Condition improved and no longer met qualifying criteria; Hospital transfer; Other discharge; Another change in condition; Leave blank if the payment cycle is Resident refused treatment and/or ongoing. elected hospice; Death; Resident became ineligible; Unknown; Can be left Last name of the practitioner who certified the billable condition that Letters, no numbers triggered payment. First name of the practitioner who certified the billable condition that Letters, no numbers triggered payment. NPI number of the practitioner who Certifying_Practitioner_NPI certified the billable condition that Ten-digit number triggered payment. This records the date the resident’s physician held a care conference under the specifications of one of the Care Use mm/dd/yyyy format; for example, Date_of_Care_Conference two new CMS billing codes. Only list Coordination 07/15/2017. care conferences that meet these new criteria and are associated with the use of one of these codes. If a physician attended, enter “Yes”. Physician_Attended The billing physician is required to be present. NP_Attended If an NP attended, enter “Yes.”
Leave blank if the payment cycle is ongoing. Condition improved and no longer met qualifying criteria; Hospital transfer; Other discharge; Another change in condition; Resident refused treatment and/or elected hospice; Death; Resident became ineligible; Unknown; Can be left Last name of the practitioner who certified the billable condition that triggered payment. Letters, no numbers First name of the practitioner who certified the billable condition that triggered payment. Letters, no numbers Certifying_Practitioner_NPI NPI number of the practitioner who certified the billable condition that triggered payment. Ten-digit number Care Coordination Date_of_Care_Conference This records the date the resident’s physician held a care conference under the specifications of one of the two new CMS billing codes. Only list care conferences that meet these new criteria and are associated with the use of one of these codes. Use mm/dd/yyyy format; for example, 07/15/2017. Physician_Attended If a physician attended, enter “Yes”. The billing physician is required to be present. NP_Attended If an NP attended, enter “Yes.”
OPTIMISTIC_Phase_2_Data_Template_Walkthrough.docx