory relief for those sleep physicians who are participating in value-based payment models.

The AASM will continue to monitor CMS announcements and provide updates to the AASM membership.

2019-02-08T23:51:12+00:00February 8th, 2019|Advocacy|