The following information has been received by ANCO.
****ACCC NEWS****
How Will You Solve Today's Inpatient and Outpatient Challenges?
Pressing issues confront oncology today: declining revenues and reimbursements, the high cost of new technology, implementation of electronic medical records, and shortages in the oncology workforce.
The Association of Community Cancer Centers (ACCC) is here to help programs and practices confront the looming crises in cancer care. Learn how to:
Enhance your cancer service line
Implement cost-saving strategies
Determine which EMR system best fits your needs
Create innovative physician employment arrangements
Assess if 340B-status is right for your hospital
Negotiate with third-party payers
Evaluate productivity metrics
Improve charge capture. . . and much more!
Join us at ACCC's 26th National Oncology Economics Conference in Minneapolis, Minnesota, September 22-25, 2009. This is the one national meeting designed to benefit ALL members of your cancer care team.
ACCC members who register for the meeting at the full rate ($550 or higher) may register a second person, member or non-member, at the 2nd Registrant discount rate, as long as he or she is a cancer care provider.
Learn More and Register at http://www.accc-cancer.org/meetings/meetings_noec2009.asp!
Patient Navigation Pre-conference— Sept. 22
Enhance your patient navigation services.
Oncology Pharmacy Pre-conference— Sept. 22
For the oncology pharmacy team AND physicians who seek to establish an in-house pharmacy or hire a part-time consultant pharmacist.
****ASCO NEWS****
Register and Reserve Housing for the 2009 Breast Cancer Symposium
The theme of the Symposium, "Integrating Emerging Science into Clinical Practice," emphasizes the growing focus on translational research in oncology. The deadline to receive housing and early registration rates is Sept. 9.
Register and Reserve Housing for the 2009 ASCO Electronic Health Records Symposium
With the American Recovery and Reinvestment Act (ARRA) signed into law, now is the time to implement electronic health records (EHR) into your practice. The 2009 ASCO EHR Symposium, "Harnessing the EHR, From Incentives to Sustainability" can prepare you with the knowledge and tools for success. Join us Oct. 6-7 in San Francisco. The deadline to receive housing and early registration rates is Sept. 9.
We want to alert you to an exciting new ASCO program opportunity. Through financial support by Susan G. Komen for the Cure®, ASCO is offering hematology/oncology practices in the United States the chance to participate in the pilot test of a new breast cancer registry. The Breast Cancer Registry Pilot will use a web-enabled application that is based on the ASCO Breast Cancer Treatment Plan and Summary template (www.asco.org/treatmentsummary).
The three main goals of the Breast Cancer Registry Pilot are to:
Implement and evaluate a new way for data submission to a database for quality monitoring and improvement.
Evaluate the burden, value, usefulness, and effectiveness of the Breast Cancer Registry Pilot methodology to oncology practices.
Assess patients' perspectives regarding treatment and survivorship discussions using the treatment plan and summary reports generated by the web-based registry.
ASCO is currently recruiting 20 diverse outpatient hematology/oncology practices to participate in the Breast Cancer Registry Pilot data entry and evaluation research study. Practices will receive a $20,000 stipend for their participation. The pilot period will begin in early Fall 2009 and be completed by year-end, 2010.
Help ASCO start a registry and learn to incorporate a treatment plan and summary in your patient care. Ultimately, ASCO seeks to provide a registry for national quality monitoring and quality improvement. We encourage you to share this exciting opportunity with other members in your state, attached is a flier for your own distribution.
If you would like more information or you think your practice may be interested in participating, visit www.asco.org/bcr. Applications are due by June 30th. Accepted practices will be notified in July.
Selections of participants will be made by ASCO in its sole discretion, and all selections shall be final. If your practice is selected, you will be notified in July, 2009. Participation will be subject to written registry and study participation agreements. For more information, e-mail Ginger Norris at ginger.norris@asco.org or Charmaine Cummings at charmaine.cummings@asco.org.
****ASH NEWS****
New PQRI Resources Available
The Centers for Medicare and Medicaid Services (CMS) has released a new document directed at office managers outlining the steps providers should take to participate in the 2009 Physician Quality Reporting Initiative (PQRI) and E-Prescribing programs. Thedocument is available from CMS. More resources to help hematologists be successfully reimbursed for PQRI and E-Prescribing participation are available on the ASH Web site.
****NCCN NEWS***
The National Comprehensive Cancer Network (NCCN) is reaching out to oncology professionals to determine how useful the NCCN Clinical Practice Guidelines in Oncology™ are to you in informing your treatment decisions. Your responses will help us to make the NCCN Guidelines even more accessible to you. Please take a few minutes to give us your perspective by completing this short survey.
Click here (https://www.surveymonkey.com/s.aspx?sm=VffEQquxjmW2KnWkwVU08w_3d_3d) to access the NCCN Clinical Practice Guidelines in Oncology™ User Survey.
Tuesday, June 30, 2009
CMS, DHHS/MediCal, & Palmetto/J1MAC News
The following information has been received by ANCO.
****CMS NEWS****
The Centers for Medicare & Medicaid Services (CMS) has posted the July 2009 ASP pricing files and crosswalks, which are available for download at http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/01a1_2009aspfiles.asp
SE0910 – Clarification for Billing Part B versus Part D for the Anti-emetic Aprepitant (Emend®)
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0910.pdf
The written and audio transcripts of the ICD-10-CM/PCS Implementation and General Equivalence Mappings (Crosswalks) National Provider Conference Call, which was conducted by the Centers for Medicare & Medicaid Services on May 19, 2009, are now available in the Downloads Section at http://www.cms.hhs.gov/ICD10/06a_2009_CMS_Sponsored_Calls.asp .
The Centers for Medicare & Medicaid Services (CMS) must announce that the 2007 Physician Quality Reporting Initiative (PQRI) feedback reports that have been posted since July 2008 on www.qualitynet.org/pqri will be archived effective June 30, 2009 and will no longer be available to eligible professionals (EPs) who participated in the 2007 PQRI.
Archiving is required to create server space for new feedback reports related to the 2008 PQRI and the 2007 PQRI re-run participation. Only those EPs who previously did not qualify by submitting at least one quality data code successfully, but are newly qualified following the back-end system analysis and re-run of 2007 PQRI data, will receive a 2007 PQRI re-run feedback report.
All eligible professionals who successfully submitted at least one quality data code for the 2008 PQRI will receive a feedback report. These reports should be available in October 2009.
The 2008 PQRI incentive payment will be distributed by the Carrier and/or A/B MAC in October 2009. The 2007 PQRI re-run incentive payments will be distributed by the Carrier and/or A/BMAC in November 2009.
Additional information about the 2007 PQRI feedback reports can be found in the “2007 PQRI Program” section page at http://www.cms.hhs.gov/pqri on the CMS website.
It is not too late to start participating in the 2009 Physician Quality Reporting Initiative (PQRI) and potentially qualify to receive incentive payments. A new half-year reporting period begins on July 1. If you have not yet started, you can begin by reporting either:
· Three individual 2009 PQRI measures for at least 80% of applicable Medicare Part B FFS patients seen between July 1, 2009 and December 31, 2009 through a qualified 2009 PQRI registry. To qualify for a half-year incentive (some registries may allow an eligible professional to submit data to them from the start of 2009 thus being able to report for the entire year); or
· A measures group through claims or a qualified 2009 PQRI registry.; depending on the sample method selected for a measures group, you could qualify for:
o A half-year incentive by reporting the measures group on 80% of applicable Medicare Part B FFS patients seen between July 1, 2009 and December 31, 2009 or
o A full-year incentive by reporting the measures group on 30-consecutive patients.
A list of qualified registries for the 2009 PQRI can be found on the CMS PQRI “Reporting” section page at http://www.cms.hhs.gov/PQRI on the CMS website.
Eligible professionals do not need to sign-up or pre-register to participate in the 2009 PQRI. Submission of quality data codes for individual PQRI measures to CMS through a qualified registry or for a measures group through claims or a qualified registry will indicate intent to participate.
Although there is no requirement to register prior to submitting the data, there are some preparatory steps that professionals should take prior to undertaking PQRI reporting. CMS has created a tip sheet titled, “Satisfactorily Reporting 2009 PQRI Measures,” that provides information about how to get started with PQRI reporting. To access this tip sheet and all available educational resources on the 2009 PQRI please visit http://www.cms.hhs.gov/PQRI/ on the CMS website. Eligible professionals are encouraged to visit the PQRI webpage often for the latest information and downloads on PQRI.
The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the availability of Qualified Registries for 2009 Physician Quality Reporting Initiative (PQRI) Reporting.
A list of qualified registries can be accessed under the “Reporting” section page on the CMS website at http://www.cms.hhs.gov/PQRI. Each of the registries listed has gone through a vetting process. CMS believes that it is highly likely each of these registries will be successful in their data submission for the PQRI program.
Eligible professionals who wish to participate in the 2009 PQRI using one of the registry-based options may contact the registries for additional details on participation options.
All publicly available information on the CMS Physician Quality Reporting Initiative can be found at http://www.cms.hhs.gov/PQRI on the CMS website.
A new website is now available from the Centers for Medicare & Medicaid Services (CMS) concerning Health Information Technology as provided for in the American Recovery and Reinvestment Act of 2009. On this website, you can find information pertaining to the Medicare and Medicaid incentives for electronic health records adoption and important links to related websites at the Department of Health and Human Services.
Posted now are:
· A CMS fact sheet and questions/answers pertaining to the incentive programs
· Link to press release pertaining to the process of defining meaningful use (Comments are due June 26, 2009.)
· Resources on Health IT and privacy & security (HIPAA)
Bookmark http://www.cms.hhs.gov/Recovery/11_HealthIT.asp today to find the latest on Health Information Technology.
****DHHS/MediCal NEWS****
Medi-Cal is receiving increased volumes of claims with NDCs. Please keep in mind that, claims with dates of service on or after April 1, 2009 that do not meet the NDC reporting requirements to include a valid NDC with a HCPCS Level I, II or III code, will be denied. As a result, Medi-Cal would like to note the findings related to claim denials. Below are common questions/errors, based on claim reporting and provider contact, to be shared with your membership.
Medi-Cal has seen an increase in denied claims resulting from, but not limited to, the following issues:
Providers report they are unaware that NDCs are required
Provider's software is not ready yet
Provider didn't think NDC was required for this particular code
Provider was unaware of correct NDC format
Resources
The Medi-Cal Web site has a page devoted to NDC Reporting Requirements that contains reporting requirements details, frequently asked questions (FAQs), definitions, claim examples/formats, NDC presentation and information on Section 340B of the Public Health Service Act. Click here to access: http://files.medi-cal.ca.gov/pubsdoco/ndc/ndc.asp
The ASC X12N Version 4010A1 Companion Guides have been updated and are available on the Medi-Cal Web site at http://files.medi-cal.ca.gov/pubsdoco/hipaa/hipaaspecs_home.asp . These guides will enable technical staff or software vendors to update your software to include the NDC requirements on the 837 electronic transactions.
Additionally, the Part 2 provider bulletins (General Medicine, Obstetrics and Outpatient) include NDC information, physician-administered drug definitions, billing descriptions and examples for CMS 1500 and UB-04 paper claim forms, as well as both 837 Institutional and Professional electronic formats, and Section 340B information. These bulletins can be viewed on the Medi-Cal Web site at http://files.medi-cal.ca.gov/pubsdoco/Bulletins_menu.asp .
Finally, the CMS 1500 and UB-04 claim form tutorials on the Medi-Cal Web site have been updated to include instructions on how to bill HCPCS and NDCs and can be viewed at http://files.medi-cal.ca.gov/pubsdoco/eo/elearning.asp .
Should you have any questions or need additional information, please call the Telephone Service Center (TSC) at 1-800-541-5555 and choose the appropriate prompt or visit the Medi-Cal Web site at the address listed above.
Additional information has been posted to the Medi-Cal Web site this week regarding Optional Benefits Reductions. A new link has been added to the home page (http://www.medi-cal.ca.gov/), Newsroom, section entitled: Medi-Cal Beneficiary Optional Benefits Reduction Notice. The link connects users to the DHCS Web page and beneficiary notices provided in the thirteen threshold languages.
In addition, the applicable provider manual sections have been refreshed and pages updated to reflect the most current information. The provider manuals can be accessed from the following link: http://files.medi-cal.ca.gov/pubsdoco/manuals_menu.asp.
****PALMETTO/J1MAC NEWS****
July 2009 J1 A/B MAC Medicare Advisory
The July 2009 J1 A/B MAC Medicare Advisory is now available on the Palmetto
GBA Web site. It contains the latest updates and useful information
regarding Medicare. Please share this information with your staff.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7TCRHU0154?opendocument
MammaPrint Test – Breast Cancer Prognosis Draft LCD J1B-09-0002
Palmetto GBA Part B has developed a new Local Coverage Determination (LCD)
for a new diagnostic test. The Draft LCD MammaPrint Test – Breast Cancer
Prognosis which will be open for comment on July 16, 2009.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7TANRA2065?opendocument
Part B LCD Update
The following J1 Part B LCDs have been revised.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7TANL83761?opendocument
Part B LCD Update
The following J1 Part B LCDs will begin their notice period on June 25,
2009.The revisions made during the comment period will become effective
August 10, 2009.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7TAN6V8370?opendocument
Advance Payments to Providers of Part B Services: Updated Summary of the
Requirements
The requirements for advance payment for Part B providers who are
experiencing financial hardship due to claims that are unable to process
within established time limits have been updated.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7TBQYM3512?opendocument
Erythropoietin Stimulating Agents (ESAs) for the Treatment of Anemia
Unrelated to Dialysis Therapy: Rounding Error Revised
From April 1, 2009, through May 9, 2009, there was an error in the EDI
system, which may have caused claims submitted with a Hematocrit (HCT)
and/or Hemoglobin (HGB) level, to process incorrectly. Previously, you were
told these claims could be corrected via a telephone reopening. However,
due to the complex nature of these services, the reopening should be
requested in writing.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7SAL6P2226?opendocument
Fraud Alert: Be Aware of Fraudulent Requests for Provider Enrollment
Information by Fax or Mail
Fraud Alert: Please be aware of a recent scam that asks providers to
complete an enrollment application within 48 hours or risk payment
interruption.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SXNUX1831?opendocument
****CMS NEWS****
The Centers for Medicare & Medicaid Services (CMS) has posted the July 2009 ASP pricing files and crosswalks, which are available for download at http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/01a1_2009aspfiles.asp
SE0910 – Clarification for Billing Part B versus Part D for the Anti-emetic Aprepitant (Emend®)
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0910.pdf
The written and audio transcripts of the ICD-10-CM/PCS Implementation and General Equivalence Mappings (Crosswalks) National Provider Conference Call, which was conducted by the Centers for Medicare & Medicaid Services on May 19, 2009, are now available in the Downloads Section at http://www.cms.hhs.gov/ICD10/06a_2009_CMS_Sponsored_Calls.asp .
The Centers for Medicare & Medicaid Services (CMS) must announce that the 2007 Physician Quality Reporting Initiative (PQRI) feedback reports that have been posted since July 2008 on www.qualitynet.org/pqri will be archived effective June 30, 2009 and will no longer be available to eligible professionals (EPs) who participated in the 2007 PQRI.
Archiving is required to create server space for new feedback reports related to the 2008 PQRI and the 2007 PQRI re-run participation. Only those EPs who previously did not qualify by submitting at least one quality data code successfully, but are newly qualified following the back-end system analysis and re-run of 2007 PQRI data, will receive a 2007 PQRI re-run feedback report.
All eligible professionals who successfully submitted at least one quality data code for the 2008 PQRI will receive a feedback report. These reports should be available in October 2009.
The 2008 PQRI incentive payment will be distributed by the Carrier and/or A/B MAC in October 2009. The 2007 PQRI re-run incentive payments will be distributed by the Carrier and/or A/BMAC in November 2009.
Additional information about the 2007 PQRI feedback reports can be found in the “2007 PQRI Program” section page at http://www.cms.hhs.gov/pqri on the CMS website.
It is not too late to start participating in the 2009 Physician Quality Reporting Initiative (PQRI) and potentially qualify to receive incentive payments. A new half-year reporting period begins on July 1. If you have not yet started, you can begin by reporting either:
· Three individual 2009 PQRI measures for at least 80% of applicable Medicare Part B FFS patients seen between July 1, 2009 and December 31, 2009 through a qualified 2009 PQRI registry. To qualify for a half-year incentive (some registries may allow an eligible professional to submit data to them from the start of 2009 thus being able to report for the entire year); or
· A measures group through claims or a qualified 2009 PQRI registry.; depending on the sample method selected for a measures group, you could qualify for:
o A half-year incentive by reporting the measures group on 80% of applicable Medicare Part B FFS patients seen between July 1, 2009 and December 31, 2009 or
o A full-year incentive by reporting the measures group on 30-consecutive patients.
A list of qualified registries for the 2009 PQRI can be found on the CMS PQRI “Reporting” section page at http://www.cms.hhs.gov/PQRI on the CMS website.
Eligible professionals do not need to sign-up or pre-register to participate in the 2009 PQRI. Submission of quality data codes for individual PQRI measures to CMS through a qualified registry or for a measures group through claims or a qualified registry will indicate intent to participate.
Although there is no requirement to register prior to submitting the data, there are some preparatory steps that professionals should take prior to undertaking PQRI reporting. CMS has created a tip sheet titled, “Satisfactorily Reporting 2009 PQRI Measures,” that provides information about how to get started with PQRI reporting. To access this tip sheet and all available educational resources on the 2009 PQRI please visit http://www.cms.hhs.gov/PQRI/ on the CMS website. Eligible professionals are encouraged to visit the PQRI webpage often for the latest information and downloads on PQRI.
The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the availability of Qualified Registries for 2009 Physician Quality Reporting Initiative (PQRI) Reporting.
A list of qualified registries can be accessed under the “Reporting” section page on the CMS website at http://www.cms.hhs.gov/PQRI. Each of the registries listed has gone through a vetting process. CMS believes that it is highly likely each of these registries will be successful in their data submission for the PQRI program.
Eligible professionals who wish to participate in the 2009 PQRI using one of the registry-based options may contact the registries for additional details on participation options.
All publicly available information on the CMS Physician Quality Reporting Initiative can be found at http://www.cms.hhs.gov/PQRI on the CMS website.
A new website is now available from the Centers for Medicare & Medicaid Services (CMS) concerning Health Information Technology as provided for in the American Recovery and Reinvestment Act of 2009. On this website, you can find information pertaining to the Medicare and Medicaid incentives for electronic health records adoption and important links to related websites at the Department of Health and Human Services.
Posted now are:
· A CMS fact sheet and questions/answers pertaining to the incentive programs
· Link to press release pertaining to the process of defining meaningful use (Comments are due June 26, 2009.)
· Resources on Health IT and privacy & security (HIPAA)
Bookmark http://www.cms.hhs.gov/Recovery/11_HealthIT.asp today to find the latest on Health Information Technology.
****DHHS/MediCal NEWS****
Medi-Cal is receiving increased volumes of claims with NDCs. Please keep in mind that, claims with dates of service on or after April 1, 2009 that do not meet the NDC reporting requirements to include a valid NDC with a HCPCS Level I, II or III code, will be denied. As a result, Medi-Cal would like to note the findings related to claim denials. Below are common questions/errors, based on claim reporting and provider contact, to be shared with your membership.
Medi-Cal has seen an increase in denied claims resulting from, but not limited to, the following issues:
Providers report they are unaware that NDCs are required
Provider's software is not ready yet
Provider didn't think NDC was required for this particular code
Provider was unaware of correct NDC format
Resources
The Medi-Cal Web site has a page devoted to NDC Reporting Requirements that contains reporting requirements details, frequently asked questions (FAQs), definitions, claim examples/formats, NDC presentation and information on Section 340B of the Public Health Service Act. Click here to access: http://files.medi-cal.ca.gov/pubsdoco/ndc/ndc.asp
The ASC X12N Version 4010A1 Companion Guides have been updated and are available on the Medi-Cal Web site at http://files.medi-cal.ca.gov/pubsdoco/hipaa/hipaaspecs_home.asp . These guides will enable technical staff or software vendors to update your software to include the NDC requirements on the 837 electronic transactions.
Additionally, the Part 2 provider bulletins (General Medicine, Obstetrics and Outpatient) include NDC information, physician-administered drug definitions, billing descriptions and examples for CMS 1500 and UB-04 paper claim forms, as well as both 837 Institutional and Professional electronic formats, and Section 340B information. These bulletins can be viewed on the Medi-Cal Web site at http://files.medi-cal.ca.gov/pubsdoco/Bulletins_menu.asp .
Finally, the CMS 1500 and UB-04 claim form tutorials on the Medi-Cal Web site have been updated to include instructions on how to bill HCPCS and NDCs and can be viewed at http://files.medi-cal.ca.gov/pubsdoco/eo/elearning.asp .
Should you have any questions or need additional information, please call the Telephone Service Center (TSC) at 1-800-541-5555 and choose the appropriate prompt or visit the Medi-Cal Web site at the address listed above.
Additional information has been posted to the Medi-Cal Web site this week regarding Optional Benefits Reductions. A new link has been added to the home page (http://www.medi-cal.ca.gov/), Newsroom, section entitled: Medi-Cal Beneficiary Optional Benefits Reduction Notice. The link connects users to the DHCS Web page and beneficiary notices provided in the thirteen threshold languages.
In addition, the applicable provider manual sections have been refreshed and pages updated to reflect the most current information. The provider manuals can be accessed from the following link: http://files.medi-cal.ca.gov/pubsdoco/manuals_menu.asp.
****PALMETTO/J1MAC NEWS****
July 2009 J1 A/B MAC Medicare Advisory
The July 2009 J1 A/B MAC Medicare Advisory is now available on the Palmetto
GBA Web site. It contains the latest updates and useful information
regarding Medicare. Please share this information with your staff.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7TCRHU0154?opendocument
MammaPrint Test – Breast Cancer Prognosis Draft LCD J1B-09-0002
Palmetto GBA Part B has developed a new Local Coverage Determination (LCD)
for a new diagnostic test. The Draft LCD MammaPrint Test – Breast Cancer
Prognosis which will be open for comment on July 16, 2009.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7TANRA2065?opendocument
Part B LCD Update
The following J1 Part B LCDs have been revised.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7TANL83761?opendocument
Part B LCD Update
The following J1 Part B LCDs will begin their notice period on June 25,
2009.The revisions made during the comment period will become effective
August 10, 2009.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7TAN6V8370?opendocument
Advance Payments to Providers of Part B Services: Updated Summary of the
Requirements
The requirements for advance payment for Part B providers who are
experiencing financial hardship due to claims that are unable to process
within established time limits have been updated.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7TBQYM3512?opendocument
Erythropoietin Stimulating Agents (ESAs) for the Treatment of Anemia
Unrelated to Dialysis Therapy: Rounding Error Revised
From April 1, 2009, through May 9, 2009, there was an error in the EDI
system, which may have caused claims submitted with a Hematocrit (HCT)
and/or Hemoglobin (HGB) level, to process incorrectly. Previously, you were
told these claims could be corrected via a telephone reopening. However,
due to the complex nature of these services, the reopening should be
requested in writing.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7SAL6P2226?opendocument
Fraud Alert: Be Aware of Fraudulent Requests for Provider Enrollment
Information by Fax or Mail
Fraud Alert: Please be aware of a recent scam that asks providers to
complete an enrollment application within 48 hours or risk payment
interruption.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SXNUX1831?opendocument
Wednesday, June 10, 2009
CMS & Palmetto/J1MAC News
The following information has been received by ANCO.
****CMS NEWS****
MM6459 – New Waived Tests
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6459.pdf
MM6503 – October Quarterly Update to 2009 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6503.pdf
MM6523 – Revised Billing Instructions for Occurrence Span Code 74 for Skilled Nursing Facility (SNF) No Payment Claims
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6523.pdf
MM6477 – New Drug/Biological Health Care Procedure Code System (HCPCS) Codes for July 2009 Update
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6477.pdf
****PALMETTO/JMAC NEWS****
New Drug/Biological Health Care Procedure Code System (HCPCS) Codes for
July 2009 Update
MM6477 contains the July 2009 update to the New Drug/Biological Health Care
Procedure Code System (HCPCS) Codes.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SUL9Z2777?opendocument
New Waived Tests
CR6459, New Waived Tests, alerts providers that the Centers for Medicare &
Medicaid Services (CMS) has listed the twelve latest tests approved by the
Food and Drug Administration (FDA) as waived tests under Clinical
Laboratory Improvement Amendments of 1988 (CLIA).
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SUHY58206?opendocument
****CMS NEWS****
MM6459 – New Waived Tests
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6459.pdf
MM6503 – October Quarterly Update to 2009 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6503.pdf
MM6523 – Revised Billing Instructions for Occurrence Span Code 74 for Skilled Nursing Facility (SNF) No Payment Claims
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6523.pdf
MM6477 – New Drug/Biological Health Care Procedure Code System (HCPCS) Codes for July 2009 Update
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6477.pdf
****PALMETTO/JMAC NEWS****
New Drug/Biological Health Care Procedure Code System (HCPCS) Codes for
July 2009 Update
MM6477 contains the July 2009 update to the New Drug/Biological Health Care
Procedure Code System (HCPCS) Codes.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SUL9Z2777?opendocument
New Waived Tests
CR6459, New Waived Tests, alerts providers that the Centers for Medicare &
Medicaid Services (CMS) has listed the twelve latest tests approved by the
Food and Drug Administration (FDA) as waived tests under Clinical
Laboratory Improvement Amendments of 1988 (CLIA).
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SUHY58206?opendocument
Tuesday, June 9, 2009
CMS News
The following information has been received by ANCO.
****CMS NEWS****
The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the posting of five frequently asked questions (FAQs) related to the re-run of 2007 Physician Quality Reporting Initiative (PQRI) data. The FAQs below, as well as, all PQRI FAQs can be accessed under “Related Links Inside CMS” section at http://www.cms.hhs.gov/PQRI on the CMS website.
We will be updating the FAQ section, so please continue to check it often.
FAQ # 9537
Q. What is the reason for the re-run of 2007 Physician Quality Reporting Initiative (PQRI) feedback reports and incentive payments?
A. CMS investigated reported issues following delivery of the 2007 Physician Quality Reporting Initiative (PQRI) feedback reports and incentive payments and determined that several unanticipated technical issues could be corrected by conducting back-end system analytics and re-running the data. Reports are anticipated to be available in the fall of 2009.
Reference: http://www.cms.hhs.gov/PQRI
FAQ # 9540
Q. When will the re-run of the 2007 Physician Quality Reporting Initiative (PQRI) feedback report and incentive payment be available? How will my practice receive this information?
A. 2007 Physician Quality Reporting Initiative (PQRI) reports are anticipated to be available in the fall of 2009 and will be available to the Tax Identification Number (TIN). These reports will be available only for those eligible professionals (EPs) who have qualified due to the back-end system analysis and re-running the data. For those EPs who already received an incentive, the re-run will not apply, thus those EPs will not receive an additional feedback report. Feedback reports will be available via the PQRI Reports Delivery System (RDS). An Individuals Authorized Access to the CMS Computer Services (IACS) user name and password will be required to access the report.
Reference: http://www.cms.hhs.gov/PQRI
FAQ #9541
Q. Will eligible professionals (EPs), using their individual national provider identifier (NPI), receive an additional incentive when the 2007 Physician Quality Reporting Initiative (PQRI) data is re-run in the fall of 2009?
A. No. Only those eligible professionals (EPs) who previously did not receive a bonus but are bonus eligible following the back-end system analysis and re-run of the 2007 Physician Quality Reporting Initiative (PQRI) data will potentially receive the 2007 re-run incentive.
Reference: http://www.cms.hhs.gov/PQRI
FAQ# 9542
Q. Will there be a 2007 Physician Quality Reporting Initiative (PQRI) re-run for the Medicare Care Management Performance (MCMP) and Physician Group Practice (PGP) demonstration projects?
A. No. Incentive payments to eligible Medicare Care Management Performance (MCMP) and Physician Group Practice (PGP) demonstration project participants have been issued and are a separate incentive program from the Physician Quality Reporting Initiative.
Reference: http://www.cms.hhs.gov/PQRI
FAQ #9543
Q. Will there be a 2007 Physician Quality Reporting Initiative (PQRI) re-run for Medicare Advantage participants?
A. Yes. Those Medicare Advantage eligible professionals (EPs) who previously did not receive a bonus but are bonus eligible following the back-end system analysis and re-run of the 2007 Physician Quality Reporting Initiative (PQRI) data will potentially receive the 2007 re-run incentive.
Reference: http://www.cms.hhs.gov/PQRI
All publicly available information on the CMS Physician Quality Reporting Initiative can be found at http://www.cms.hhs.gov/PQRI, on the CMS website.
The Centers for Medicare & Medicaid Services’ (CMS) Provider Communications Group will host a national provider conference call on the 2009 Physician Quality Reporting Initiative (PQRI). This toll-free call will take place from 2:30 p.m. – 4:30 p.m., EDT, on Wednesday, June 17, 2009.
The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) made the PQRI program permanent, but only authorized incentive payments through 2010. Eligible professionals who meet the criteria for satisfactory submission of quality measures data for services furnished during the reporting period, January 1, 2009 - December 31, 2009, will earn an incentive payment of 2.0 percent of their total allowed charges for Physician Fee Schedule (PFS) covered professional services furnished during that same period. The 2009 PQRI consists of 153 quality measures and 7 measures groups.
The topics covered on this national provider call will include:
How to access the PQRI help desk;
Review of the incentive payments and feedback reports timeline; and
An update on the upcoming decisions registries for 2009.
Following this presentation, the lines will be opened to allow participants to ask questions of CMS PQRI subject matter experts.
Educational products are available on the PQRI dedicated web page located at http://www.cms.hhs.gov/PQRI, on the CMS website, in the Educational Resources section, section. Feel free to download the resources prior to the call so that you may ask questions of the CMS presenters.
Conference call details:
Date: June 17, 2009
Conference Title: 2009 Physician Quality Reporting Initiative-National Provider Call
Time: 2:30 p.m. EDT
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. EDT on June 16, 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/061709
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.
For those of you who will be unable to attend, a transcript of the call will be available at least one week after the call at http://www.cms.hhs.gov/pqri on the CMS website.
If you require services for the hearing impaired please send an email to: Medicare.TTT@PalmettoGBA.com.
****CMS NEWS****
The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the posting of five frequently asked questions (FAQs) related to the re-run of 2007 Physician Quality Reporting Initiative (PQRI) data. The FAQs below, as well as, all PQRI FAQs can be accessed under “Related Links Inside CMS” section at http://www.cms.hhs.gov/PQRI on the CMS website.
We will be updating the FAQ section, so please continue to check it often.
FAQ # 9537
Q. What is the reason for the re-run of 2007 Physician Quality Reporting Initiative (PQRI) feedback reports and incentive payments?
A. CMS investigated reported issues following delivery of the 2007 Physician Quality Reporting Initiative (PQRI) feedback reports and incentive payments and determined that several unanticipated technical issues could be corrected by conducting back-end system analytics and re-running the data. Reports are anticipated to be available in the fall of 2009.
Reference: http://www.cms.hhs.gov/PQRI
FAQ # 9540
Q. When will the re-run of the 2007 Physician Quality Reporting Initiative (PQRI) feedback report and incentive payment be available? How will my practice receive this information?
A. 2007 Physician Quality Reporting Initiative (PQRI) reports are anticipated to be available in the fall of 2009 and will be available to the Tax Identification Number (TIN). These reports will be available only for those eligible professionals (EPs) who have qualified due to the back-end system analysis and re-running the data. For those EPs who already received an incentive, the re-run will not apply, thus those EPs will not receive an additional feedback report. Feedback reports will be available via the PQRI Reports Delivery System (RDS). An Individuals Authorized Access to the CMS Computer Services (IACS) user name and password will be required to access the report.
Reference: http://www.cms.hhs.gov/PQRI
FAQ #9541
Q. Will eligible professionals (EPs), using their individual national provider identifier (NPI), receive an additional incentive when the 2007 Physician Quality Reporting Initiative (PQRI) data is re-run in the fall of 2009?
A. No. Only those eligible professionals (EPs) who previously did not receive a bonus but are bonus eligible following the back-end system analysis and re-run of the 2007 Physician Quality Reporting Initiative (PQRI) data will potentially receive the 2007 re-run incentive.
Reference: http://www.cms.hhs.gov/PQRI
FAQ# 9542
Q. Will there be a 2007 Physician Quality Reporting Initiative (PQRI) re-run for the Medicare Care Management Performance (MCMP) and Physician Group Practice (PGP) demonstration projects?
A. No. Incentive payments to eligible Medicare Care Management Performance (MCMP) and Physician Group Practice (PGP) demonstration project participants have been issued and are a separate incentive program from the Physician Quality Reporting Initiative.
Reference: http://www.cms.hhs.gov/PQRI
FAQ #9543
Q. Will there be a 2007 Physician Quality Reporting Initiative (PQRI) re-run for Medicare Advantage participants?
A. Yes. Those Medicare Advantage eligible professionals (EPs) who previously did not receive a bonus but are bonus eligible following the back-end system analysis and re-run of the 2007 Physician Quality Reporting Initiative (PQRI) data will potentially receive the 2007 re-run incentive.
Reference: http://www.cms.hhs.gov/PQRI
All publicly available information on the CMS Physician Quality Reporting Initiative can be found at http://www.cms.hhs.gov/PQRI, on the CMS website.
The Centers for Medicare & Medicaid Services’ (CMS) Provider Communications Group will host a national provider conference call on the 2009 Physician Quality Reporting Initiative (PQRI). This toll-free call will take place from 2:30 p.m. – 4:30 p.m., EDT, on Wednesday, June 17, 2009.
The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) made the PQRI program permanent, but only authorized incentive payments through 2010. Eligible professionals who meet the criteria for satisfactory submission of quality measures data for services furnished during the reporting period, January 1, 2009 - December 31, 2009, will earn an incentive payment of 2.0 percent of their total allowed charges for Physician Fee Schedule (PFS) covered professional services furnished during that same period. The 2009 PQRI consists of 153 quality measures and 7 measures groups.
The topics covered on this national provider call will include:
How to access the PQRI help desk;
Review of the incentive payments and feedback reports timeline; and
An update on the upcoming decisions registries for 2009.
Following this presentation, the lines will be opened to allow participants to ask questions of CMS PQRI subject matter experts.
Educational products are available on the PQRI dedicated web page located at http://www.cms.hhs.gov/PQRI, on the CMS website, in the Educational Resources section, section. Feel free to download the resources prior to the call so that you may ask questions of the CMS presenters.
Conference call details:
Date: June 17, 2009
Conference Title: 2009 Physician Quality Reporting Initiative-National Provider Call
Time: 2:30 p.m. EDT
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. EDT on June 16, 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/061709
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.
For those of you who will be unable to attend, a transcript of the call will be available at least one week after the call at http://www.cms.hhs.gov/pqri on the CMS website.
If you require services for the hearing impaired please send an email to: Medicare.TTT@PalmettoGBA.com.
ACCC, ASCO, & Palmetto/J1MAC News
The following information has been received by ANCO.
****ACCC NEWS****
The Association of Community Cancer Center's (ACCC) This Week At ACCC was published and is available online at http://www.accc-cancer.org/mediaroom/newsletters/2009/media_ACCCNEWSLETTER_6-8-2009.html. ANCO is an Institutional Member of ACCC. This edition features:
ACCC Supports Letter to CMS Against Physician Supervision Policy
Patient Navigation: June 10 Webinar | September 22 Symposium
Cancer Center Building Blocks Meeting CD Available
NCI Tutorial on Targeted Cancer Therapies Available Online
Q&A on ACCC's Listserve: Linacs, Simulators, and Weekend Calls
Houston, We Have a Free Meeting June 10
ACCC's National Oncology Economics Conference: Great Value
ACCC's E-newsletter to Get New Name, New Look
****ASCO NEWS****
The American Society of Clinical Oncology's (ASCO) Express was published and is available online at http://view.exacttarget.com/?j=fe67167074630d7e7415&m=ff2d16787160&ls=fde513767c63027a7d177070&l=fe5815757d61067b711c&s=fdf2157972640d79751d7073&jb=ffcf14&ju=fe1f1673766d0c7e761d78. ANCO is a state/regional affiliate of ASCO. This edition features:
Best of ASCO® Atlanta Housing and Early Registration Deadline Quickly Approaching
Still Time to Register and Reserve Housing for Best of ASCO® Los Angeles
Best of ASCO® International Brings ASCO’s Annual Meeting Worldwide
Abstract Submission Deadline Approaching for the 2009 Breast Cancer Symposium
Registration and Housing Now Open for the 2009 Breast Cancer Symposium
Submit an Abstract for the 2009 EORTC-NCI-ASCO Annual Meeting on Molecular Markers in Cancer
Registration and Housing Now Open for the 2009 ASCO Electronic Health Records Symposium
ASCO and NCI Discuss Importance of Increased Funding for Cancer Research
Congressional Black Caucus Encourages Representatives to Support ASP Bill
ASCO Announces New QOPI® Certification Program
ASCO Breast Cancer Registry Pilot Program, Funded by Susan G. Komen for the Cure© Accepting Applications Now
Read the Latest JCO Original Report, "Phase II Clinical Trial of Neoadjuvant Alternating Doublet Chemotherapy With Ifosfamide/Doxorubicin and Etoposide/Cisplatin in Small-Cell Urothelial Cancer."
ASCO Releases Updated Guideline on Breast Cancer Risk Reduction
ASCO Publishes Fifth Edition of Practical Tips for the Oncology Practice
ASCO Announces New Physician Practice Certification Program to Enhance Quality of Cancer Care in the United States
****PALMETTO/J1MAC NEWS****
J1 Web site updates
The Palmetto GBA Provider Outreach and Education team has recently updated
the Health Professional Shortage Areas (HPSA) sections of the J1 A/B MAC
Web site.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7STLCD4111?opendocument
Updated: Weekly Part B ACT Call on Claims Wednesday, June 10
The agenda and other materials for the next Part B ACT call: Claims on
Wednesday, June 10 are now available on our Web site.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7S3T650154?opendocument
****ACCC NEWS****
The Association of Community Cancer Center's (ACCC) This Week At ACCC was published and is available online at http://www.accc-cancer.org/mediaroom/newsletters/2009/media_ACCCNEWSLETTER_6-8-2009.html. ANCO is an Institutional Member of ACCC. This edition features:
ACCC Supports Letter to CMS Against Physician Supervision Policy
Patient Navigation: June 10 Webinar | September 22 Symposium
Cancer Center Building Blocks Meeting CD Available
NCI Tutorial on Targeted Cancer Therapies Available Online
Q&A on ACCC's Listserve: Linacs, Simulators, and Weekend Calls
Houston, We Have a Free Meeting June 10
ACCC's National Oncology Economics Conference: Great Value
ACCC's E-newsletter to Get New Name, New Look
****ASCO NEWS****
The American Society of Clinical Oncology's (ASCO) Express was published and is available online at http://view.exacttarget.com/?j=fe67167074630d7e7415&m=ff2d16787160&ls=fde513767c63027a7d177070&l=fe5815757d61067b711c&s=fdf2157972640d79751d7073&jb=ffcf14&ju=fe1f1673766d0c7e761d78. ANCO is a state/regional affiliate of ASCO. This edition features:
Best of ASCO® Atlanta Housing and Early Registration Deadline Quickly Approaching
Still Time to Register and Reserve Housing for Best of ASCO® Los Angeles
Best of ASCO® International Brings ASCO’s Annual Meeting Worldwide
Abstract Submission Deadline Approaching for the 2009 Breast Cancer Symposium
Registration and Housing Now Open for the 2009 Breast Cancer Symposium
Submit an Abstract for the 2009 EORTC-NCI-ASCO Annual Meeting on Molecular Markers in Cancer
Registration and Housing Now Open for the 2009 ASCO Electronic Health Records Symposium
ASCO and NCI Discuss Importance of Increased Funding for Cancer Research
Congressional Black Caucus Encourages Representatives to Support ASP Bill
ASCO Announces New QOPI® Certification Program
ASCO Breast Cancer Registry Pilot Program, Funded by Susan G. Komen for the Cure© Accepting Applications Now
Read the Latest JCO Original Report, "Phase II Clinical Trial of Neoadjuvant Alternating Doublet Chemotherapy With Ifosfamide/Doxorubicin and Etoposide/Cisplatin in Small-Cell Urothelial Cancer."
ASCO Releases Updated Guideline on Breast Cancer Risk Reduction
ASCO Publishes Fifth Edition of Practical Tips for the Oncology Practice
ASCO Announces New Physician Practice Certification Program to Enhance Quality of Cancer Care in the United States
****PALMETTO/J1MAC NEWS****
J1 Web site updates
The Palmetto GBA Provider Outreach and Education team has recently updated
the Health Professional Shortage Areas (HPSA) sections of the J1 A/B MAC
Web site.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7STLCD4111?opendocument
Updated: Weekly Part B ACT Call on Claims Wednesday, June 10
The agenda and other materials for the next Part B ACT call: Claims on
Wednesday, June 10 are now available on our Web site.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7S3T650154?opendocument
Managing Payer Contract Negotiations in Oncology
US Oncology Physician Services, an ANCO Corporate Member, is hosting a webcast on June 17th entitled Managing Payer Contract Negotiations. Please www.opspharmacist.com/opes for more information and to register.
Monday, June 8, 2009
Palmetto/J1MAC News
The following information has been received by ANCO.
****PALMETTO/J1MAC NEWS****
ICD-9-CM Diagnosis Code 0600 Update
Share with your staff - The ICD-9-CM diagnosis code 0600 ‘Sylvatic’ was
incorrectly end dated in our system. Providers are asked to contact the
Palmetto GBA Provider Contact Center (PCC) at (866) 931-3901 and ask for
the claims to be reprocessed.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7Q3JV82052?opendocument
CMS to Host First National Medicare Fee-For-Service (FFS) Provider
Education Call on HIPAA Version 5010 - June 9, 2009
CMS will host a national education conference call to address Medicare's
FFS 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 Medicare's transition to HIPAA Version 5010 and address some of
the exceptions and situations you may encounter as the new version is
implemented.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SNR6V1562?opendocument
****PALMETTO/J1MAC NEWS****
ICD-9-CM Diagnosis Code 0600 Update
Share with your staff - The ICD-9-CM diagnosis code 0600 ‘Sylvatic’ was
incorrectly end dated in our system. Providers are asked to contact the
Palmetto GBA Provider Contact Center (PCC) at (866) 931-3901 and ask for
the claims to be reprocessed.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7Q3JV82052?opendocument
CMS to Host First National Medicare Fee-For-Service (FFS) Provider
Education Call on HIPAA Version 5010 - June 9, 2009
CMS will host a national education conference call to address Medicare's
FFS 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 Medicare's transition to HIPAA Version 5010 and address some of
the exceptions and situations you may encounter as the new version is
implemented.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SNR6V1562?opendocument
Thursday, June 4, 2009
CMS & Palmetto/J1MAC News
The following information has been received by ANCO.
****CMS NEWS****
The Second in Series: General Equivalence Mappings – ICD-9-CM to and from ICD-10-CM and ICD-10-PCS Fact Sheet (May 2009), which provides basic information about the General Equivalence Mappings (GEM) including possible users of the GEMs, why the GEMs are needed, and how the GEMs files are formatted as well as Reimbursement Mappings information, 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-10Mappingfctsht.pdf .
****PALMETTO/J1MAC NEWS****
Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC),
and Medicare Remit Easy Print (MREP) Update
CR6453, Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code
(RARC), and Medicare Remit Easy Print (MREP) Update, announces the latest
coding updates which are effective starting July 1, 2009.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SMPH26470?opendocument
Weekly Part B ACT Call on Claims Wednesday, June 10
The next weekly ACT call will be held on Wednesday, June 10 at 12:30 p.m.
PST. The subject will be Claims. Future ACT calls will be held every
Tuesday at 12:30 p.m. PST unless otherwise announced.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7S3T650154?opendocument
****CMS NEWS****
The Second in Series: General Equivalence Mappings – ICD-9-CM to and from ICD-10-CM and ICD-10-PCS Fact Sheet (May 2009), which provides basic information about the General Equivalence Mappings (GEM) including possible users of the GEMs, why the GEMs are needed, and how the GEMs files are formatted as well as Reimbursement Mappings information, 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-10Mappingfctsht.pdf .
****PALMETTO/J1MAC NEWS****
Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC),
and Medicare Remit Easy Print (MREP) Update
CR6453, Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code
(RARC), and Medicare Remit Easy Print (MREP) Update, announces the latest
coding updates which are effective starting July 1, 2009.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SMPH26470?opendocument
Weekly Part B ACT Call on Claims Wednesday, June 10
The next weekly ACT call will be held on Wednesday, June 10 at 12:30 p.m.
PST. The subject will be Claims. Future ACT calls will be held every
Tuesday at 12:30 p.m. PST unless otherwise announced.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7S3T650154?opendocument
Wednesday, June 3, 2009
CMS & Palmetto/J1MAC News
The following information has been received by ANCO.
****CMS NEWS****
MM6453 – Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6453.pdf
MM6484 – July Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6484.pdf
MM6431 – Billing Routine Costs of Clinical Trials
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6431.pdf
MM5584 – Discontinuance of the Unique Physician Identification Number (UPIN) Registry
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5584.pdf
The Centers for Medicare & Medicaid Services (CMS) will host a national education conference call to address Medicare’s FFS 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 Medicare’s 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 Subject Matter Experts will be available to answer questions specific to Medicare. A PowerPoint presentation will be posted on the CMS 5010 Web page prior to the call. The CMS 5010 Web address is http://www.cms.hhs.gov/ElectronicBillingEDITrans/18_5010D0.asp
Conference call details:
Date: June 9, 2009
Conference Title: Medicare 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, there will be an audio version available for downloading on the 5010 Web page.
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.
1. To register for the call participants need to go to: http://www2.eventsvc.com/palmettogba/060909
2. Fill in all required data.
3. Verify your time zone is displayed correctly the drop down box.
4. Click "Register".
5. 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****
Extended Hours for Palmetto GBA Railroad Medicare
Share with your staff - Palmetto GBA J1 A/B MAC is posting this article on
behalf of Palmetto GBA Railroad Medicare: Palmetto GBA Railroad Medicare
has expanded its telephone hours to better serve health care providers in
all geographic time zones.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SLP4P1211?opendocument
July Update to the 2009 Medicare Physician Fee Schedule Database
CR6484, July Update to the 2009 Medicare Physician Fee Schedule Database,
amends payment files that were issued to Medicare contractors based on the
2009 MPFS Final Rule.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SMQCN2708?opendocument
****CMS NEWS****
MM6453 – Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6453.pdf
MM6484 – July Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6484.pdf
MM6431 – Billing Routine Costs of Clinical Trials
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6431.pdf
MM5584 – Discontinuance of the Unique Physician Identification Number (UPIN) Registry
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5584.pdf
The Centers for Medicare & Medicaid Services (CMS) will host a national education conference call to address Medicare’s FFS 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 Medicare’s 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 Subject Matter Experts will be available to answer questions specific to Medicare. A PowerPoint presentation will be posted on the CMS 5010 Web page prior to the call. The CMS 5010 Web address is http://www.cms.hhs.gov/ElectronicBillingEDITrans/18_5010D0.asp
Conference call details:
Date: June 9, 2009
Conference Title: Medicare 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, there will be an audio version available for downloading on the 5010 Web page.
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.
1. To register for the call participants need to go to: http://www2.eventsvc.com/palmettogba/060909
2. Fill in all required data.
3. Verify your time zone is displayed correctly the drop down box.
4. Click "Register".
5. 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****
Extended Hours for Palmetto GBA Railroad Medicare
Share with your staff - Palmetto GBA J1 A/B MAC is posting this article on
behalf of Palmetto GBA Railroad Medicare: Palmetto GBA Railroad Medicare
has expanded its telephone hours to better serve health care providers in
all geographic time zones.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SLP4P1211?opendocument
July Update to the 2009 Medicare Physician Fee Schedule Database
CR6484, July Update to the 2009 Medicare Physician Fee Schedule Database,
amends payment files that were issued to Medicare contractors based on the
2009 MPFS Final Rule.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7SMQCN2708?opendocument
Monday, June 1, 2009
ACCC, CMA, & Palmetto/J1MAC News
The following information has been received by ANCO.
****ACCC NEWS****
The Association of Community Cancer Center's (ACCC) This Week At ACCC was published and is available online at http://www.accc-cancer.org/mediaroom/newsletters/2009/media_ACCCNEWSLETTER_6-1-2009.html. ANCO is an Institutional Member of ACCC. This edition features:
ACCC Launches New Cancer Care Patient Navigation Website
ACCC's E-Newsletter to Change Its Name
7 Million More Americans Projected to Become Uninsured by 2010
FDA Grants Full Approval to Sprycel for CML
Q&A on ACCC's Listserve: RN vs. Pharmacist Mixing Chemo
Houston, We Have a Free Meeting June 10
ACCC's National Oncology Economics Conference: Updated Agenda
****CMA NEWS***
The California Medical Association's (CMA) CMA Alert was published and is available online at http://www.calphys.org/html/news.asp. This edition features:
CMA Fends off Trial Lawyers' Attack on MICRA; Appeals Court Upholds Constitutionality of Landmark Law
CMA Calls Health Cuts Ill-Advised and Fiscally Reckless
CMA Legislative Victory: Legislature Orders Audit of Medi-Cal TAR Process
Physicians Have Opportunity to Verify Accuracy of California Physician Performance Initiative Demographic Data Online
Medical Board Backlog Leads to Licensing Delays
New Congressional Health Reform Proposals Expected in June
Webinar: How the Stimulus Bill Impacts Your HIPAA Obligations
Have 10 Minutes? You Can Help the CMA Foundation Promote Appropriate Antibiotic Use
June 30 Is the Deadline to Nominate a Colleague for the CMAF Leadership Awards
****PALMETTO/J1MAC NEWS****
Billing Routine Cost of Clinical Trials (Revised)
Change request 6431, which addresses billing routine costs of clinical
trials has been revised.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7RRNCY0074?opendocument
****ACCC NEWS****
The Association of Community Cancer Center's (ACCC) This Week At ACCC was published and is available online at http://www.accc-cancer.org/mediaroom/newsletters/2009/media_ACCCNEWSLETTER_6-1-2009.html. ANCO is an Institutional Member of ACCC. This edition features:
ACCC Launches New Cancer Care Patient Navigation Website
ACCC's E-Newsletter to Change Its Name
7 Million More Americans Projected to Become Uninsured by 2010
FDA Grants Full Approval to Sprycel for CML
Q&A on ACCC's Listserve: RN vs. Pharmacist Mixing Chemo
Houston, We Have a Free Meeting June 10
ACCC's National Oncology Economics Conference: Updated Agenda
****CMA NEWS***
The California Medical Association's (CMA) CMA Alert was published and is available online at http://www.calphys.org/html/news.asp. This edition features:
CMA Fends off Trial Lawyers' Attack on MICRA; Appeals Court Upholds Constitutionality of Landmark Law
CMA Calls Health Cuts Ill-Advised and Fiscally Reckless
CMA Legislative Victory: Legislature Orders Audit of Medi-Cal TAR Process
Physicians Have Opportunity to Verify Accuracy of California Physician Performance Initiative Demographic Data Online
Medical Board Backlog Leads to Licensing Delays
New Congressional Health Reform Proposals Expected in June
Webinar: How the Stimulus Bill Impacts Your HIPAA Obligations
Have 10 Minutes? You Can Help the CMA Foundation Promote Appropriate Antibiotic Use
June 30 Is the Deadline to Nominate a Colleague for the CMAF Leadership Awards
****PALMETTO/J1MAC NEWS****
Billing Routine Cost of Clinical Trials (Revised)
Change request 6431, which addresses billing routine costs of clinical
trials has been revised.
http://www.palmettogba.com/palmetto/Providers.nsf/vMasterDID/7RRNCY0074?opendocument
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