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


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!