CMS & Palmetto/J1MAC News

The following information has been received by ANCO.


****CMS NEWS****
MM6760 – Use of 12X Type of Bill (TOB) for Billing Colorectal Screening Services
http://www.cms.gov/MLNMattersArticles/downloads/MM6760.pdf

MM6916 – Skilled Nursing Facility (SNF) Health Insurance Prospective Payment System (HIPPS) Coding Updates Effective October 1, 2010
http://www.cms.gov/MLNMattersArticles/downloads/MM6916.pdf


****PALMETTO/J1MAC NEWS****
J1 Part B Medical Review Progressive Corrective Action (PCA) Process
Curious about the Medical Review Progressive Corrective Action (PCA)
Process? This article explains what the process does and the important
procedures to follow.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/84WQNH6286?opendocument


Underpayments - Third Notification for FY 2010
This article announces that Medicare Regulation 42 CFR §405.378 provides
for the assessment of interest at the higher of the current value of funds
rate of one percent for calendar year 2010 or the private consumer rate as
fixed by the Department of the Treasury. The Department of the Treasury has
notified the Department of Health and Human Services that the private
consumer rate has been changed to 10.875 percent effective April 23, 2010,
for Medicare overpayments and underpayments. Providers are encouraged to
review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/84XLFW1866?opendocument


CMS-588 Electronic Funds Transfer (EFT) Registration Form
The Centers for Medicare & Medicaid Services (CMS) received approval from
the Office of Management and Budget to re-issue the EFT authorization
agreement. Providers and suppliers may begin using the revised EFT form
immediately, though Palmetto GBA shall continue to accept the previous
version of the EFT authorization agreement until January 1, 2011. This new
interactive form is now easier and simpler to use, with clarified
instructions.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/84YLKM1010?opendocument


Drugs Administered Through An Implantable Infusion Pump
This Alert announces that the Implantable Infusion Pump for Treatment of
Chronic Intractable Pain LCD (L28268) and the associated article (A49293)
requires providers to submit an invoice for all drugs administered through
the pump. Drugs compounded by a pharmacy, should be submitted with HCPCS
code J3490. J3490 should be submitted one time with the total charge for
all drugs administered. Services submitted incorrectly will be rejected or
denied. Any services submitted incorrectly which resulted in an overpayment
may be recouped. Providers are encouraged to review this information and
the outlined articles, and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/84YJZS6612?opendocument


Signature Guidelines for Medical Review Purposes
This J1 A/B MAC MLN Matters article (CR6698a) was revised and re-issued on
April 26, 2010, to include additional clarifying language from CR 6698.
This article clarifies for providers how Medicare claims review
contractors, review claims and medical documentation submitted by
providers. CR 6698 outlines the new rules for signatures and adds language
for Electronic prescribing (e-prescribing). These revised/new signature
requirements are applicable for reviews conducted on or after the
implementation date of April 16, 2010. Please note that all signature
requirements in CR 6698 are effective retroactively for Comprehensive Error
Rate Testing (CERT) for the November 2010 report period. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/84XPYG2484?opendocument


J1 Part B PPTN ID Request Form
The PPTN ID Request Form is a new online enrollment option for
Jurisidiction 1 Part B providers to request acces to the Professional
Provider Telecommunications Network (PPTN).
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/84XMBT0432?opendocument


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