ASH, ACCC, CMA, & Palmetto/J1MAC News

The following information has been received by ANCO.


****ACCC NEWS****
The Association of Community Cancer Centers (ACCC) Connect was published and is available online at http://www.accc-cancer.org/mediaroom/newsletters/2010/ACCConnect-9-8-2010.html. ANCO is an Institutional Member of ACCC. This edition features:

• Two New Educational Offerings on ACCC's CE Blackboard

• Meet Us in St. Louis!

• ACCC Submits Comments to CMS on 2011 Proposed Hospital Outpatient Prospective Payment System Rule

• Heard on ACCC's ListServ: Referrals/Pre-authorizations for Outpatient Chemotherapy

• CMS Offers National Provider Call on ICD-10 Implementation in a 5010 Environment

• For Women with BRCA Mutations, Prophylactic Surgery Reduces Cancer Risk


****ASH NEWS****
The American Society of Hematology (ASH) Practice Update was published and is available online at http://www.hematology.org/Practice/Practice-Updates/5709.aspx. This edition features:

• Earn CME Credits from Blood

• CMS Offers Incentive Payments for Participation in HIT and Quality Initiatives

• CMS to Host Conference Call on ICD-10 Implementation

• CMS Releases Quarterly Update to Correct Coding Initiative Edits

• Legislative & Judicial Action Concerning Embryonic Stem Cell Research

• Register for ASH Webinar Series on Thrombosis

• Register for the 52nd ASH Annual Meeting by November 4


****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:

• CME Certification Forms Are In the Mail

• Modesto Physician Appointed to California Medical Board

• Applications Now Available for California's New Preexisting Condition Insurance Plan

• More Health Reform Provisions Take Effect September 23

• CMA Comments on the 2011 Medicare Physician Payment Rule

• Blue Shield Pulls Out of Healthy Families in 15 Counties

• Blue Cross Extends Healthy Families Continuity of Care Plan for Physicians in Most Counties

• Legislature Passes Bill Banning Rescissions

• Bill Protecting Kids' Access to Vaccines Goes to Governor's Desk


****PALMETTO/J1MAC NEWS****
J1 Part B LCDs Revised
Share with your staff - The following J1 Part B Local Coverage
Determinations (LCDs) have been revised: Botulinum Toxin Types A and B
Policy L28242 and Implantable Infusion Pump for Treatment of Chronic
Intractable Pain L28268.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~88VPX33722?opendocument


J1 Part B Self-Administered Drugs Exclusion List 2010
Share with your staff - Revision history has been added to the J1 Part B
2010 Self-Administered Drugs Exclusion List. For specific revisions, check
out the Version links at the end of the PDF attachment.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~7QWPBL3352?opendocument


Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.3,
effective October 1, 2010
This J1 Part B MLN Matters article (CR7081) provides a reminder for
physicians to take note of the quarterly updates to Correct Coding
Initiative (CCI) edits. The last quarterly release of the edit module was
issued in July 2010. Providers are encouraged to review the information and
to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~88VQ9Z0600?opendocument


J1 Provider Outreach and Education Event Calendar
MACtoberfest, Palmetto GBA J1's largest educational and networking event of
the year, is coming soon! Space is limited for this popoular event, so
secure your spot and register today. Also check out our new multi-month
Event Calendar on the J1 Part A or Part B Web site.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~7TAL2C7131?opendocument


J1 Part B LCDs: Revised
The following J1 Part B Local Coverage Determinations (LCDs) have been
revised: Botulinum Toxin Types A and B Policy L28242 and Magnetic Resonance
Angiography (MRA) of the Head and Neck, Chest, Abdomen and Pelvis, Lower
Extremities L28277.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~88MK8T3077?opendocument


Outpatient Services: Incorrect Denials
This article announces that Palmetto GBA began denying certain procedure
codes in July 2009 that were performed in outpatient hospital settings. In
May 2010, it was determined that the Hospital OPPS 'inpatient-only' list
did not apply to Medicare Part B and that these claims were denied in
error. Palmetto GBA has corrected its claims processing system to reflect
this change and it is currently adjusting claims that were denied based on
this list. Providers are encouraged to review the information and to share
with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~88WQSS0201?opendocument


Revisions to Claims Processing Instructions for Services Rendered in Place
of Service Home
This J1 Part B MLN Matters article (CR6947a) was revised on September 1,
2010, to reflect a revised CR 6947, which was re-issued on August 31, 2010.
The article was revised to show a new CR release date, transmittal number
and Web address for accessing CR 6947. This article 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/ls/J1B~886Q3Y1574?opendocument


Final Reminder: ICD-10 Implementation in a 5010 Environment Follow-Up
National Provider Call
The Centers for Medicare & Medicaid Services (CMS) will host a follow-up
national provider conference call on 'ICD-10 Implementation in a 5010
Environment.' Subject matter experts will review basic information on both
ICD-10 and 5010 and explain how they are interrelated. A question and
answer session will follow the presentations. This event will be held on
Monday, September 13, 2010, from 12 p.m. to 1:30 p.m.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~894ETW2046?opendocument


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