Palmetto/J1MAC Website Updates

The following updates have been posted to the Palmetto/J1MAC website.
Begin forwarded message:

Clinical Laboratory Fee Schedule: Medicare Travel Allowance Fees for
Collection of Specimens
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Articles~General~Clinical%20Laboratory%20Fee%20Schedule:%20Medicare%20Travel%20Allowance%20Fees%20for%20Collection%20of%20Specimens?opendocument

This article is based on Change Request (CR) 6195 and revises and clarifies
payment of travel allowances that are based on either a per mileage basis
(P9603) or on a flat rate basis (P9604) for calendar year (CY) 2008. The
new rates are $1.035 per mile (P9603) and $9.55 per flat-rate trip (P9604).



Applies to:
Jurisdiction 1//J1 Part B: General
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Indicator for the Technical Component of Purchased Diagnostic Services
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Articles~General~Indicator%20for%20the%20Technical%20Component%20of%20Purchased%20Diagnostic%20Services?opendocument

This article provides instructions to Palmetto GBA on how to process claims
for diagnostic services when there is no entry (either an indication in
Block 20 of the CMS-1500 form or a claim or line level PS1 segment on the
837P X12 4010A1 electronic format) on the claim to indicate that whether
the diagnostic services were purchased. Palmetto GBA will adjudicate a
claim lacking an entry for the "Yes/No" indicator or lacking the PS1
segment for a diagnostic service as if it were not a purchased service.

Applies to:
Jurisdiction 1//J1 Part B: General
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Medicare Part B Drug Competitive Acquisition Program (CAP):
Ask-the-Contractor Teleconference - CAP Postponement for 2009
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Articles~Drugs%20and%20Biologicals~Medicare%20Part%20B%20Drug%20Competitive%20Acquisition%20Program%20(CAP):%20Ask-the-Contractor%20Teleconference%20-%20CAP%20Postponement%20for%202009?opendocument

On September 10, 2008, the Centers for Medicare & Medicaid Services (CMS)
announced the postponement of the 2009 Medicare Part B Competitive
Acquisition Program (CAP). As a result, CAP physician election for
participation in the CAP in 2009 will not be held, and CAP drugs will not
be available from an approved CAP vendor for dates of service after
December 31, 2008.

Applies to:
Jurisdiction 1//J1 Part A : General
Jurisdiction 1//J1 Part B: General
Part B - Ohio / West Virginia//General - Part B
Part B - South Carolina//General - Part B
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NPPES - Keeping It Safe and Keeping it Updated
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~News~NPPES%20-%20Keeping%20It%20Safe%20and%20Keeping%20it%20Updated?opendocument

This message is for healthcare providers, particularly physicians and other
practitioners, who have obtained National Provider Identifiers (NPIs) and
have records in the National Plan and Provider Enumeration System (NPPES).

Applies to:
Jurisdiction 1//J1 Part A : General
Jurisdiction 1//J1 Part B: General
Part A - North Carolina//General - Part A
Part A - South Carolina//General - Part A
Part B - Ohio / West Virginia//General - Part B
Part B - South Carolina//General - Part B
Railroad Medicare (RRB)//General - Railroad Medicare
Regional Home Health & Hospice Intermediary (RHHI)//General - RHHI