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CMS Idea Factory

Welcome to CMS Idea Factory. Here you can contribute your ideas for the future of our agency. First time users: Please enter your CMS email address to create a profile. You will receive an email requesting confirmation. Repeat users: Please enter your CMS email address to login. You will then be prompted to enter your password. After login, please choose a forum from the list on the right of the default forum page. Then search to see if your idea has already been submitted. If it hasn't, you can submit it for discussion or vote.

2010 Idea Factory Pilot

This page is the default forum for CMS employees. It shows the November 2010 pilot results. To access another forum, chose from the list of forums under “Give Feedback” in the far right column of this page.

Results from 2010 pilot

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  1. Add an interview step to provider enrollment.

    Utilize outstationed CMS financial staff to conduct onsite interviews of new providers or those flagged/suspect to validate their legitimacy (performing in a business-like manner, can demonstrate the capability to provide their services, known and/or respected members of the medical or business community in their area).

    43 votes
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      4 comments  ·  Fraud and Abuse  ·  Flag idea as inappropriate…  ·  Admin →

      CPI recently implemented the requirement that certain providers will undergo site visits, announced and unannounced, prior to enrollment. The provider types are identified in CMS-6028-FC, and include DMEPOS suppliers, Home Health Agencies, Community Mental Health Centers and Ambulance Providers. CMS also has authority to perform a site visit at any time on any provider if there is reason to suspect fraudulent or illegitimate behavior that is best confirmed by an on-site visit.

      CPI is considering innovative solutions to conducting site visits like the suggestion to use CMS Staff in the regional offices. CPI just concluded a Request for Information on Site Visits and is currently evaluating responses.

    • 7 votes
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        under review  ·  5 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
      • 14 votes
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          under review  ·  10 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
        • 4 votes
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            under review  ·  1 comment  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
          • Each division (Regional Offices) should create/modify their own mission statements

            This idea was moved to the Best Place to Work forum.

            0 votes
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              under review  ·  0 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
            • Can employees use Skype for conference calls?

              Look into how Skype can be used by employees for conference calls.

              This would be really helpful when employees are working from home.

              3 votes
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                under review  ·  2 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
              • Allow a gourmet food truck to come onto our campus

                Allow a gourmet food truck to come onto our campus.

                Arrange for different ones to come so that different foods are available.

                4 votes
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                  under review  ·  5 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
                • Convince White House & Congress that fraud is top priority & change laws to make it so.

                  We need to convince the Public, Clinicians, the White House and Congress that fighting fraud, waste and abuse must be top priority.

                  Currently, as we make it easier for providers to submit claims and get paid, the unintended consequences include making it easier to commit fraud, waste and abuse.

                  7 votes
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                    0 comments  ·  Fraud and Abuse  ·  Flag idea as inappropriate…  ·  Admin →

                    CPI agrees that fighting fraud, waste and abuse should be a top priority. We believe that program integrity has gotten unprecedented attention since the passage of the Affordable Care Act last March.

                    Title VI of ACA has provided CMS with some very powerful tools that we are working diligently to implement – including increased screening requirements, the ability to suspend payments pending the investigation of a credible allegation of fraud, and the ability to impose a temporary enrollment moratoria to counteract an increased risk of fraud, waste of abuse to the federal health care programs. These authorities were implemented in CMS-6028-FC published this fall, and CPI intends to publish additional NPRMs implementing ACA authorities this fall and winter.

                    Additionally, the President’s Executive Order to reduce improper payments government wide requires CMS to cut the Medicare improper payment rate by 50% by 2014. Secretary Sebelius has directed the Department to…

                  • Have classes from the Federal Acquisition Institute on site at CMS.

                    There are a variety of classes offered through the Federal Acquisition Institute (FAI). CMS could explore having FAI bring some of those course offerings on site at CMS and negotiate an Inter-Agency Agreement with FAI.

                    15 votes
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                      planned  ·  3 comments  ·  COTR Training  ·  Flag idea as inappropriate…  ·  Admin →
                    • Empower the virtual workers - put a pic of folks on the phone next to the polycom during conf calls

                      When badging takes a picture, let the graphics shop make it into a small foam "card" - when folks aren't in the office, meeting organizers can put the pic next to the polycom so those on the phone aren't forgotten

                      1 vote
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                        under review  ·  3 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
                      • Start a COTR - Contract Specialist issues forum to discuss CMS-relevant cases from both viewpoints.

                        Right now, must training is a one way conversation from OAGM to COTR's. Yet training courses have consistently been filled with questions that would be more easily resolved if contract specialistis and contracting officers were involved in the discussion. CO's & CS's can learn from COTR's in terms of improved processes AND better trained COTRs.

                        37 votes
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                          planned  ·  4 comments  ·  COTR Training  ·  Flag idea as inappropriate…  ·  Admin →
                        • 27 votes
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                            planned  ·  1 comment  ·  COTR Training  ·  Flag idea as inappropriate…  ·  Admin →
                          • Mandatory training

                            Reducing the amount of mandatory would greatly improve workplace efficiency. Has anyone ever conducted a study for exactly how many workdays/hours are spent by CMS in mandatory training?

                            6 votes
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                              under review  ·  0 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
                            • 9 votes
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                                under review  ·  1 comment  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
                              • Organize and implement Group Level "Best Place to Work Teams"

                                Organize and implement Group Level “Best Place to Work Teams”. These people would constitute a forum, representative of all divisions within their Component/Group. The Team would be sanctioned and encouraged by Group Level Management. Members, consisting of both management and staff, would collaborate to address how their work life and environment could be enhanced to recognize and address “people” needs and desires, with “production” mandates. Meetings would be facilitated, and transparent. Members would rotate on and off the Team and their charge is to be positive, change agents for their Group, working together to create a “Best Place to Work”!

                                3 votes
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                                  under review  ·  4 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
                                • Redesign training that is more case-study based of the top 5 types of contracts a PO will encounter.

                                  Redesign training that is more case-study based of the top 5 types of contracts a PO will encounter.

                                  19 votes
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                                    planned  ·  4 comments  ·  COTR Training  ·  Flag idea as inappropriate…  ·  Admin →
                                  • Create New Pay-Scales for Technical Positions

                                    CMS has many highly-skilled positions in actuarial/accounting, information technology, law, medical, etc. that are rolled into general positions of health insurance specialists, IT specialists, etc.

                                    Individuals with specialized (marketable) skills - not just managing contractors with specialized skills, but those with the actual skills - should be paid at a specialized rate more than simply being lumped into a general administrative pay scale.

                                    Other agencies have specialized pay plan scales (FHFA, SEC, FDIC, etc.) for technical positions, CMS should reward its technical staff appropriately.

                                    9 votes
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                                      under review  ·  1 comment  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
                                    • Rotate Deputy Group Directors

                                      Deputy Group Directors are the foundation for future leadership and also drive the operational efforts of Groups throughout CMS. To create a more cross function foundation and future platform, why not create a program that allows Deputy Group Directors to swap or rotate to be Deputy Group Directors in other areas every 2 years. This means that every two years your Deputies will change, but they will get a round robin effect of learning CMS business, issues and resources to be the future leaders.

                                      3 votes
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                                        under review  ·  3 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
                                      • (A CMS VBP Program) Work to get a percentage of unspent funds from budgets to go into Admin funds

                                        There seems to be an ongoing theory in federal government, leave no money on the table and spend all you chips at the end of the year. This is almost a anti-add to being innovated and saving money. To change the culture and behavior and force ideas that drive cost savings do what we currently do with Providers, create a Value Base Performance incentive for CMS federal staff. In the event there are funds left on the table from request take a percentage – say 1% and place back into ADMIN budgets for Training, supplies, awards (Not FTE). I think…

                                        4 votes
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                                          under review  ·  1 comment  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
                                        • Move all IT staff/components to same area regardless of which component t they work for

                                          CMS is comprised of some of the best It talent in the industry, however it is fragmented among components that often do not get to bounce or share ideas and lessons learned. Within current components the IT shops talk and share somewhat to the fact they are just sitting with each other. To really drive innovation within IT place all the IT operational components physically together as composed per function. Even though they may work for different areas they can communicate this way, bounce ideas and share lessons. It places the same functions together physically to form a more coherent…

                                          4 votes
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                                            under review  ·  1 comment  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
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                                          2010 Idea Factory Pilot

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