CMS & PALMETTO/J1MAC News

The following information has been received by ANCO.


****CMS NEWS****
The revised Clinical Laboratory Fee Schedule Fact Sheet (January 2010), which provides general information about the Clinical Laboratory Fee Schedule, coverage of clinical laboratory services, and how payment rates are set, is now available in downloadable format from the Centers for Medicare & Medicaid Services Medicare Learning Network at http://www.cms.hhs.gov/MLNProducts/downloads/clinical_lab_fee_schedule_fact_sheet.pdf . If you are unable to open the fact sheet, please copy and paste the URL into your Internet browser.


The Centers for Medicare & Medicaid Services (CMS) will be hosting its fourth national provider call regarding the implementation of HIPAA Version 5010. There will be a brief presentation given by CMS followed by a Q&A session with CMS subject matter experts. Please note that this call is geared towards vendors, clearinghouses, and providers who are performing their own development of 5010.

Conference call details:

Date: March 24, 2010

Conference Title: HIPAA Version 5010 Fourth National Provider Call

Discussion topics:
· General overview of 5010
· Additional changes to Medicare Fee For Service (FFS)
· Timelines and deadlines
· What you need to do to prepare
· CMS’s approach for new error handling transactions: 999 and 277CA
· Hot Topics:
1. Billing provider address change - P.O. Boxes no longer permitted
2. Discussions on handling Transaction Errata

Time: 2:00 p.m. – 3:30 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.

Registration will close at 2:00 p.m. ET on March 23, 2010, 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://www.eventsvc.com/palmettogba/032410

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.



The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the following updated 2010 Physician Quality Reporting Initiative (PQRI) educational products to the PQRI webpage at www.cms.hhs.gov/PQRI on the CMS website.
2010 PQRI – Educational Resource Documents - Several new educational resource documents for 2010 PQRI are now available on the "Educational Resources" link of the PQRI website and include the following:
· 2010 PQRI Electronic Health Record (EHR) Reporting Made Simple
· 2010 PQRI Tip Sheet: Satisfactorily Reporting 2010 PQRI Measures
· 2010 PQRI Program Tip Sheet: PQRI Made Simple – Reporting the Preventive Care Measures Group
· 2010 PQRI Fact Sheet: What's New for the 2010 PQRI

2010 EHR-Based Reporting Documents - Several documents related to EHR-based reporting for 2010 PQRI have been updated and are now available on the "Alternative Reporting Mechanisms" page of the PQRI website, which include the following:
· 2010 EHR Measure Specifications
· Updated 2010 EHR Measure Specification Release Notes
· Updated 2010 EHR Downloadable Resource Table
· Updated EHR Data Submission Specifications Utilizing QRDA Release Notes
· Updated EHR Data Submission Specifications Utilizing QRDA Header Errors and Edits
· Updated EHR Data Submission Specifications Utilizing QRDA Body Errors and Edits

2010 PQRI Measures Documents - Several documents related to reporting PQRI measures for 2010 have been updated and are now available on the "Measures Codes"page of the PQRI website, which include the following:
· 2010 Getting Started with Reporting of PQRI Measures Groups
· 2010 PQRI Implementation Guide
· 2010 PQRI QDC Categories
· 2010 PQRI Single Source Master Code Table
· 2010 PQRI Measures Specifications – Release Notes

Qualified Registries for 2010 PQRI and eRx Reporting - An updated list of registries that have become "qualified" to submit quality data to CMS on behalf of their eligible professionals for 2010 PQRI and eRx reporting is now available on the "Alternative Reporting Mechanisms" page of the PQRI website.

Qualified Electronic Health Record (EHR) Vendors for the 2010 PQRI and Electronic Prescribing Incentive Programs - An updated list of EHR vendors and their programs that have been "qualified" to submit quality data to CMS by eligible professionals for 2010 PQRI reporting is now available on the "Alternative Reporting Mechanisms" page of the PQRI website.


The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the following updated 2010 Electronic Prescribing Incentive (eRx) Program educational products to the eRx webpage at www.cms.hhs.gov/ERxIncentive on the CMS website.

2010 eRx – Educational Resource Documents - Several new educational resource documents for 2010 eRx are now available on the “Educational Resources” link of the eRx website and include the following:
· 2010 eRx Incentive Program Fact Sheet: What’s New for the 2010 eRx Incentive Program
· 2010 eRx Incentive Program Made Simple Fact Sheet

2010 EHR-Based Reporting Documents - Several documents related to EHR-based reporting for 2010 eRx have been updated and are now available on the "Alternative Reporting Mechanism" page of the eRx website, which include the following:
· 2010 EHR Downloadable Resource
· Qualified Registries for 2010 PQRI and eRx Reporting
· Qualified Electronic Health Record (EHR) Vendors for the 2010 PQRI and Electronic Prescribing Incentive Programs


****PALMETTO/J1MAC NEWS****
Correction Notice: Feature Article on March 2010 J1 Advisory Cover Page
Contains Incorrect Page Number
The monthly feature article for the March 2010 J1 Medicare Advisory,
‘Billing for Services Related to Voluntary Uses of Advance Beneficiary
Notices of Non-Coverage (ABN),’ was printed with an incorrect page number
on the cover page. The featured article is continued on page 79 rather than
page 75. The Web version of the advisory has been corrected and published
to the J1 Web site. We apologize for any confusion this has caused. Please
be sure to share with your staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/83CL628122?opendocument


2010 Palmetto GBA J1 Spring Workshop Tour Kicks off April 16
The 2010 Palmetto GBA J1 Spring Workshop Tour is coming soon to a location
near you! The three-month training and education series kicks off on
Friday, April 16. To register or find out more about the workshops, please
log into your Palmetto GBA Workshops database account and register for the
session you wish to attend.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/83LR9V7466?opendocument


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