CMS & Palmetto/J1MAC News

The following information has been received by ANCO.


****CMS NEWS****
The Medicare Physician Fee Schedule Fact Sheet (February 2010) has been revised to include information about the two month zero percent (0%) update to the 2010 Medicare Physician Fee Schedule (MPFS) effective only for dates of service January 1, 2010 through February 28, 2010. This fact sheet, which also provides information about MPFS payment rates and the MPFS payment rates formula, is available in downloadable format from the Centers for Medicare & Medicaid Services Medicare Learning Network at http://www.cms.hhs.gov/MLNProducts/downloads/MedcrePhysFeeSchedfctsht.pdf .


MM6804 – April 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6804.pdf


MM6791 – Associating Hospice Visits to the Level of Care
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6791.pdf


****PALMETTO/J1MAC NEWS****
J1 Provider Outreach and Education Event Calendar
Palmetto GBA J1 Provider Outreach and Education team is offering multiple
educational events this February. Check out our updated online Events
calendar today.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7TAL2C7131?opendocument


Claims Fail to Crossover to Coordination of Benefits Contractor (COBC)
Palmetto GBA has been alerted of a problem with claims not crossing over to
the Coordination of Benefits Contractor (COBC) since January 21, 2010, from
a faulty file sent to the Common Working File (CWF) with incomplete data.
As a result, no claims have been crossing over to the COBC. CWF is aware of
this problem and is working with Group Health Incorporated (GHI), the
crossover company, to correct it. Please be sure to share with your staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/829U6H4858?opendocument


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