Wednesday, June 23, 2021

CKD/ESRD Clinician Expert Workgroup Nomination Period & Cognitive Assessment

Centers for Medicare & Medicaid Services
Quality Payment Program

Nomination Period Open for CKD/ESRD Clinician Expert Workgroup

The Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen, LLC, are seeking nominations for a Clinician Expert Workgroup that will provide input on the specification of cost measures for Chronic Kidney Disease (CKD) and End-Stage Renal Disease (ESRD) for potential use in the Merit-based Incentive Payment System (MIPS). The nomination period opened June 21, 2021, and stakeholders are invited to submit nominations between now and July 16, 2021, at 11:59 p.m. ET. 

Acumen will convene a Clinician Expert Workgroup ("workgroup") beginning in late August/early September 2021 to inform the development of CKD/ESRD cost measures. Clinicians interested in joining the CKD/ESRD workgroup may submit their nomination through this web-based nomination form. For more information, please refer to the official Call for Nominations posting on this CMS Webpage or the nomination form.

Should you have any further questions, please contact the Acumen MACRA Clinical Committee Support Team at macra-clinical-committee-support@acumenllc.com.


Cognitive Assessment: What's in the Written Care Plan?

Do you have a patient with a cognitive impairment? Medicare covers a separate visit for a cognitive assessment so you can more thoroughly evaluate cognitive function and help with care planning. Any clinician eligible to report evaluation and management services can offer this service, including physicians (MD and DO), nurse practitioners, clinical nurse specialists, and physician assistants.

The Cognitive Assessment & Care Plan Services (CPT code 99483) typically start with a 50-minute face-to-face visit that includes a detailed history and patient exam. Use information you gather from the exam to create a written care plan.

The resulting written care plan includes initial plans to address:

  • Neuropsychiatric symptoms
  • Neurocognitive symptoms
  • Functional limitations
  • Patient or caregiver referrals to community resources, as needed, with initial education and support

Effective January 1, 2021, Medicare increased payment for these services to $282 (may be geographically adjusted) when provided in an office setting, added these services to the definition of primary care services in the Medicare Shared Savings Program, and permanently covers these services via telehealth.

Get details on Medicare coverage requirements and proper billing at cms.gov/cognitive.


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