Medicare Program Updates & Information

Members should be aware of the following CMS information and updates:

  • Open Payments Update- The Open Payments program requires certain manufacturers to report payments or gifts provided to ODs and other physicians. Such items include consulting fees, honorarium, gifts, food and beverage, lodging and travel, and education. 
    • On June 30, 2017, CMS will publish the 2016 payment data and updates to the 2013, 2014, and 2015 data.
    • Beginning in April, doctors of optometry will have 45 days to review and dispute records attributed to them.
    • Attend CMS' Open Payments: Prepare to Review Reported Data Call (April 13, 2017; 1:30 PM - 3:00 PM EST) to learn:
      • How to access the Open Payments system and
      • Review the accuracy of the data submitted about you.
    • More information can be found on CMS' Open Payments Registration webpage.

  • CMS-855R Enrollment Form-CMS has updated CMS-855R (Reassignment of Benefits Application)
    • Members must now use the revised CMS-855R (Reassignment of Benefits Application) when:
      • Reassigning rights to bill the Medicare program and receive Medicare payments for services rendered to Medicare beneficiaries, OR
      • Terminating a currently established reassignment of benefits.
    • For the most up-to-date enrollment forms, please see AOA's Medicare Enrollment Webpage.

  • CMS-R-131 ABN Form-CMS has released a revised Advance Beneficiary Notice of Non-coverage (ABN), Form CMS-R-131 and it's revised instructions.
    • No substantive changes were made.
    • Non-substantive changes include:
      • Extension of form's expiration date to 3/2020.
      • Information for beneficiaries regarding CMS' nondiscrimination policies.
    • The effective date for use of this ABN form is 6/21/2017.
    • Forms and instructions can be found CMS webpage at FFS ABN.