The following information has been received by ANCO.
****ACCC NEWS****
The Association of Community Cancer Center's (ACCC) Connect was published and is available online at http://www.accc-cancer.org/mediaroom/newsletters/2010/ACCConnect-8-25-2010.html. ANCO is an Institutional Member of ACCC. This edition features:
• ACCC Submits Comments to CMS on Proposed 2011 Physician Fee Schedule
• Heard on ACCC's ListServ: Brown Bagging
• CMS Reconsiders Limitation on FDG PET
• Many US and Canadian Oncologists Unprepared to Use Cost-effectiveness Data in Practice
****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/5664.aspx. This edition features:
• ASH Submits Comments to CMS on Proposed Changes to Physician Fee Schedule
• 10-Year Medicare Physician Pay Fix Would Cost $330 Billion
• ASH Submits Comments to CMS on Proposed Changes to Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates
• ASH Submits Comments to FDA on Risk Evaluation and Mitigation Strategies (REMS)
• AHRQ Releases Technology Assessment on Antiemetic Drugs and Chemotherapy or Radiation Therapy in Adults
• DME MACs Revise Oral Anticancer Drugs Policy
• CMS to Host National Provider Call on 2010 PQRI & Electronic Prescribing Incentive Programs
• CMS to Host Conference Call on ICD-10 Implementation
• One week left to register for the State-of-the-Art Symposium
• Register for ASH Webinar Series on Thrombosis
****CMA NEWS****
The California Medical Association's (CMA) Alert was published and is available online at http://www.calphys.org/html/news.asp. This edition features:
• Claim Your Share of the $350M UnitedHealth Settlement
• CMS PECOS Enrollment Deadline is September 1
• OAL Approves Regs Requiring Physician Participation in Lethal Injections
• Medicare Audits Find Improper Use of New Patient Codes
• Webinar: Meaningful Use of EHRs
• Legislative Update
• Hospital-Physician Alignment: What You Need to Know About ACOs, Medical Foundations, and Other New Health Care Payment and Delivery Models
• 2011 California Health Care Leadership Academy Rescheduled
****PALMETTO/J1MAC NEWS****
September 2010 J1 A/B MAC Medicare Advisory
The September 2010 J1 A/B MAC Medicare Advisory is now available on the J1
Web site. Providers are encouraged to review the information and to share
with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/88LQRW5788?opendocument
Don't Miss the 2010 MACtoberfest in Palm Springs
Don't miss the 2010 Palmetto GBA J1 MACtoberfest from October 27 through
October 29 in Palm Springs, California! Online pre-registration will open
on August 27. Space is limited, so secure your spot early.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/88LRSU3853?opendocument
Payment for Implantable Tissue Markers (Healthcare Common Procedure Coding
System (HCPCS) Code A4648) and Implantable Radiation Dosimeters (HCPCS Code
A4650)
This J1 Part B MLN Matters article (CR6968a) was revised on August 18,
2010, to correct an error in the ‘What You Need to Know’ section on page 1.
The HCPCS code of A450 was corrected to show A4650. All other information
remains the same. This article clarifies that the Healthcare Common
Procedure Coding System (HCPCS) codes for implantable tissue markers and
for implantable radiation dosimeters are separately billable and payable
for physicians when used with certain CPT Codes. Providers are encouraged
to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/88GLQQ5588?opendocument
Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC)
and Medicare Remit Easy Print (MREP) Update
This J1 A/B MAC MLN Matters article (CR7089) announces the latest update of
Remittance Advice Remark Codes (RARCs) and Claim Adjustment Reason Codes
(CARCs), effective October 1, 2010, for Medicare. These are the changes
that have been added since CR 6901. The reason and remark code sets must be
used to report payment adjustments in remittance advice transactions. The
reason codes are also used in some coordination-of-benefits (COB)
transactions. Providers are encouraged to review the information and to
share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~88MRQF1238?opendocument
The ANCO Online ListServ has moved and is now sent directly from the ANCO office computer. Please contact ListServ@anco-online.org if you wish to update or unsubscribe your e-mail address. Thanks!
Friday, August 27, 2010
Tuesday, August 24, 2010
Palmetto/J1MAC News
The following information has been received by ANCO.
****PALMETTO/J1MAC NEWS****
Diagnostic Lab Billing and Coding Guidelines
In this article, the Comprehensive Error Rate Testing (CERT) Contractor
reported an increase in errors for complete blood counts (CBC) and
urinalysis (UA) laboratory services. Data indicates two types of errors:
code selection errors and standard protocol use in place of
patient-specific physician orders. Only lab services ordered by the
physician should be provided and billed. A physician’s written order must
match the performed service. Providers may not perform additional lab
services based on internal standard or implied protocols. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/88FQ5L2055?opendocument
Payment for Implantable Tissue Markers (Healthcare Common Procedure Coding
System (HCPCS) Code A4648) and Implantable Radiation Dosimeters (HCPCS Code
A4650)
This J1 Part B MLN Matters article (CR6968) clarifies that the Healthcare
Common Procedure Coding System (HCPCS) codes for implantable tissue markers
and for implantable radiation dosimeters are separately billable and
payable for physicians when used with certain CPT Codes. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/88GLQQ5588?opendocument
The ANCO Online ListServ has moved and is now sent directly from the ANCO office computer. Please contact ListServ@anco-online.org if you wish to update or unsubscribe your e-mail address. Thanks!
****PALMETTO/J1MAC NEWS****
Diagnostic Lab Billing and Coding Guidelines
In this article, the Comprehensive Error Rate Testing (CERT) Contractor
reported an increase in errors for complete blood counts (CBC) and
urinalysis (UA) laboratory services. Data indicates two types of errors:
code selection errors and standard protocol use in place of
patient-specific physician orders. Only lab services ordered by the
physician should be provided and billed. A physician’s written order must
match the performed service. Providers may not perform additional lab
services based on internal standard or implied protocols. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/88FQ5L2055?opendocument
Payment for Implantable Tissue Markers (Healthcare Common Procedure Coding
System (HCPCS) Code A4648) and Implantable Radiation Dosimeters (HCPCS Code
A4650)
This J1 Part B MLN Matters article (CR6968) clarifies that the Healthcare
Common Procedure Coding System (HCPCS) codes for implantable tissue markers
and for implantable radiation dosimeters are separately billable and
payable for physicians when used with certain CPT Codes. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/88GLQQ5588?opendocument
The ANCO Online ListServ has moved and is now sent directly from the ANCO office computer. Please contact ListServ@anco-online.org if you wish to update or unsubscribe your e-mail address. Thanks!
Monday, August 16, 2010
ACCC, CMA, & Palmetto/J1MAC News
The following information has been received by ANCO.
****ACCC NEWS****
The Association of Community Cancer Center's (ACCC) Connect was published and is available online at http://www.accc-cancer.org/mediaroom/newsletters/2010/ACCConnect-8-11-2010.html. ANCO is an Institutional Member of ACCC. This edition features:
• Archived Webinar Now Available: Guide to Best Practices in a Comprehensive Prostate Cancer Program II
• Only a Limited Number of Hotel Rooms Remain: St. Louis Conference Hotel is Filling Up
• Expanded Enrollment for 340B Opens
• Podcast Available: Highlights of ACCC's 2010 Survey--Cancer Care Trends in Community Cancer Centers
• Nominations Open for ACCC's 2011 David King Community Clinical Scientist Award
• Heard on ACCC's ListServ: Supporting a Gynecologic Oncology Specialist
• National Coalition of Oncology Nurse Naviators (NCONN) to Host October Meeting
****CMA NEWS****
The California Medical Association's (CMA) Alert was published and is available online at http://www.calphys.org/html/news.asp. This edition features:
• 2011 Medicare fee schedule dramatically shifts funding from urban states to rural states
• Sacramento pediatrician receives physician humanitarian award
• Most major health plans will not delegate time access requirements
• U.S. Senate extends Medicaid assistance to states; California budget talks continue
• Rosy predictions for Medicare solvency are unrealistic, says Medicare actuary
• Medicare auditor identifies 131,000 overpaid claims
• CMA webinar: Health Care Reform 2010
****PALMETTO/J1MAC NEWS****
2010 MACtoberfest in Palm Springs, California October 27-29
Pack your bags and join us in the desert of Palm Springs, California from
October 27 to 29 to find your directions in the vast world of Medicare.
Registration opens soon. Look out for more details by clicking on the
MACtoberfest event icon from the J1 Part A or Part B home page in the next
few days.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/867R3X8418?opendocument
Implementation of New Statutory Provision Pertaining to Medicare Three-Day
Payment Window - Outpatient Services Treated as Inpatient
This article serves as notification of the implementation of the three-day
(or one-day) payment window provision under Section 102 of Publication L
111-192 of the 'Preservation of Access to Care for Medicare Beneficiaries
and Pension Relief Act of 2010'. It includes general instructions on
appropriate billing for compliance with the law. CMS will provide
conforming updates to the Medicare regulations and the Medicare Claims
Processing Manual (Publication 100-4) in the near future. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/886QRF3304?opendocument
Timely Claims Filing: Additional Instructions
This J1 A/B MAC MLN Matters article (CR7080) expands the Medicare
Fee-for-Service (FFS) reimbursement instructions outlined in change request
(CR) 6960 that specified the basic timely filing standards established for
FFS reimbursement. Those basic standards are a result of Section 6404 of
the Patient Protection and Affordable Care Act of 2010 (ACA) that states
that claims with dates of service on or after January 1, 2010, received
later than one calendar year beyond the date of service will be denied by
Medicare. CR 7080 lists the standards for dates of service used to
determine the timely filing of claims. Providers are encouraged to review
the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/886RHS0688?opendocument
Correction: 'Customer Service Representative (CSR) Conference Call' Article
There was a typo in a J1 article that was published in the Friday, August
6, 2010, listserv. The PCC closure time indicated in the article, Customer
Service Representative (CSR) Conference Call, was published as 7:30 a.m. to
11:30 p.m. on August 20. This is incorrect. The correct PCC closure time on
August 20 is from 7:30 a.m. to 11:30 a.m. This has been corrected in the
article that was published on the J1 Web site. We apologize for the
inconvenience.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/887KWU0785?opendocument
Revisions to Claims Processing Instructions for Services Rendered in Place
of Service Home
This J1 Part B MLN Matters article (CR6947) announces a requirement that
Contractors now enter the address of where services were performed,
including the ZIP code, on claims for anesthesia services and every service
payable under the Medicare Physician Fee Schedule (MPFS) for services
provided in all places of service, including Home. This change will be
effective for claims that are submitted on the 5010 version of the ANSI
X12N 837P electronic form that are processed by Medicare on or after
January 1, 2011, and on the paper Form CMS 1500 with dates of service on or
after January 1, 2011. Providers are encouraged to review the information
and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/886Q3Y1574?opendocument
Common Working File (CWF) Unsolicited Response Adjustments for Certain
Claims Denied Due to an Open Medicare Secondary Payer (MSP) Group Health
Plan (GHP) Record Where the GHP Record was Subsequently Deleted or
Terminated
This J1 A/B MAC MLN Matters article (CR6625) instructs Medicare Contractors
and shared system maintainers (SSM) to implement (effective April 1, 2011)
an automated process to reopen Group Health Plan (GHP) Medicare Secondary
Payer (MSP) claims when related MSP data is deleted or terminated after
claims were processed subject to the beneficiary record on Medicare’s
database. Providers are encouraged to review the information and to share
with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/887QS92045?opendocument
Medical Record Retention and Media Formats for Medical Records
This Special Edition (SE1022) is an informational article. This article
provides guidance for physicians, suppliers and providers on record
retention timeframes. State laws generally governs how long medical records
are to be retained. However, the Health Insurance Portability and
Accountability Act (HIPAA) of 1996 (HIPAA) administrative simplification
rules require a covered entity, such as a physician billing Medicare, to
retain required documentation for six years from the date of its creation
or the date when it last was in effect, whichever is later. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/889N558127?opendocument
Medicare Contractor Annual Update of the International Classification of
Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
This J1 A/B MAC MLN Matters article (CR7006a) was revised on August 4,
2010, to reflect the revised CR 7006. In this article, the CR release date
and transmittal number were changed and the Web address for accessing CR
7006 was also changed. The article reminds the Medicare Contractors and
providers that the annual ICD-9-CM update will be effective for dates of
service on and after October 1, 2010, (for institutional providers,
effective for discharges on or after October 1, 2010). Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/887QZX2140?opendocument
J1 Alert: Audit 122
This Alert announces that, per Change Request 1252, effective March 2001,
Cancer Screening NCD coverage was implemented for CPT Codes G0102 and
G0103. Incorrect denials for these codes occurred from June 28, 2010, to
July 13, 2010. A mass adjustment was performed and the system has been
updated to allow these services for dates of service (DOS) on or after
March 1, 2001. Providers are encouraged to review the information and to
share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/889KFA3685?opendocument
J1 Alert: Super Rural Bonus ZIP Codes for Ambulance
This Alert announces that Change Request 6972 reinstated the 22.6 percent
bonus on super rural ZIP Codes performed by ambulance suppliers from
December 31, 2009, until December 31, 2010. Palmetto GBA will identify
claims that processed with dates of service (DOS) on or after July 7, 2010,
with January 1, 2010, DOS and after, which have been paid incorrectly.
Providers are encouraged to review the information and to share with their
staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/889KMR3508?opendocument
Electronic Prescribing (eRx) Incentive Program 2010 Updates
This Special Edition article (SE1021) alerts providers that it is not too
late to start participating in the electronic prescribing (eRx) Incentive
Program to potentially qualify to receive a full-year incentive payment.
Eligible professionals may begin reporting eRx at any time throughout the
2010 program year of January 1, 2010, through December 31, 2010, to be
incentive eligible. Providers are encouraged to review the information and
to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/889MWH4827?opendocument
The ANCO Online ListServ has moved and is now sent directly from the ANCO office computer. Please contact ListServ@anco-online.org if you wish to update or unsubscribe your e-mail address. Thanks!
****ACCC NEWS****
The Association of Community Cancer Center's (ACCC) Connect was published and is available online at http://www.accc-cancer.org/mediaroom/newsletters/2010/ACCConnect-8-11-2010.html. ANCO is an Institutional Member of ACCC. This edition features:
• Archived Webinar Now Available: Guide to Best Practices in a Comprehensive Prostate Cancer Program II
• Only a Limited Number of Hotel Rooms Remain: St. Louis Conference Hotel is Filling Up
• Expanded Enrollment for 340B Opens
• Podcast Available: Highlights of ACCC's 2010 Survey--Cancer Care Trends in Community Cancer Centers
• Nominations Open for ACCC's 2011 David King Community Clinical Scientist Award
• Heard on ACCC's ListServ: Supporting a Gynecologic Oncology Specialist
• National Coalition of Oncology Nurse Naviators (NCONN) to Host October Meeting
****CMA NEWS****
The California Medical Association's (CMA) Alert was published and is available online at http://www.calphys.org/html/news.asp. This edition features:
• 2011 Medicare fee schedule dramatically shifts funding from urban states to rural states
• Sacramento pediatrician receives physician humanitarian award
• Most major health plans will not delegate time access requirements
• U.S. Senate extends Medicaid assistance to states; California budget talks continue
• Rosy predictions for Medicare solvency are unrealistic, says Medicare actuary
• Medicare auditor identifies 131,000 overpaid claims
• CMA webinar: Health Care Reform 2010
****PALMETTO/J1MAC NEWS****
2010 MACtoberfest in Palm Springs, California October 27-29
Pack your bags and join us in the desert of Palm Springs, California from
October 27 to 29 to find your directions in the vast world of Medicare.
Registration opens soon. Look out for more details by clicking on the
MACtoberfest event icon from the J1 Part A or Part B home page in the next
few days.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/867R3X8418?opendocument
Implementation of New Statutory Provision Pertaining to Medicare Three-Day
Payment Window - Outpatient Services Treated as Inpatient
This article serves as notification of the implementation of the three-day
(or one-day) payment window provision under Section 102 of Publication L
111-192 of the 'Preservation of Access to Care for Medicare Beneficiaries
and Pension Relief Act of 2010'. It includes general instructions on
appropriate billing for compliance with the law. CMS will provide
conforming updates to the Medicare regulations and the Medicare Claims
Processing Manual (Publication 100-4) in the near future. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/886QRF3304?opendocument
Timely Claims Filing: Additional Instructions
This J1 A/B MAC MLN Matters article (CR7080) expands the Medicare
Fee-for-Service (FFS) reimbursement instructions outlined in change request
(CR) 6960 that specified the basic timely filing standards established for
FFS reimbursement. Those basic standards are a result of Section 6404 of
the Patient Protection and Affordable Care Act of 2010 (ACA) that states
that claims with dates of service on or after January 1, 2010, received
later than one calendar year beyond the date of service will be denied by
Medicare. CR 7080 lists the standards for dates of service used to
determine the timely filing of claims. Providers are encouraged to review
the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/886RHS0688?opendocument
Correction: 'Customer Service Representative (CSR) Conference Call' Article
There was a typo in a J1 article that was published in the Friday, August
6, 2010, listserv. The PCC closure time indicated in the article, Customer
Service Representative (CSR) Conference Call, was published as 7:30 a.m. to
11:30 p.m. on August 20. This is incorrect. The correct PCC closure time on
August 20 is from 7:30 a.m. to 11:30 a.m. This has been corrected in the
article that was published on the J1 Web site. We apologize for the
inconvenience.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/887KWU0785?opendocument
Revisions to Claims Processing Instructions for Services Rendered in Place
of Service Home
This J1 Part B MLN Matters article (CR6947) announces a requirement that
Contractors now enter the address of where services were performed,
including the ZIP code, on claims for anesthesia services and every service
payable under the Medicare Physician Fee Schedule (MPFS) for services
provided in all places of service, including Home. This change will be
effective for claims that are submitted on the 5010 version of the ANSI
X12N 837P electronic form that are processed by Medicare on or after
January 1, 2011, and on the paper Form CMS 1500 with dates of service on or
after January 1, 2011. Providers are encouraged to review the information
and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/886Q3Y1574?opendocument
Common Working File (CWF) Unsolicited Response Adjustments for Certain
Claims Denied Due to an Open Medicare Secondary Payer (MSP) Group Health
Plan (GHP) Record Where the GHP Record was Subsequently Deleted or
Terminated
This J1 A/B MAC MLN Matters article (CR6625) instructs Medicare Contractors
and shared system maintainers (SSM) to implement (effective April 1, 2011)
an automated process to reopen Group Health Plan (GHP) Medicare Secondary
Payer (MSP) claims when related MSP data is deleted or terminated after
claims were processed subject to the beneficiary record on Medicare’s
database. Providers are encouraged to review the information and to share
with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/887QS92045?opendocument
Medical Record Retention and Media Formats for Medical Records
This Special Edition (SE1022) is an informational article. This article
provides guidance for physicians, suppliers and providers on record
retention timeframes. State laws generally governs how long medical records
are to be retained. However, the Health Insurance Portability and
Accountability Act (HIPAA) of 1996 (HIPAA) administrative simplification
rules require a covered entity, such as a physician billing Medicare, to
retain required documentation for six years from the date of its creation
or the date when it last was in effect, whichever is later. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/889N558127?opendocument
Medicare Contractor Annual Update of the International Classification of
Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
This J1 A/B MAC MLN Matters article (CR7006a) was revised on August 4,
2010, to reflect the revised CR 7006. In this article, the CR release date
and transmittal number were changed and the Web address for accessing CR
7006 was also changed. The article reminds the Medicare Contractors and
providers that the annual ICD-9-CM update will be effective for dates of
service on and after October 1, 2010, (for institutional providers,
effective for discharges on or after October 1, 2010). Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/887QZX2140?opendocument
J1 Alert: Audit 122
This Alert announces that, per Change Request 1252, effective March 2001,
Cancer Screening NCD coverage was implemented for CPT Codes G0102 and
G0103. Incorrect denials for these codes occurred from June 28, 2010, to
July 13, 2010. A mass adjustment was performed and the system has been
updated to allow these services for dates of service (DOS) on or after
March 1, 2001. Providers are encouraged to review the information and to
share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/889KFA3685?opendocument
J1 Alert: Super Rural Bonus ZIP Codes for Ambulance
This Alert announces that Change Request 6972 reinstated the 22.6 percent
bonus on super rural ZIP Codes performed by ambulance suppliers from
December 31, 2009, until December 31, 2010. Palmetto GBA will identify
claims that processed with dates of service (DOS) on or after July 7, 2010,
with January 1, 2010, DOS and after, which have been paid incorrectly.
Providers are encouraged to review the information and to share with their
staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/889KMR3508?opendocument
Electronic Prescribing (eRx) Incentive Program 2010 Updates
This Special Edition article (SE1021) alerts providers that it is not too
late to start participating in the electronic prescribing (eRx) Incentive
Program to potentially qualify to receive a full-year incentive payment.
Eligible professionals may begin reporting eRx at any time throughout the
2010 program year of January 1, 2010, through December 31, 2010, to be
incentive eligible. Providers are encouraged to review the information and
to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/889MWH4827?opendocument
The ANCO Online ListServ has moved and is now sent directly from the ANCO office computer. Please contact ListServ@anco-online.org if you wish to update or unsubscribe your e-mail address. Thanks!
Monday, August 9, 2010
Palmetto/J1MAC News
The following information has been received by ANCO.
****PALMETTO/J1MAC NEWS****
Change Request 6654: Notice of New Interest Rate for Medicare Overpayments
& Underpayments - Fourth Notification for FY 2010
This article announces that a Medicare regulation 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 11 percent effective July 21, 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/882NZ98575?opendocument
J1 Provider Outreach and Education Event Calendar
J1 Event Calendar is now loaded with August events hosted by Palmetto GBA
J1 Provider Outreach and Education. Look out for more details about our
upcoming MACtoberfest, the Palmetto GBA J1's largest educational and
networking event of the year, on our J1 Part A and Part B home page soon.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7TAL2C7131?opendocument
Customer Service Representative (CSR) Conference Call
The Palmetto GBA J1 Provider Contact Center will be closed on Friday,
August 20, 2010, from 7:30 a.m. to 11:30 p.m. (PST) for training. During
the training, The Centers for Medicare & Medicaid Services’ (CMS) Division
of Contractor Provider Communications will host an All Customer Service
Representative (CSR) Conference Call. The call will provide all provider
contract center CSRs with an opportunity to learn about current CMS
initiatives and exchange ideas across contact centers as well as between
CMS and the front line of provider customer service. Please be sure to
share with your staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/883LBV8108?opendocument
Medicare & Medicaid EHR Incentive Program Question and Answer Session
The Centers for Medicare & Medicaid Services (CMS) invites you to join us
for the fourth in a series of national provider calls addressing the
specifics of the Medicare and Medicaid EHR incentive programs. Have
questions? Join this free session to have an opportunity to ask a question
and hear answers by our panel of experts on the Medicare and Medicaid EHR
incentive programs. This event will be held on August 12, 2010, from 2 p.m.
to 3:30 p.m. ET.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/883HYQ8221?opendocument
2010 PQRI & E-Prescribing Incentive Program: National Provider Call with
Question & Answer Session
The Centers for Medicare & Medicaid Services (CMS) Provider Communications
Group will host a national provider conference call on the 2010 Physician
Quality Reporting Initiative (PQRI) and Electronic Prescribing Incentive
Program (eRx). This toll-free call will take place from 3 p.m. to 4:30 p.m.
EDT, on Tuesday, August 17, 2010.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/883HNN2764?opendocument
Medicare & Medicaid EHR Incentive Program Specifics for Eligible
Professionals Conference Call
The Centers for Medicare & Medicaid Services (CMS) invites you to join us
for a national provider call addressing the specifics of the Medicare and
Medicaid EHR incentive programs for eligible professionals. If you are an
individual practitioner, this free session will help you learn the details
of the programs that specifically pertain to you - eligibility, payment,
what you need to register, timeline and meaningful use reporting. This
event will be held on August 10, 2010, from 2 p.m. to 3:30 p.m. ET.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/883JQG0736?opendocument
The ANCO Online ListServ has moved and is now sent directly from the ANCO office computer. Please contact ListServ@anco-online.org if you wish to update or unsubscribe your e-mail address. Thanks!
****PALMETTO/J1MAC NEWS****
Change Request 6654: Notice of New Interest Rate for Medicare Overpayments
& Underpayments - Fourth Notification for FY 2010
This article announces that a Medicare regulation 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 11 percent effective July 21, 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/882NZ98575?opendocument
J1 Provider Outreach and Education Event Calendar
J1 Event Calendar is now loaded with August events hosted by Palmetto GBA
J1 Provider Outreach and Education. Look out for more details about our
upcoming MACtoberfest, the Palmetto GBA J1's largest educational and
networking event of the year, on our J1 Part A and Part B home page soon.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7TAL2C7131?opendocument
Customer Service Representative (CSR) Conference Call
The Palmetto GBA J1 Provider Contact Center will be closed on Friday,
August 20, 2010, from 7:30 a.m. to 11:30 p.m. (PST) for training. During
the training, The Centers for Medicare & Medicaid Services’ (CMS) Division
of Contractor Provider Communications will host an All Customer Service
Representative (CSR) Conference Call. The call will provide all provider
contract center CSRs with an opportunity to learn about current CMS
initiatives and exchange ideas across contact centers as well as between
CMS and the front line of provider customer service. Please be sure to
share with your staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/883LBV8108?opendocument
Medicare & Medicaid EHR Incentive Program Question and Answer Session
The Centers for Medicare & Medicaid Services (CMS) invites you to join us
for the fourth in a series of national provider calls addressing the
specifics of the Medicare and Medicaid EHR incentive programs. Have
questions? Join this free session to have an opportunity to ask a question
and hear answers by our panel of experts on the Medicare and Medicaid EHR
incentive programs. This event will be held on August 12, 2010, from 2 p.m.
to 3:30 p.m. ET.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/883HYQ8221?opendocument
2010 PQRI & E-Prescribing Incentive Program: National Provider Call with
Question & Answer Session
The Centers for Medicare & Medicaid Services (CMS) Provider Communications
Group will host a national provider conference call on the 2010 Physician
Quality Reporting Initiative (PQRI) and Electronic Prescribing Incentive
Program (eRx). This toll-free call will take place from 3 p.m. to 4:30 p.m.
EDT, on Tuesday, August 17, 2010.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/883HNN2764?opendocument
Medicare & Medicaid EHR Incentive Program Specifics for Eligible
Professionals Conference Call
The Centers for Medicare & Medicaid Services (CMS) invites you to join us
for a national provider call addressing the specifics of the Medicare and
Medicaid EHR incentive programs for eligible professionals. If you are an
individual practitioner, this free session will help you learn the details
of the programs that specifically pertain to you - eligibility, payment,
what you need to register, timeline and meaningful use reporting. This
event will be held on August 10, 2010, from 2 p.m. to 3:30 p.m. ET.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/883JQG0736?opendocument
The ANCO Online ListServ has moved and is now sent directly from the ANCO office computer. Please contact ListServ@anco-online.org if you wish to update or unsubscribe your e-mail address. Thanks!
Thursday, August 5, 2010
Palmetto/J1MAC News
The following information has been received by ANCO.
****PALMETTO/J1MAC NEWS****
Medicare Physicians and Non-Physician Practitioners: Protecting Your
Privacy, Protecting Your Medicare Enrollment Record
This article references a CMS document that provides tips on how you can
protect your Medicare enrollment information that is stored on the
Internet, how to ensure your Medicare enrollment information is current and
lists advantages of using Internet-based PECOS to enroll in Medicare or
update your Medicare enrollment information. Please be sure to share with
your staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/87TQ2U0811?opendocument
Skilled Nursing Facility Consolidated Billing as It Relates to Certain
Types of Exceptionally Intensive Outpatient Hospital Services
This Special Edition article (SE0432) was revised on July 22, 2010, to
include ‘ambulatory surgical centers’ in the last sentence in the top
paragraph of page 3. This article describes Skilled Nursing Facility (SNF)
Consolidated Billing (CB) as it relates to certain types of exceptionally
intensive outpatient hospital services, such as Magnetic Resonance Imaging
(MRI) services, Computerized Axial Tomography (CT) Scans and Radiation
Therapy. Providers are encouraged to review the information and to share
with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/87UR266534?opendocument
The ANCO Online ListServ has moved and is now sent directly from the ANCO office computer. Please contact ListServ@anco-online.org if you wish to update or unsubscribe your e-mail address. Thanks!
****PALMETTO/J1MAC NEWS****
Medicare Physicians and Non-Physician Practitioners: Protecting Your
Privacy, Protecting Your Medicare Enrollment Record
This article references a CMS document that provides tips on how you can
protect your Medicare enrollment information that is stored on the
Internet, how to ensure your Medicare enrollment information is current and
lists advantages of using Internet-based PECOS to enroll in Medicare or
update your Medicare enrollment information. Please be sure to share with
your staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/87TQ2U0811?opendocument
Skilled Nursing Facility Consolidated Billing as It Relates to Certain
Types of Exceptionally Intensive Outpatient Hospital Services
This Special Edition article (SE0432) was revised on July 22, 2010, to
include ‘ambulatory surgical centers’ in the last sentence in the top
paragraph of page 3. This article describes Skilled Nursing Facility (SNF)
Consolidated Billing (CB) as it relates to certain types of exceptionally
intensive outpatient hospital services, such as Magnetic Resonance Imaging
(MRI) services, Computerized Axial Tomography (CT) Scans and Radiation
Therapy. Providers are encouraged to review the information and to share
with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/87UR266534?opendocument
The ANCO Online ListServ has moved and is now sent directly from the ANCO office computer. Please contact ListServ@anco-online.org if you wish to update or unsubscribe your e-mail address. Thanks!
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