Sept. 2018
PI Category of MIPS: We strongly advocated for a change to the “all-or-nothing” MIPS exemption for hospital-based individual physicians in our official response to a major Medicare proposed regulation impacting physician payments.
AUC Program: ACEP implored CMS to clarify the exemption for emergency medical conditions in our response to this same regulation.
Oct. 2018
AUC Program: ACEP met with the Office of Management and Budget, the final decision-maker for regulatory policies, on our concerns related to the exemption for emergency medical conditions.
Nov. 2018
AUC Program: In response to ACEP’s comments, CMS clarified in the final Medicare physician regulation that the AUC exemption for emergency medical conditions includes cases where an emergency medical condition is suspected but not yet confirmed. Examples include severe allergic reactions and pain.
Dec. 2018
PI Category of MIPS: We sent out an action alert to ACEP members recommending physicians apply for a hardship exemption to the PI category of MIPS. If granted the exemption, the 25 percent PI allocation is usually redistributed to the Quality category, giving physicians more control over meeting the necessary requirements so they can avoid negative impacts on revenue.
Jan. 2019
EHR Burden: We responded to ONC’s draft strategy on ways to reduce burden for providers using EHRs.
Feb. 2019
EHRs and Data Sharing: We summarized two rules released by CMS and ONC related to interoperability and data blocking.
May 2019
EHRs and Data Sharing: We submitted detailed comments on both CMS and ONC interoperability and data blocking proposed rules.
What’s Next? Help Us Help You!
CMS acknowledges that providers are having trouble keeping up with its regulations and has launched “Patients Over Paperwork,” a new initiative to streamline its regulations to reduce provider burden while improving patient experience. CMS is seeking comments on how to further streamline documentation and reporting requirements and better align them across Medicare, Medicaid, and other insurers. The agency also wants to know how to simplify current rules and policies to make them easier to understand and implement.
ACEP has submitted ideas for reducing emergency physician burden in the past, but we’d love additional input and ideas from ACEP members. If you’d like to weigh in on this issue and brainstorm more ideas for reducing administrative burden that we can submit to CMS, contact Jeffrey Davis, ACEP’s director of regulatory affairs, at jdavis@acep.org.
Stay apprised of ACEP’s work to reduce your administrative burden and access clinical resources to help you reduce your daily clicks.
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