Volume 11 | November 2018
Prepare For 2018 MIPS Data Submission By Obtaining Your Enterprise Identification Management (EIDM) Credentials Now (as reported in the CMS Weekly Digest)
The 2018 performance year for the Merit-based Incentive Payment System (MIPS) ends on December 31, 2018. To access the Quality Payment Program Portal and submit your 2018 performance data, you’ll need your EIDM User ID and Password.

Creating an EIDM Account
CMS established the EIDM system to provide clinicians and practices with a single User ID that can be used to access one or more CMS Applications .

How to Obtain an EIDM Account
If you do not have an EIDM account, navigate to the CMS Enterprise Portal and select ‘New User Registration’ to create one. The following information is required for registration:
  • Application Name
  • Application Role
  • Organization Legal Business Name, Address, and Phone Number
  • Taxpayer Identification Number (TIN) and corresponding individual Provider Transaction Access Number (PTAN)

Your organization or CMS can help you identify the information needed for your application.

Once you complete your EIDM account registration, you will receive an e-mail acknowledging your successful account creation with your EIDM User ID. Use your unique EIDM User ID and Password to login to the Quality Payment Program Portal .

CMS encourages you to create an EIDM account or verify your EIDM credentials now to prepare for your 2018 MIPS data submission.

For More Information:
Now Available: Accredited Online Course - Quality Payment Program in 2018: Advanced APMs Web-Based Training Course — Revised (as reported in the CMS Weekly Digest)
With Continuing Education Credit

A revised Quality Payment Program in 2018: Advanced APMs Web-Based Training Course is available through the MLN LMS . (sign-in required)

Learn about:
  • Advanced Alternative Payment Models (APMs), including how to identify an Advanced APM and a CMS Advanced APM
  • How to participate in QPP via an Advanced APM

Participants will gain knowledge and insight on the program all while earning valuable continuing education credit. Keep checking back with us for updates on new courses. First time participants will need to register for the MLN Learning Management System. Once registered, you will be able to access additional courses without having to register. For information on how to login or find training, please visit our MLN Learning Management System FAQ sheet.

The Centers for Medicare & Medicaid Services designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit for this course expires October 23, 2021. AMA PRA Category 1 Credit TM is a trademark of the American Medical Association.
Provider Contact Center Training and Holiday Closure Schedule
The Provider Contact Center (PCC) will be closed on Thursday and Friday, November 22-23, 2018, in observance of Thanksgiving. The PCC will reopen on Monday, November 26, 2018.
January 2019 'Dark Days' Release for the Common Working File (CWF) Hosts (as reported in Palmetto GBA E-mail Updates)
For the upcoming January 2019 Release, CWF will be observing 'Dark Days'
starting Friday, January 4, 2019, through the Sunday, January 6, 2019 to accommodate the anticipated duration of this activity and to ensure the completion of weekly/monthly/quarterly processing and the installation of the January 2019 Release. READ MORE
Why isn't Mary Receiving the Home Health Care Her Physician Ordered? (as reported in Palmetto GBA E-mail Updates)
Submitting appropriate documentation when requested to do so will ensure the HHA can receive appropriate Medicare payment and your patient's care will not be interrupted or discontinued. READ MORE
Physicians! Collaborative Glucose Monitors and Testing Supplies Webinars Scheduled for December  (as reported in Palmetto GBA E-mail Updates)
Do you order glucose monitors and diabetic testing supplies for your patients that are enrolled in Medicare? Do you wonder why you have to see some beneficiaries every six months? These questions and many more will be addressed and answered during the Glucose Monitors and Testing Supplies webinars scheduled for December 4, 2018. Please plan to attend. READ MORE
Medicare Diabetes Prevention Program: Become a Medicare Enrolled Supplier (as reported in MLN Connects for Thursday, Nov. 15, 2018)
Medicare pays Medicare Diabetes Prevention Program (MDPP) suppliers to furnish group-based intervention to at-risk Medicare beneficiaries:
  • Centers for Disease Control and Prevention (CDC)-approved National Diabetes Prevention Program curriculum
  • Up to 2 years of sessions delivered to groups of eligible beneficiaries
Find out how to become a Medicare enrolled MDPP supplier:
For More Information:
False health information can harm, so website content providers, clinicians, and patients are all responsible for appraising the quality of online content and preventing misinformation. READ MORE
Ethics Talk: How Should Clinicians Respond to False Beliefs in Health Care? (from the AMA Journal of Ethics )
We live in a time when an array of information is available at the fingertips of anyone with access to a computer, but more information doesn’t necessarily mean more understanding. False beliefs about health care can be quickly and widely perpetuated online, with serious consequences. We spoke with Dr. Jennifer McCormick, Dr. Albert Ko, and Dr. Diane Griffin about why it’s important for clinicians to respond to health care-related false beliefs and how they can do so effectively. READ MORE
Reminder: eviCore To Manage Highmark's Advanced Imaging And Cardiology Services Program Beginning Jan. 1, 2019 (from the Highmark Website Provider Resource Center)
Do You Have the List?
LIST OF PROCEDURES/DME REQUIRING AUTHORIZATION, Revised Oct 1, 2018  (from the Highmark Website Provider Resource Center)
Need to get the word out? Have content suggestions? Please contact angie@wvsma.org.