Palmetto/J1MAC News

The following information has been received by ANCO.


****PALMETTO/J1MAC NEWS****
Billing Routine Cost of Clinical Trials (Revised)
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20A~MLNs~All%20Part%20A%20MLNs~Billing%20Routine%20Cost%20of%20Clinical%20Trials%20(Revised)?opendocument

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Change Request (CR) 6431, alerts providers that they should continue to
report the International Classification of Diseases diagnosis code V70.7
(Examination of Participant in Clinical Trial) on clinical trial claims. It
is no longer necessary to make a distinction between a diagnostic and
therapeutic clinical trial service on the claim. Note: This article was
revised on April 30, 2009, to reflect a revised CR 6431, issued by the
Centers for Medicare & Medicaid Services (CMS) on April 29, 2009.


Expansion of the Current Scope of Editing for Ordering/Referring Providers
for Claims Processed by Medicare Carriers and Part B Medicare
Administrative Contractors (MACs)
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~MLNs~All%20Part%20B%20MLNs~Expansion%20of%20the%20Current%20Scope%20of%20Editing%20for%20OrderingReferring%20Providers%20for%20Claims%20Processed%20by%20Medicare%20Carriers%20and%20Part%20B%20Medicare%20Administrative%20Contractors%20(MACs)?opendocument

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CR6417, Expansion of the Current Scope of Editing for Ordering/Referring
Providers for Claims Processed by Medicare Carriers and Part B Medicare
Administrative Contractors (MACs), announces that CMS is expanding claim
editing to verify that the ordering/referring provider on a claim is
enrolled in Medicare and is eligible to order or refer Medicare services.


Update to List of Medicare Telehealth Services
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20A~MLNs~All%20Part%20A%20MLNs~Update%20to%20List%20of%20Medicare%20Telehealth%20Services?opendocument

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CR6458, Update to List of Medicare Telehealth Services, changes the list of
Medicare telehealth services to reflect the coding changes for ESRD-related
services that took effect during the 2009 Healthcare Procedural Coding
System (HCPCS) update.


Updated: Independent Diagnostic Testing Facility Table
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Resources~Provider%20Enrollment~IDTF~Updated%20Independent%20Diagnostic%20Testing%20Facility%20Table?opendocument

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This table shows the CPT codes, physician supervision levels and physician
and technician requirements for independent diagnostic testing facilities.