Jan 06, 2022

This blog post updates information from our post of December 21, 2021. It provides updated clarifying information that was not available until now regarding Part II of a federal rule that pertains to the provision of Good Faith Estimates (GFEs).

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CY 2022 Medicare Quality Payment Program for Clinical Social Workers: Frequently Asked Questions

Dec 21, 2021

Beginning January 1, 2022, clinical social workers (CSWs) will become eligible to participate in Medicare’s Quality Payment Program (QPP). NASW advocated for the inclusion of CSWs in the QPP and are pleased that they are now eligible.

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Medicare Physician Fee Schedule Final Rule for CY 2022: Implications for Clinical Social Workers

Practice Alert

Dec 17, 2021

On November 2, 2021, the Centers for Medicare and Medicaid Services (CMS) released the CY 2022 Medicare Physician Fee Schedule (PFS) final rule. The 2400+-page rule includes updates to policies and payments that are pertinent to clinical social workers (CSWs) and other Medicare providers. NASW submitted comments on September 13, 2021 to CMS on the proposed rule.  A  number of NASW’s recommendations are reflected in the final rule. The final rule goes into effect on January 1, 2022. Below is a summary of the provisions and their implications for CSWs.

 

NASW will continue to monitor Medicare regulation and inform members of any further updates from CMS clarifying the CY 2022 final rule provisions. NASW also continues to undertake vigorous advocacy with CMS on behalf of CSWs and their clients, including efforts to increase the CSW reimbursement rate.

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CY 2022 Medicare Quality Payment Program for Clinical Social Workers: Frequently Asked Questions

Practice Alert

Dec 16, 2021

Beginning January 1, 2022, clinical social workers (CSWs) will become eligible to participate in Medicare’s Quality Payment Program (QPP). NASW advocated for the inclusion of CSWs in the QPP and are pleased that they are now eligible. CSWs participate in the QPP through a system called the Merit-Based Incentive Payment System (MIPS). MIPS was designed to tie payments to quality and cost efficient care, drive improvement in care processes and health outcomes, increase the use of healthcare information, and reduce the cost of care.  15 other provider types participate in the QPP.

CSWs may participate in the QPP by earning a payment adjustment for Medicare Part B covered professional services based on a performance evaluation across different categories that focus on the quality of care provided to a patient.

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(CY) 2022 Medicare Physician Fee Schedule Proposed Rule: Key Provisions Impacting Clinical Social Workers

Practice Alert

Oct 25, 2021

The Centers for Medicare and Medicaid Services (CMS) proposed CY 2022 Physician Fee Schedule (PFS) issued on July 16 includes a variety of provisions that are relevant to clinical social workers (CSWs) who are participating providers in Medicare. These provisions are outlined below and cover a number of areas, including but not limited to telehealth, the Quality Payment Program (QPP) and reimbursement.

NASW submitted a comment letter to CMS on September 13, 2021. In addition, NASW members were invited to submit their own comments via an action alert. The agency will issue the final rule in late 2021. NASW will provide an update at that time on the contents of the rule and implications for clinical social workers (CSWs).

 

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NASW submits comments to CMS on the Calendar Year 2022 Physician Fee Schedule (Sept. 13, 2021)

Sep 15, 2021

Re: CMS – 1751-P Medicare Program; CY 2022 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post-Payment Medical Review RequirementsFee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post-Payment Medical Review Requirements

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