CMS, Palmetto/J1MAC, & DHCS/MediCal News

The following information has been received by ANCO.


****CMS NEWS****
The ICD-10-Clinical Modification/Procedure Coding System Fact Sheet, which provides general information about the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) including benefits of adopting the new coding system, structural differences between ICD-9 CM and ICD-10-CM/PCS, and implementation planning recommendations, is now available in downloadable format from the Centers for Medicare & Medicaid Services Medicare Learning Network at http://www.cms.hhs.gov/MLNProducts/downloads/ICD-10factsheet2008.pdf .


****PALMETTO/J1MAC NEWS****
CMS Announces Updates to the Physician Quality Reporting Initiative Web
page
http://www.palmettogba.com/palmetto/Providers.nsf/DocsCat/Providers~Current%20News~CMS%20Announces%20Updates%20to%20the%20Physician%20Quality%20Reporting%20Initiative%20Web%20page?opendocument

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce a
new E-Prescribing Incentive Program section page on the Physician Quality
Reporting Initiative (PQRI) Web page at
www.cms.hhs.gov/pqri/03_EPrescribingIncentiveProgram.asp#TopOfPage on the
CMS website. This new section page will provide information about the new
E-Prescribing incentive program that was authorized by the Medicare
Improvements for Patients and Providers Act of 2008 (MIPPA).


ICD-10-CM/PCS National Provider Conference Call for Other Part A and Part B
Providers
http://www.palmettogba.com/palmetto/Providers.nsf/DocsCat/Providers~Current%20News~ICD-10-CMPCS%20National%20Provider%20Conference%20Call%20for%20Other%20Part%20A%20and%20Part%20B%20Providers?opendocument

Other Part A and Part B providers may now register for the Centers for
Medicare & Medicaid Services ICD-10-CM/PCS National Provider Conference
Call that will be conducted on November 12, 2008 from 12:30 p.m. - 2:30
p.m. EST. To register for this call, go to
http://www.cms.hhs.gov/icd10/Downloads/ICD10_otherproviders.pdf. To find
additional information about this conference call and to access the ICD-10
Overview Presentation that will be discussed during the call, go to
http://www.cms.hhs.gov/ICD10/07_Sponsored_Calls.asp.


Medicare Fee-for-Service Professional Providers and Suppliers: Version 2.5
of the MREP Software Available for Download
http://www.palmettogba.com/palmetto/Providers.nsf/DocsCat/Providers~Current%20News~Medicare%20Fee-for-Service%20Professional%20Providers%20and%20Suppliers:%20Version%202.5%20of%20the%20MREP%20Software%20Available%20for%20Download%20?opendocument

Version 2.5 of the MREP software is available for download at
http://www.cms.hhs.gov/AccesstoDataApplication/02_MedicareRemitEasyPrint.asp
on the CMS Web site. For a description of the changes in this version,
see the "What's New" section of the MREP User Guide - Version 2.5 at
http://www.cms.hhs.gov/AccesstoDataApplication/Downloads/EasyPrintUserGuide.pdf.
Please note: The latest Codes.ini file is now available. This file is
necessary when the MREP software is distributed.


NPPES - Keeping It Safe and Keeping it Updated
http://www.palmettogba.com/palmetto/Providers.nsf/DocsCat/Providers~Current%20News~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).


Provider Enrollment Application Status Lookup Tool
http://www.palmettogba.com/palmetto/Providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Resources~Provider%20Enrollment~Provider%20Enrollment%20Application%20Status%20Lookup%20Tool?opendocument

To assist J1 providers in obtaining the status of their enrollment
applications, we are pleased to announce a new provider self-service tool.
The Provider Enrollment Application Status Lookup tool will be located on
the Palmetto GBA J1 Part B Web site, www.Palmettogba.com/J1B/Enroll, under
Resources/Provider Enrollment and under Tools and Top Links at
www.PalmettoGBA.com/J1B: http://www.palmettogba.com/palmetto/IVR.nsf


The ICD-10 Clinical Modification/Procedure Coding System (CM/PCS) - The
Next Generation of Coding
http://www.palmettogba.com/palmetto/Providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Articles~General~The%20ICD-10%20Clinical%20ModificationProcedure%20Coding%20System%20(CMPCS)%20-%20The%20Next%20Generation%20of%20Coding?opendocument

Note: This article was revised on October 9, 2008, to update the Web site
addresses and other information in the “Additional Information” section of
this article. All other information remains the same.


Your Clearinghouse or Billing Service Can Help with your J1 EDI Issues
http://www.palmettogba.com/palmetto/Providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20A~EDI~General~Your%20Clearinghouse%20or%20Billing%20Service%20Can%20Help%20with%20your%20J1%20EDI%20Issues?opendocument

Important information for J1 EDI Submitters - Providers, Clearinghouses and
Billing Services - regarding the EDI process. Please read this information
prior to contacting the Palmetto GBA Technology Support Center.


2008 Web Safari for Medicare Part B Providers – October 29, 2008
http://www.palmettogba.com/palmetto/Providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~2008%20Web%20Safari%20for%20Medicare%20Part%20B%20Providers%20–%20October%2029,%202008?opendocument

Are you new to Palmetto GBA? Do you want to navigate the Palmetto GBA Web
site like a pro? Plan to join Palmetto GBA for an informative Webinar to
learn more about the features our Web site has to offer and how to use the
site more effectively.


****DHCS/MEDI-CAL NEWS****
Effective November 1, 2008, providers must enter their Medi-Cal registered National Provider Identifier (NPI) numbers on all Treatment Authorization Requests(TARs). Providers were notified in the September Medi-Cal Update that all Medi-Cal legacy numbers would be end-dated effective October 1, 2008. As a result, the TAR system can no longer accept Medi-Cal legacy numbers; therefore, TARs submitted with a legacy number will not be processed.
NPI numbers that are successfully registered with the Department of Health Care Services (DHCS) Provider Enrollment Division (PED) can be used for all past and future dates of service.

Questions regarding the NPI number registration process can be directed to the Telephone Service Center (TSC) at 1-800-541-5555.


Rendering Medi-Cal providers must register their National Provider Identifier (NPI) using their individual Medi-Cal provider numbers. Each member of a provider group must register their individual NPI separately from the group’s NPI. A provider group may register an individual provider’s NPI on their behalf, but the group must ensure that it uses the correct NPI and Medi-Cal provider number.

Rendering providers can register their NPI using the NPIC tool (http://files.medi-cal.ca.gov/pubsdoco/npi/npi_reginfo.asp). After reviewing the important information on the “Register/Update/Inquire NPIs” page, providers can click the “Continue to Register/Update/Inquire NPIs” button at the bottom of the page to complete the NPI registration.

Rendering providers can also submit the National Provider Identifier Registration Form (http://files.medi-cal.ca.gov/pubsdoco/provappsenroll/16enrollment_DHCS6218.pdf (DHCS 6218) to register their NPI. After completing the required information, return the form with the National Plan and Provider Enumeration System (NPPES) verification document to the address shown at the bottom of the form.

The NPIC tool and the National Provider Identifier Registration Form (DHCS 6218) may only be used to register an NPI when the initial NPI registration has not been completed. If a rendering provider’s NPI is already registered, then a Medi-Cal Supplemental Changes (http://files.medi-cal.ca.gov/pubsdoco/provappsenroll/10enrollment_DHCS6209.pdf) (DHCS 6209) form must be completed and submitted to Provider Enrollment Division (PED) for any NPI-related updates.

Providers can call the Telephone Service Center (TSC) at 1-800-541-5555 by choosing option 16 and then option 18 to obtain forms, ask questions about NPI registration or verify a rendering provider’s registration status.