Palmetto/J1MAC News

The following information has been received by ANCO.


****PALMETTO/J1MAC NEWS****
Don’t Delay - Send In Your CERT Documentation Immediately!
If you have received a request from the CERT Review Contractor to submit
documentation, please be advised that the deadline is quickly approaching.
Time is running out so please respond by submitting the requested
documentation to the CERT Review Contractor by Tuesday, September 21. You
should forward the documentation to the designated contact information
provided in the letter from the CERT Review Contractor. We urge you to
respond and share this information with the appropriate staff within your
organization.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~894PHR3517?opendocument


Open Draft LCD Meetings October 2010
Share with your staff - Palmetto GBA J1 A/B Medicare Administrative
Contractor (MAC) has scheduled Open Draft Local Coverage Determination
(LCD) meetings in California, Nevada and Hawaii for October 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/ls/J1B~7YDPHY0633?opendocument


Workshop: Issues Related to Accountable Care Organizations
On October 5, 2010, the Federal Trade Commission (FTC) will co-host a
workshop on several issues associated with Accountable Care Organizations
(ACOs), organizations authorized by the new Affordable Care Act that seek
to deliver high-quality and efficient health care services to consumers.
The workshop, which will be held at CMS Headquarters in Baltimore,
Maryland, is free and open to the public.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~895ELV5346?opendocument


CMS Makes Information about Physician Fee Schedule Payment Rates More
Accessible
CMS has updated and enhanced the Medicare Physician Fee Schedule Lookup to
allow the user to: download search results into a CSV file, modify search
criteria without starting over, search on all available types of
information at the same time (Pricing Information, Payment Policy
Indicators, Relative Value Units and Geographical Practice Cost Index), and
sort and view results table columns in ascending or descending order.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~896HMB1802?opendocument


CMS to Host Listening Session Regarding Confidential Feedback Reports and
the Implementation of a Value-Based Payment Modifier for Physicians
CMS will host a listening session on September 24 as part of the transition
to a value-based purchasing program for services of physicians and certain
other professionals, as well as other related provisions under the Patient
Protection and Affordable Care Act (ACA). The ACA contains provisions that
continue and expand the Physician Feedback Program and also require
implementation of a value-based payment modifier to the Fee-for-Service
physician fee schedule. The purpose of the listening session is to solicit
comments on approaches being considered as CMS implements these provisions.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~896HNZ5433?opendocument


Implementation of the PWK (Paperwork) Segment for X12N Version 5010
This J1 A/B MAC MLN Matters article (CR7041) announces the implementation
of the PWK (paperwork) segment for X12N Version 5010. The PWK segment
provides the ‘linkage’ between electronic claims and additional
documentation which is needed for claims adjudication. Although the PWK
segment allows for an electronic submission of additional documentation,
this preliminary implementation will only allow for submission of
additional documentation via mail and fax. Providers are encouraged to
review the information and share it with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~896S543018?opendocument


J1 A/B MAC Palmetto GBA Assigned ICD-9-CM Codes for National Coverage
Determinations
The HCPCS Codes and the associated ICD-9 Codes for Stem Cell
Transplantation National Coverage Determination (NCDs) have been added to
the list of J1 A/B MAC Palmetto GBA Assigned ICD-9-CM Codes for National
Coverage Determinations. Providers are encouraged to review the information
and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~7RCMMD8585?opendocument


J1 Part B LCDs Revised
Share with your staff - Multiple J1 Part B LCDs have been revised. To view
these LCDs, go to the ‘LCDs and NCDs’ Web page under the Medical Policies
section of the J1 Part B Web site.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~899NK26615?opendocument


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