Thursday, July 16, 2009

CMS & Palmetto/J1MAC News

The following information has been received by ANCO.


****CMS NEWS****
MM6514 – Coding and Reporting Principles for the Physician Quality Reporting Initiative (PQRI) and the Electronic Prescribing (E-Prescribing) Incentive Programs
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6514.pdf


****PALMETTO/J1MAC NEWS****
J1 Alert – LCD Policy L28300 Skin Lesions Update
Palmetto GBA will identify claims with dates of service on or after October
1, 2008, which have been denied incorrectly for CPT Codes 11300-11313 when
covered diagnosis 078.12 was indicated on the claim. Mass adjustment was
completed on June 30, 2009.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7TCPKF4408?opendocument


J1 Open Draft LCD Meeting: California, July 21
A new Part B Draft LCD, Category III CPT Codes, has been added for the J1
Open Draft Local Coverage Determination (LCD) meeting for both Part A and
Part B in California, July 21, 2009. 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/vMasterDID/7TKQ3P7107?opendocument


J1 Provider Contact Center to be closed for training in August
The J1 Provider Contact Center will be closed for training Friday, August
14, 2009, and Friday, August 28, 2009, from 11 a.m. to 3 p.m. PST.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7TYN476025?opendocument


Notice of New Interest Rate for Medicare Overpayments & Underpayments: 4th
Notification for FY 2009
Medicare Regulation 42 CFR §405.378 provides for the assessment of interest
at the higher of the current value of funds rate (3 percent for calendar
year 2009) or the private consumer rate as fixed by the Department of the
Treasury. 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 July 17, 2009.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/7R3PUL0000?opendocument

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