Palmetto/J1MAC News

The following information has been received by ANCO.


****PALMETTO/J1MAC NEWS****
Partial Code Freeze Prior to ICD-10 Implementation
At the ICD-9-CM Coordination & Maintenance Committee Meeting (September 15,
2010), it was announced that the committee had finalized the decision to
implement a partial freeze for both ICD-9-CM codes, ICD-10-CM and
ICD-10-PCS codes prior to implementation of ICD-10 on October 1, 2013.
Please share this information with your staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8AKKPG3004?opendocument


November 2010 J1 A/B MAC Medicare Advisory
The November 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~8AGR4T0470?opendocument


ANSI v5010: New Electronic Claim Format Requirements for ANSI 837 v5010
This article is the second in a series regarding implementation of version
5010 as the new standard for all ANSI ASC X12N electronic transactions.
This article outlines the changes to the ANSI 837 Electronic Claim format
from v4010A1 to v5010.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8AKJ8B6236?opendocument


Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for
Myelodysplastic Syndrome (MDS)
This J1 A/B MAC MLN Matters article (CR7137) announces (through a National
Coverage Determination (NCD)) that, effective for claims with dates of
service on and after August 4, 2010, Medicare will cover the use of
Allogeneic HSCT for treatment of MDS under Section 1862(a)(1)(E) of The
Social Security Act (the Act) only if provided in the context of a
Medicare-approved clinical study meeting specific criteria under Coverage
with Evidence Development (CED). Providers are encouraged to review the
information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8AKPVF7648?opendocument


Counseling to Prevent Tobacco Use
This J1 A/B MAC MLN Matters article (CR7133) announces that the Centers for
Medicare & Medicaid Services (CMS) will cover counseling to prevent tobacco
use for outpatient and hospitalized beneficiaries. Effective for claims
with dates of service on and after August 25, 2010, CMS will cover tobacco
cessation counseling for outpatient and hospitalized Medicare
beneficiaries: 1) Who use tobacco, regardless of whether they have signs or
symptoms of tobacco-related disease; 2) Who are competent and alert at the
time that counseling is provided; and 3) Whose counseling is furnished by a
qualified physician or other Medicare-recognized practitioner. These
individuals who do not have signs or symptoms of tobacco-related disease
will be covered under Medicare Part B when the above conditions of coverage
are met, subject to certain frequency and other limitations. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8AKQ361051?opendocument


J1 Part B LCDs Revised
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. Please be sure to share with your staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/8ALN4Y2234?opendocument


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