ASH & Palmetto/J1MAC News

The following information has been received by ANCO.


****ASH NEWS****
The American Society of Hematology's (ASH) Practice Update was published and is available online at http://www.hematology.org/Practice/Practice-Updates/5291.aspx. This edition features:

• Senate "Extenders" Package Would Restore Medicare Cuts to Physicians, But Passage Still Uncertain

• CMS Hosts National Provider Calls for the PQRI & Electronic Prescribing Incentive Programs and for the ICD-10 Implementation in a 5010 Environment

• Medicare Releases Quarterly Healthcare Common Procedure Coding System Code Changes

• ASH Comments on AHRQ Report on VTE Prophylaxis in Orthopedic Surgery

• ASH Comments on New Burdens on Physicians Placed by E-Prescribing for Controlled Substances Rule

• ASH Urges CMS to Reconsider Its July 6 Deadline for Physician Enrollment in PECOS

• AHRQ Releases Technology Assessments on Off-Label Indications for Cancer Treatment and on Recombinant Factor VIIa

• FTC Delays Enforcement of Red Flags Rule


****PALMETTO/J1MAC NEWS****
Open Draft LCD Meetings July 2010
Palmetto GBA J1 A/B Medicare Administrative Contractor (MAC) has scheduled
Open Draft Local Coverage Determination (LCD) meetings in California,
Nevada and Hawaii for July 2010. The general public is invited to submit
information related to the proposed LCDs for Palmetto GBA's consideration.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7YDPHY0633?opendocument


Change in the Amount in Controversy Requirement for Administrative Law
Judge Hearings and Federal District Court Appeals
The MLN article, Change in the Amount in Controversy Requirement for
Administrative Law Judge Hearings and Federal District Court Appeals, has
been updated based on the Change Request 6894.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7NZKKD5858?opendocument


General Appeals Information
Share with your staff - Palmetto GBA has updated the J1 Part B appeal
levels, amount in controversy thresholds and the time limits for filing an
appeal on our Web site. For more information, view MM6894, Change in the
Amount in Controversy Requirement for Administrative Law Judge Hearings and
Federal District Court Appeals.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7Y3LL40181?opendocument


Revised Payment Files for the 2010 Medicare Physician Fee Schedule Database
(MPFSDB) and Retroactive Provisions under the Patient Protection and
Affordable Care Act (Publication L 111-148) (the Affordable Care Act)
This J1 A/B MAC MLN Matters article (CR6973a) was revised on May 24, 2010,
to show that Medicare’s implementation date for using the new payment files
is no later than June 1, 2010. This article amends payment files that were
issued to contractors to take into account the 2010 MPFS Final Rule
correction notice that went on display at the Federal Register on May 5,
2010, and retroactive provisions under the Affordable Care Act. Providers
are encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/86AMMD7035?opendocument


Updated: Certain Clinical Lab Services Rejected Incorrectly
Share with your staff - A mass adjustment was completed on June 4, 2010,
for electronic claims rejected with remittance advice remark code MA111
processed between April 5 and April 29. A total of 59,974 claims were
adjusted.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/857QVV7435?opendocument


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