CMS & Palmetto/J1MAC News

The following information has been received by ANCO.


****CMS NEWS****
The Centers for Medicare & Medicaid Services (CMS) will host a national education conference call to address the implementation of HIPAA Version 5010. This call is being conducted for all Medicare fee-for-service providers. The call will give a general overview of the transition to HIPAA Version 5010 and address some of the exceptions and situations you may encounter as the new version is implemented. A presentation will be given and CMS Subject Matter Experts will be available to answer questions. A PowerPoint presentation will be posted on the CMS 5010 Web page prior to the call. The 5010 Web page is located at http://www.cms.hhs.gov/ElectronicBillingEDITrans/18_5010D0.asp

Conference call details:

Date: June 9, 2009

Conference Title:

CMS audio conference call: HIPAA Version 5010 – What you need to know!

Time: 2:30 – 4:00 p.m. ET

In order to receive the call-in information, you must register for the call. It is important to note that if you are planning to sit in with a group, only one person needs to register to receive the call-in data. This registration is solely to reserve a phone line, NOT to allow participation. If you cannot attend the call, replay information is available below.

Registration will close at 2:30 p.m. ET on June 8, 2009, or when available space has been filled. No exceptions will be made, so please be sure to register prior to this time.

To register for the call participants need to go to: http://www2.eventsvc.com/palmettogba/060909

Fill in all required data.

Verify your time zone is displayed correctly the drop down box.

Click "Register".

You will be taken to the “Thank you for registering” page and will receive a confirmation email shortly thereafter. Note: Please print and save this page, in the event that your server blocks the confirmation emails. If you do not receive the confirmation email, please check your spam/junk mail filter as it may have been directed there.


****PALMETTO/J1MAC NEWS****
This J1 Part B alert informs providers that some Colorectal Cancer
Screening procedure codes were being suspended for manual coverage review
in error. Therefore, an express adjustment or mass adjustment will be
performed on the claims being denied incorrectly.

Colorectal Cancer Screenings
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7RZQG87431?opendocument


Share this with your staff - This J1 Part B alert informs providers that
Palmetto will begin rejecting claims with dates of service on and after
July 1, 2009, if submitted without an invoice. For a limited time only,
Palmetto GBA will send providers development letters asking for invoices
for claims submitted without one.

Development Letter: Invoice for Radiopharmaceuticals
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7RZQXC2863?opendocument


The ICD-9-CM diagnosis code 0600 alert has been updated. ICD-9-CM diagnosis
code 0600 ‘Sylvatic’ was incorrectly end dated in our system. Palmetto GBA
has tried to perform a mass adjustment but was unsuccessful due to the
services being rejects rather than denials. Providers are asked to contact
the Palmetto GBA PCC at 1-866-931-3901 and ask for the claims to be
reprocessed.

ICD-9-CM Diagnosis Code 0600 Update
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7Q3JV82052?opendocument