Palmetto/J1MAC News

The following information has been received by ANCO.


****PALMETTO/J1MAC NEWS****
October 2010 J1 A/B MAC Medicare Advisory
The October 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/ls/J1B~89JPXZ8868?opendocument


Claim Status Category and Claim Status Codes Update
This J1 A/B MAC MLN Matters article (CR7158) explains that the Claim Status
Codes and Claim Status Category Codes for use by Medicare Contractors, as
well as several additional items, will be posted to the Washington
Publishing Company Web site on or about November 1, 2010. Included in the
code lists are specific details, including the date when a code was added,
changed or deleted. Medicare Contractors will implement these changes on
January 3, 2011. Providers are encouraged to review the information and to
share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~89KQCJ6463?opendocument


J1 Open Draft LCD Meeting: California, October 19, 2010
Share with your staff - Palmetto GBA J1 A/B MAC will host an Open Draft
Local Coverage Determination (LCD) meeting in California, October 19, 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~7TKQ3P7107?opendocument


October Update to the 2010 Medicare Physician Fee Schedule Database
(MPFSDB)
This J1 A/B MAC MLN Matters article (CR7112) amends payment files issued to
Medicare Contractors based upon the 2010 Medicare Physician Fee Schedule
Final Rule. Medicare Contractors will not search their files to either
retract payment for claims already paid or to retroactively pay claims that
were processed prior to implementation of CR 7112. However, Contractors
will adjust claims brought to their attention. Providers are encouraged to
review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~89KQA55235?opendocument


Eligible Physicians and Non-Physician Practitioners who need to Enroll in
the Medicare Program for the Sole Purpose of Ordering and Referring Items
and Services for Medicare Beneficiaries
This J1 Part B MLN Matters article (CR7097) announces that physicians and
non-physician practitioners will need to enroll in the Medicare program so
they can order and refer items and services for Medicare beneficiaries. The
enrollment requirement is specified in the article. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~89KQ6F6732?opendocument


J1 Part B Accepts Redetermination Reqeusts via Fax October 1
Share with your staff - Effective October 1, 2010, Palmetto GBA will begin
accepting Part B redetermination requests via fax. No special preparation
is necessary for redetermination requests submitted via fax. All currently
required elements are necessary to be present for faxed requests. You may
fax your J1 Part B Redetermination requests to (803) 462-3914.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~89LRFJ3001?opendocument


2011 Annual Update for the Health Professional Shortage Area (HPSA) Bonus
Payments
This J1 A/B MAC MLN Matters article (CR7139) alerts providers that the
annual HPSA bonus payment 2011 file will be made available by the Centers
for Medicare & Medicaid Services (CMS) to your Medicare Contractor on
November 15, 2010. This file will be used for Health Professional Shortage
Area (HPSA) bonus payments on applicable claims with dates of service on or
after January 1, 2011, through December 31, 2011. Providers are encouraged
to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~89KQME0048?opendocument


National Correct Coding Initiative (NCCI) Tool
The National Correct Coding Initiative (NCCI) packages, or 'bundles,'
reimbursement for some services under Medicare. NCCI identifies code pairs
that are never reimbursed separately and code pairs that can only be
reimbursed separately in certain circumstances (identified by the
appropriate modifier). Please use the NCCI tool to determine if the service
you are submitting is bundled with another service.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~89QGRF8716?opendocument


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