The discount factor, or the set percentage by which CMS reduces an episode payment amount, beneficiary cost-sharing. The RO Model tests whether bundled, prospective, site neutral, modality agnostic, episode-based payments to physician group practices (PGPs), hospital outpatient departments (HOPD), and … The Total editable document kit has 9 main directories as below in word/excel. Since 2014, CMS has explored potential ways to test an episode-based payment model for RT services. This division reflects the fact that RT professional and technical services are sometimes furnished by separate providers or suppliers. Beneficiaries retain their freedom to choose any provider or supplier and, if they feel their care has been compromised, they should call 1-800-MEDICARE or contact their, participants begin Performance Year 1 (PY1), RO Clinical Data Elements Informal Request for Information, Medicare Program; Specialty Care Models to Improve Quality of Care and Reduce Expenditures Final Rule (2020), The CMS Enterprise Data Portal (EIDM) is the entry point for several CMS systems. The total sample CMMI Documents Package as per latest CMMI V2.0 model can be purchased online, You can refer DEMO and Sample Documents to learn more about documents covered in each directory. The standard beneficiary coinsurance and sequestration policies remain in effect. The clinical data requirements will be provided to RO participants prior to the start of PY1. 1.2.6 Document and Manage Risks 73 1.2.7 Obtain Commitment to Appraisal Plan 75 1.3 Select and Prepare Team 76 1.3.1 Identify Appraisal Team Leader 79 1.3.2 Select Team Members 81 1.3.3 Document and Manage Conflicts of Interest 86 1.3.4 Prepare Team 89 1.4 Obtain and Inventory Initial Objective Evidence 96 The RO Model Connect Site library contains technical and operational resource documents important for program implementation, as well as audio-visual recordings, and transcripts of RO Model learning events. Oncology: Medical and Radiation - Plan of Care for Pain -, Treatment Summary Communication – Radiation Oncology, Preventive Care and Screening: Screening for Depression and Follow-Up Plan -, that their RT providers and suppliers are participating in the RO Model. In fact, the models provide multiple "examples of typical work products" for each Specific Practice in every Practice Area. Beneficiaries retain their freedom to choose any provider or supplier and, if they feel their care has been compromised, they should call 1-800-MEDICARE or contact their Quality Improvement Organization (QIO). RO participants and the RO Model team use this site for sharing documents, participating in online discussions, and receiving updates about RO Model activities, among other features. determined based on proposed national base rates, trend factors, and adjustments for each participant’s case-mix, historical experience, and geographic location.