The following information has been received by ANCO.
****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:
• CMAs long-running court battle over MediCal provider cuts heads to Supreme Court
• House of Representatives votes to repeal health care reform; Senate unlikely to act
• CMA introduces new biweekly column on state politics
• Webinar: How to enroll in the federal EHR incentive programs
****PALMETTO/J1MAC NEWS****
Reminder: Physician Quality Reporting System: Town Hall Meeting February 9,
2011
CMS will host a Town Hall meeting on February 9, 2011, to discuss the
Physician Quality Reporting System (formerly Physician Quality Reporting
Initiative). The purpose is to solicit input from participating
stakeholders on individual quality measures and measures groups being
considered for possible inclusion in the proposed set of quality measures
for use in the 2012 Physician Quality Reporting System and key components
of its design. Interested parties are invited to participate, either onsite
at CMS headquarters in Baltimore, Maryland, or via teleconference. The
meeting is open to the public; however, attendance is limited to space and
teleconference lines available.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8DALEV0751?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Rescheduled: National Provider Call on 2011 Physician Quality Reporting
System & eRx Incentive Program
For those who registered to participate in January 18 national provider
call, please be aware that the call is being rescheduled to January 27,
2011, 1:30 p.m. to 3 p.m. ET. Due to inclement weather conditions in the
Washington, DC/Baltimore metropolitan area, some of the presenters for this
call have been prevented from attending.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8DAN7J8527?opendocument&utm_source=J1BL&utm_campaign=J1BLs
J1 PCC Closing Schedule: January 28, 2011
Share with your staff - The J1 Provider Contact Center (PCC) will be closed
for training on Friday, January 28, 2011, from 11 a.m. to 3 p.m. PT.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/8D4TRF1003?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 (CR 7250) announces the latest update
of Remittance Advice Remark Codes (RARCs) and Claim Adjustment Reason Codes
(CARCs), effective April 1, 2011. The reason and remark code sets must be
used to report payment adjustments in remittance advice transactions. The
RARC list is maintained by the Centers for Medicare & Medicaid Services
(CMS) and used by all payers. Providers are encouraged to review the
information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8DBNQY6144?opendocument&utm_source=J1BL&utm_campaign=J1BLs
February 2011 J1 A/B MAC Medicare Advisory
The February 2011 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~8DERNB8217?opendocument&utm_source=J1BL&utm_campaign=J1BLs
J1 Provider Outreach and Education Event Calendar
J1 Part A providers, join us for a free Webinar on Medicare Secondary Payer
(MSP) Conditional Payment Billing on January 26, 2011. J1 Part B providers,
check out the free Webinar on ICD-10 and HIPAA5010 on January 26. Also,
mark your calendar to attend an Ask the Contractor Teleconference (ACT) on
2011 Medicare Updates on January 27, 2011.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~7TAL2C7131?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Have Your Remittance Advice On Hand When You Call the Provider Contact
Center (PCC)
Share with your staff - The Centers for Medicare & Medicaid Services (CMS)
Internet-Only Manuals (IOMs) provide instructions and requirements for
Medicare Contractors on how to handle provider requests for information
that is already available on a Remittance Advice (RA). Please review the
enclosed article and make sure you have your RA on hand when calling the
Provider Contact Center.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8DEL7R2754?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Notice of New Interest Rate for Medicare Overpayments and Underpayments:
Second Notification for FY 2011
The Department of the Treasury has notified the Department of Health and
Human Services that the private consumer rate has been changed to 11.25
percent effective January 24, 2011, for Medicare overpayments and
underpayments.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8DFGLY2184?opendocument&utm_source=J1BL&utm_campaign=J1BLs
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!
Wednesday, January 26, 2011
Friday, January 14, 2011
ACCC, ASH, 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/2011/ACCConnect-1-12-2011.html. ANCO is an Institutional Member of ACCC. This edition features:
• Exceptional Times--Exceptional Meeting: ACCC's 37th Annual National Meeting
• Are You Getting the Most from ACCC's New Reimbursement and Patient Assistance Programs Guide?
• Shortage of Chemo Drugs Raising Concerns
• How do You Manage Patients with Advanced Prostate Cancer? Case Study Submissions Accepted
• ACCC's Part B--Drug Information Guide January Update Available
****ASH NEWS****
The American Society of Hematology (ASH) Practice Update was published and is available online at http://www.hematology.org/Practice/Practice-Updates/6323.aspx. This edition features:
• Congres Reconvenes: House Republications Plan to Repeal Health Reform
• Medicare Updates Physician Payment Rates for 2011
• Medicare Releases Revisions to the January 2011 Average Sales Price (ASP)
• ASH Comments on Proposed Rule for Medicaid RAC Program
• Problems Accessing Melphalan (Alkeran) Reported
• ASH Submits Comments to FDA Regading Approval Pathway for Biosimilar and Interchangeable Biological Products
• CMS Updates for Physicians (EHR, eRx)
****CMA NEWS****
The California Medical Association (CMA) Alert was published and is available online at http://www.calphys.org/html/news.asp. This edition features:
• Governor Brown's proposed budget would dramatically cut health and human services
• CMS launches website for physicians to enroll in EHR program
• Medicare releases new fee schedule for 2011
• Free webinars on HIPAA version 5010 help physicians prepare for January 1st, 2012 deadline
****PALMETTO/J1MAC NEWS****
CMS Launches the 2011 Medicare Contractor Provider Satisfaction Survey
(MCPSS)
It’s that time again. It's time for you to let your voice be heard! The
Centers for Medicare & Medicaid Services (CMS) has launched its annual
Medicare Contractor Provider Satisfaction Survey (MCPSS). This survey
offers Medicare FFS providers and suppliers an opportunity to give CMS
feedback on their interactions with Medicare FFS contractors related to
seven key business functions: provider inquiries, provider outreach and
education, claims processing, appeals, provider enrollment, medical review,
and provider audit and reimbursement.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CUGBA1237?opendocument&utm_source=J1BL&utm_campaign=J1BLs
J1 Part B LCD Retired
The J1 Part B Local Coverage Determination (LCD), Intracoronary
Brachytherapy (L28274), was retired on January 1, 2011.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/8CUMCS1367?opendocument
CMS Expands Healthcare Provider Directory: First Phase of Physician Compare
Web Site
The Centers for Medicare & Medicaid Services (CMS) enhanced the online
Physician Directory tool with new information about physicians and other
health care workers in their communities and the services those
professionals provide. The new feature, called Physician Compare, expands
and updates CMS’ Healthcare Provider Directory, which has helped millions
of beneficiaries find Medicare-participating doctors online for over a
decade.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CUG7Y8568?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Physician Quality Reporting System Town Hall Meeting: February 9
The Centers for Medicare & Medicaid Services (CMS) will host a Town Hall
Meeting on February 9, 2011, 10 a.m. to 4 p.m. ET
to discuss the Physician Quality Reporting System. The purpose of the Town
Hall Meeting is to solicit input from participating stakeholders on
individual quality measures and measures groups being considered for
possible inclusion in the proposed set of quality measures for use in the
2012 Physician Quality Reporting System and key components of the design of
the Physician Quality Reporting System.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CUFZE4528?opendocument&utm_source=J1BL&utm_campaign=J1BLs
National Provider Teleconference: Preparing for ICD-10 Implementation in
2011
The Centers for Medicare & Medicaid Services (CMS) will host a national
provider teleconference on 'Preparing for ICD-10 Implementation in 2011' on
January 12, 2011. Subject matter experts will review basic information on
the transition to ICD-10 and discuss implementation planning and
preparation strategies for this year. A question and answer session will
follow the presentations.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CUGVD3253?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Correction to Article: G0101 and G0182 - Incorrect Adjustments Impacting
Part B Providers in Northern California, Southern California, Ohio and West
Virginia
An error was discovered in the article, ‘G0101 and G0182 - Incorrect
Adjustments Impacting Part B Providers in Northern California, Southern
California, Ohio and West Virginia’, which was published to the J1 Web site
and sent out on listserv on January 6, 2011. The ‘G0101’ code in the title
is incorrect; the correct code is ‘G0181’. The article title has been
corrected on the Web site.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/8CVLNU2451?opendocument
Share with your staff - The 2011 J1 Mammography Fee Schedule has been
updated on our Web site.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~7ZFTY68431?opendocument&utm_source=J1BL&utm_campaign=J1BLs
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 Centers (ACCC) Connect was published and is available online at http://www.accc-cancer.org/mediaroom/newsletters/2011/ACCConnect-1-12-2011.html. ANCO is an Institutional Member of ACCC. This edition features:
• Exceptional Times--Exceptional Meeting: ACCC's 37th Annual National Meeting
• Are You Getting the Most from ACCC's New Reimbursement and Patient Assistance Programs Guide?
• Shortage of Chemo Drugs Raising Concerns
• How do You Manage Patients with Advanced Prostate Cancer? Case Study Submissions Accepted
• ACCC's Part B--Drug Information Guide January Update Available
****ASH NEWS****
The American Society of Hematology (ASH) Practice Update was published and is available online at http://www.hematology.org/Practice/Practice-Updates/6323.aspx. This edition features:
• Congres Reconvenes: House Republications Plan to Repeal Health Reform
• Medicare Updates Physician Payment Rates for 2011
• Medicare Releases Revisions to the January 2011 Average Sales Price (ASP)
• ASH Comments on Proposed Rule for Medicaid RAC Program
• Problems Accessing Melphalan (Alkeran) Reported
• ASH Submits Comments to FDA Regading Approval Pathway for Biosimilar and Interchangeable Biological Products
• CMS Updates for Physicians (EHR, eRx)
****CMA NEWS****
The California Medical Association (CMA) Alert was published and is available online at http://www.calphys.org/html/news.asp. This edition features:
• Governor Brown's proposed budget would dramatically cut health and human services
• CMS launches website for physicians to enroll in EHR program
• Medicare releases new fee schedule for 2011
• Free webinars on HIPAA version 5010 help physicians prepare for January 1st, 2012 deadline
****PALMETTO/J1MAC NEWS****
CMS Launches the 2011 Medicare Contractor Provider Satisfaction Survey
(MCPSS)
It’s that time again. It's time for you to let your voice be heard! The
Centers for Medicare & Medicaid Services (CMS) has launched its annual
Medicare Contractor Provider Satisfaction Survey (MCPSS). This survey
offers Medicare FFS providers and suppliers an opportunity to give CMS
feedback on their interactions with Medicare FFS contractors related to
seven key business functions: provider inquiries, provider outreach and
education, claims processing, appeals, provider enrollment, medical review,
and provider audit and reimbursement.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CUGBA1237?opendocument&utm_source=J1BL&utm_campaign=J1BLs
J1 Part B LCD Retired
The J1 Part B Local Coverage Determination (LCD), Intracoronary
Brachytherapy (L28274), was retired on January 1, 2011.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/8CUMCS1367?opendocument
CMS Expands Healthcare Provider Directory: First Phase of Physician Compare
Web Site
The Centers for Medicare & Medicaid Services (CMS) enhanced the online
Physician Directory tool with new information about physicians and other
health care workers in their communities and the services those
professionals provide. The new feature, called Physician Compare, expands
and updates CMS’ Healthcare Provider Directory, which has helped millions
of beneficiaries find Medicare-participating doctors online for over a
decade.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CUG7Y8568?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Physician Quality Reporting System Town Hall Meeting: February 9
The Centers for Medicare & Medicaid Services (CMS) will host a Town Hall
Meeting on February 9, 2011, 10 a.m. to 4 p.m. ET
to discuss the Physician Quality Reporting System. The purpose of the Town
Hall Meeting is to solicit input from participating stakeholders on
individual quality measures and measures groups being considered for
possible inclusion in the proposed set of quality measures for use in the
2012 Physician Quality Reporting System and key components of the design of
the Physician Quality Reporting System.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CUFZE4528?opendocument&utm_source=J1BL&utm_campaign=J1BLs
National Provider Teleconference: Preparing for ICD-10 Implementation in
2011
The Centers for Medicare & Medicaid Services (CMS) will host a national
provider teleconference on 'Preparing for ICD-10 Implementation in 2011' on
January 12, 2011. Subject matter experts will review basic information on
the transition to ICD-10 and discuss implementation planning and
preparation strategies for this year. A question and answer session will
follow the presentations.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CUGVD3253?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Correction to Article: G0101 and G0182 - Incorrect Adjustments Impacting
Part B Providers in Northern California, Southern California, Ohio and West
Virginia
An error was discovered in the article, ‘G0101 and G0182 - Incorrect
Adjustments Impacting Part B Providers in Northern California, Southern
California, Ohio and West Virginia’, which was published to the J1 Web site
and sent out on listserv on January 6, 2011. The ‘G0101’ code in the title
is incorrect; the correct code is ‘G0181’. The article title has been
corrected on the Web site.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/8CVLNU2451?opendocument
Share with your staff - The 2011 J1 Mammography Fee Schedule has been
updated on our Web site.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~7ZFTY68431?opendocument&utm_source=J1BL&utm_campaign=J1BLs
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, January 7, 2011
Palmetto/J1MAC News
The following information has been received by ANCO.
****PALMETTO/J1MAC NEWS****
2011 Revised Medicare Part B Fee Schedule: Northern California
The Northern California 2011 Revised Medicare Part B Fee Schedule is now
available and is effective for services performed on or after January 1,
2011.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8B8PAG2626?opendocument&utm_source=J1BL&utm_campaign=J1BLs
CMS Quarterly Provider Update
The Quarterly Provider Update is a comprehensive resource published by the
Centers for Medicare & Medicaid Services (CMS) on the first business day of
each quarter. It is a listing of all non-regulatory changes to Medicare
including program memoranda, manual changes and any other instructions that
could affect providers. Regulations and instructions published in the
previous quarter are also included in the update.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~7GLTKN5010?opendocument&utm_source=J1BL&utm_campaign=J1BLs
CMS Quarterly Provider Update
The Quarterly Provider Update is a comprehensive resource published by the
Centers for Medicare & Medicaid Services (CMS) on the first business day of
each quarter. It is a listing of all non-regulatory changes to Medicare
including program memoranda, manual changes and any other instructions that
could affect providers. Regulations and instructions published in the
previous quarter are also included in the update.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~7GLTKN5010?opendocument&utm_source=J1BL&utm_campaign=J1BLs
PC-ACE Pro32 version 2.26 Update File
PC-ACE Pro32 software has been updated to version 2.26 with several CMS
Medicare mandates and enhancements. All PC-ACE Pro32 users must download
and install the attached software update file immediately.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CTME56017?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Timely Claims Filing Requirement: Important Information
Effective immediately, the Centers for Medicare & Medicaid Services (CMS)
would like to remind Medicare fee-for-service physicians, providers and
suppliers, who are submitting claims to Medicare for payment, all claims
for services furnished on or after January 1, 2010, must be filed with your
Medicare contractor no later than one calendar year (12 months) from the
date of service or Medicare will deny them. This is a result of the Patient
Protection and Affordable Care Act (PPACA).
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8C5UT62660?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Registration Now Open for Medicare and Medicaid Electronic Health Record
(EHR) Incentive Program
The Centers for Medicare & Medicaid Services (CMS) encourages eligible
professionals, eligible hospitals and critical access hospitals to register
for the Medicare and/or Medicaid EHR Incentive Program(s) as soon as
possible. You can register before you have a certified EHR. Register even
if you do not have an enrollment record in the Provider Enrollment, Chain
and Ownership System (PECOS).
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CTGUS3370?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Medicare Fee-for-Service Implementation of HIPAA Version 5010 and D.0
Transactions: Fourteenth National Education Call
The Centers for Medicare & Medicaid Services (CMS) will host its fourteenth
national education call regarding Medicare fee-for-service (FFS)
implementation of HIPAA Version 5010 and D.0 transaction standards on
January 19, 2011. This session will focus on the errata impact to HIPAA
transactions and the Medicare FFS companion guides. Subject matter experts
will review how Medicare FFS is implementing the errata, review the
Medicare FFS companion guide and provide information to help the audience
through the transition to implementation. The presentation will be followed
by a Q&A session.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CTH6G2176?opendocument&utm_source=J1BL&utm_campaign=J1BLs
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****
2011 Revised Medicare Part B Fee Schedule: Northern California
The Northern California 2011 Revised Medicare Part B Fee Schedule is now
available and is effective for services performed on or after January 1,
2011.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8B8PAG2626?opendocument&utm_source=J1BL&utm_campaign=J1BLs
CMS Quarterly Provider Update
The Quarterly Provider Update is a comprehensive resource published by the
Centers for Medicare & Medicaid Services (CMS) on the first business day of
each quarter. It is a listing of all non-regulatory changes to Medicare
including program memoranda, manual changes and any other instructions that
could affect providers. Regulations and instructions published in the
previous quarter are also included in the update.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~7GLTKN5010?opendocument&utm_source=J1BL&utm_campaign=J1BLs
CMS Quarterly Provider Update
The Quarterly Provider Update is a comprehensive resource published by the
Centers for Medicare & Medicaid Services (CMS) on the first business day of
each quarter. It is a listing of all non-regulatory changes to Medicare
including program memoranda, manual changes and any other instructions that
could affect providers. Regulations and instructions published in the
previous quarter are also included in the update.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~7GLTKN5010?opendocument&utm_source=J1BL&utm_campaign=J1BLs
PC-ACE Pro32 version 2.26 Update File
PC-ACE Pro32 software has been updated to version 2.26 with several CMS
Medicare mandates and enhancements. All PC-ACE Pro32 users must download
and install the attached software update file immediately.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CTME56017?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Timely Claims Filing Requirement: Important Information
Effective immediately, the Centers for Medicare & Medicaid Services (CMS)
would like to remind Medicare fee-for-service physicians, providers and
suppliers, who are submitting claims to Medicare for payment, all claims
for services furnished on or after January 1, 2010, must be filed with your
Medicare contractor no later than one calendar year (12 months) from the
date of service or Medicare will deny them. This is a result of the Patient
Protection and Affordable Care Act (PPACA).
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8C5UT62660?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Registration Now Open for Medicare and Medicaid Electronic Health Record
(EHR) Incentive Program
The Centers for Medicare & Medicaid Services (CMS) encourages eligible
professionals, eligible hospitals and critical access hospitals to register
for the Medicare and/or Medicaid EHR Incentive Program(s) as soon as
possible. You can register before you have a certified EHR. Register even
if you do not have an enrollment record in the Provider Enrollment, Chain
and Ownership System (PECOS).
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CTGUS3370?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Medicare Fee-for-Service Implementation of HIPAA Version 5010 and D.0
Transactions: Fourteenth National Education Call
The Centers for Medicare & Medicaid Services (CMS) will host its fourteenth
national education call regarding Medicare fee-for-service (FFS)
implementation of HIPAA Version 5010 and D.0 transaction standards on
January 19, 2011. This session will focus on the errata impact to HIPAA
transactions and the Medicare FFS companion guides. Subject matter experts
will review how Medicare FFS is implementing the errata, review the
Medicare FFS companion guide and provide information to help the audience
through the transition to implementation. The presentation will be followed
by a Q&A session.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CTH6G2176?opendocument&utm_source=J1BL&utm_campaign=J1BLs
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!
Sunday, January 2, 2011
Palmetto/J1MAC News
The following information has been received by ANCO.
****PALMETTO/J1MAC NEWS****
ANSI v5010: ANSI 837 v5010 Testing Procedures
The ANSI 837 v5010 Testing Procedures document includes testing
instructions for J1 Part A, J1 Part B, NC Part A , LA Part A, MS Part A and
Railroad Medicare to ensure your new ANSI-formatted electronic claims
software meets format and quality standards. These instructions are
applicable to ANSI v5010 testing from January 1, 2011 through April 3,
2011. Additional testing will need to be performed once the errata is
installed on April 4, 2011. Updated ANSI 837 v5010 testing instructions
will be published at that time. No one will be placed in ANSI v5010
production until successful errata testing is completed.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CMP5M6351?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Get Ready for Version 5010
In January, the health care industry will have less than a year left to
prepare for the Version 5010 transaction set change on January 1, 2012. To
assist with compliance, the Centers for Medicare & Medicaid Services (CMS)
is supporting an education effort, Get Ready 5010, that will kick off with
a series of free Webinars scheduled from January 11 through 13, 2011.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CMKB31537?opendocument&utm_source=J1BL&utm_campaign=J1BLs
J1 Open Draft LCD Meeting: California, January 18, 2011
Share with your staff - Palmetto GBA J1 A/B MAC will host an Open Draft
Local Coverage Determination (LCD) meeting in California, January 18, 2011.
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&utm_source=J1BL&utm_campaign=J1BLs
Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services
This J1 A/B MLN Matters article (CR 7050a) was revised on December 22,
2010, to reflect changes made to CR 7050 on December 21, 2010. The CR 7050
was revised based on policy changes required by the Physician Payment and
Therapy Relief Act of 2010, which changed the multiple payment procedure
reduction for therapy services in the office setting or a non-institutional
setting to 20 percent, instead of 25 percent. The CR release date,
transmittal number and Web address for accessing CR 7050 were also revised.
This article announces that Medicare is applying a new multiple procedure
payment reduction (MPPR) to the practice expense (PE) component of payment
of select therapy services paid under the MPFS. Providers are encouraged to
review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8BGSDE5876?opendocument&utm_source=J1BL&utm_campaign=J1BLs
J1 Part B LCD (DL31628) Comment Period January 13 through March 7, 2011
The comment period for J1 Part B Local Coverage Determination (LCD),
Molecular Profiling for Unknown Primary Cancers (UPC) DL31628, will begin
on January 13 and end on March 7, 2011.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/8CLTWT8785?opendocument
CMS Quarterly Provider Update
The Quarterly Provider Update is a comprehensive resource published by the
Centers for Medicare & Medicaid Services (CMS) on the first business day of
each quarter. It is a listing of all non-regulatory changes to Medicare
including program memoranda, manual changes and any other instructions that
could affect providers. Regulations and instructions published in the
previous quarter are also included in the update.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~7GLTKN5010?opendocument&utm_source=J1BL&utm_campaign=J1BLs
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****PALMETTO/J1MAC NEWS****
ANSI v5010: ANSI 837 v5010 Testing Procedures
The ANSI 837 v5010 Testing Procedures document includes testing
instructions for J1 Part A, J1 Part B, NC Part A , LA Part A, MS Part A and
Railroad Medicare to ensure your new ANSI-formatted electronic claims
software meets format and quality standards. These instructions are
applicable to ANSI v5010 testing from January 1, 2011 through April 3,
2011. Additional testing will need to be performed once the errata is
installed on April 4, 2011. Updated ANSI 837 v5010 testing instructions
will be published at that time. No one will be placed in ANSI v5010
production until successful errata testing is completed.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CMP5M6351?opendocument&utm_source=J1BL&utm_campaign=J1BLs
Get Ready for Version 5010
In January, the health care industry will have less than a year left to
prepare for the Version 5010 transaction set change on January 1, 2012. To
assist with compliance, the Centers for Medicare & Medicaid Services (CMS)
is supporting an education effort, Get Ready 5010, that will kick off with
a series of free Webinars scheduled from January 11 through 13, 2011.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8CMKB31537?opendocument&utm_source=J1BL&utm_campaign=J1BLs
J1 Open Draft LCD Meeting: California, January 18, 2011
Share with your staff - Palmetto GBA J1 A/B MAC will host an Open Draft
Local Coverage Determination (LCD) meeting in California, January 18, 2011.
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&utm_source=J1BL&utm_campaign=J1BLs
Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services
This J1 A/B MLN Matters article (CR 7050a) was revised on December 22,
2010, to reflect changes made to CR 7050 on December 21, 2010. The CR 7050
was revised based on policy changes required by the Physician Payment and
Therapy Relief Act of 2010, which changed the multiple payment procedure
reduction for therapy services in the office setting or a non-institutional
setting to 20 percent, instead of 25 percent. The CR release date,
transmittal number and Web address for accessing CR 7050 were also revised.
This article announces that Medicare is applying a new multiple procedure
payment reduction (MPPR) to the practice expense (PE) component of payment
of select therapy services paid under the MPFS. Providers are encouraged to
review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8BGSDE5876?opendocument&utm_source=J1BL&utm_campaign=J1BLs
J1 Part B LCD (DL31628) Comment Period January 13 through March 7, 2011
The comment period for J1 Part B Local Coverage Determination (LCD),
Molecular Profiling for Unknown Primary Cancers (UPC) DL31628, will begin
on January 13 and end on March 7, 2011.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/8CLTWT8785?opendocument
CMS Quarterly Provider Update
The Quarterly Provider Update is a comprehensive resource published by the
Centers for Medicare & Medicaid Services (CMS) on the first business day of
each quarter. It is a listing of all non-regulatory changes to Medicare
including program memoranda, manual changes and any other instructions that
could affect providers. Regulations and instructions published in the
previous quarter are also included in the update.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~7GLTKN5010?opendocument&utm_source=J1BL&utm_campaign=J1BLs
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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