The following updates have been posted to the Palmetto/J1MAC website.
J1 A/B MAC Transition is Complete!
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20AB%20MAC%20Transition%20is%20Complete!?opendocument
The J1 A/B MAC transition has successfully been completed for all three
segments! The implementation information announcement line, 888-318-7246,
will be discontinued on Wednesday, September 3, 2008.
Applies to:
Part A Transition: EDI
Part A Transition: General
Part B Transition: EDI
Part B Transition: General
Wednesday, September 3, 2008
Tuesday, September 2, 2008
CMS/Medicare: Updates to the Physician Quality Reporting Initiative (PQRI) Web Page
CMS is pleased to announce that several section pages on the PQRI web page have been updated to include the following:
v The Overview page has been updated to announce the posting of the Registries that qualified for 2008 PQRI and information about the availability of the 2007 Feedback
Reports.
v The Reporting page has been updated to add the list of Registries that qualified for 2008 PQRI as a new downloadable file under the “Downloads” section.
v On the CMS Sponsored Calls page, the updated slides from the July 9 National Provider Call has been posted as a downloadable file under the “Downloads” section.
v The Educational Resources page has been updated to add the “2008 Errata Sheet: Getting Started with Claims-Based Reporting of Measures Groups” as a new downloadable file under the “Downloads” section.
v The 2007 PQRI Educational Resources page has been updated to add the two new Special Edition MLN articles on accessing the 2007 Feedback Reports (by individuals and by organizations) as new downloadable files under the “Downloads” section.
All publicly available information on the CMS Physician Quality Reporting Initiative can be found at (http://www.cms.hhs.gov/PQRI), on the CMS website.
v The Overview page has been updated to announce the posting of the Registries that qualified for 2008 PQRI and information about the availability of the 2007 Feedback
Reports.
v The Reporting page has been updated to add the list of Registries that qualified for 2008 PQRI as a new downloadable file under the “Downloads” section.
v On the CMS Sponsored Calls page, the updated slides from the July 9 National Provider Call has been posted as a downloadable file under the “Downloads” section.
v The Educational Resources page has been updated to add the “2008 Errata Sheet: Getting Started with Claims-Based Reporting of Measures Groups” as a new downloadable file under the “Downloads” section.
v The 2007 PQRI Educational Resources page has been updated to add the two new Special Edition MLN articles on accessing the 2007 Feedback Reports (by individuals and by organizations) as new downloadable files under the “Downloads” section.
All publicly available information on the CMS Physician Quality Reporting Initiative can be found at (http://www.cms.hhs.gov/PQRI), on the CMS website.
CMS/Medicare: CMS Announces 32 Registries Qualify for 2008 PQRI Reporting
CMS is pleased to announce the 32 registries that have been “qualified” by CMS to submit quality data on behalf of their participants for the 2008 Physician Quality Reporting Initiative (PQRI) registry submission option. A list of each registry and their website is available at http://www.cms.hhs.gov/pqri as a downloadable document accessible by clicking on the Reporting page on the left. Each of the listed registries has gone through a thorough vetting process including investigating their capabilities, reviewing a sample measure flow (this checks to see whether the registry calculates the measure’s reporting and performance rates correctly), and transmitting the required information in the requested file format (XML). Eligible professionals interested in registry-based participation for PQRI in 2008 are encouraged to contact the registries directly to determine which registry meets their practice’s needs and collects quality information on measures that are important to the practice.
CMS/Medicare: 2008 Physician Quality Reporting Initiative (PQRI) National Provider Conference Call with Question & Answer Session
The Centers for Medicare & Medicaid Services’ (CMS) Provider Communications Group will host the seventh in a series of national provider conference calls on the 2008 Physician Quality Reporting Initiative (PQRI). This toll-free call will take place from 3:30 p.m. – 5:00 p.m., EDT, on Thursday, September 18, 2008.
This call will provide an update on registry reporting for 2008; information on the E-prescribing measure for 2008 PQRI (measure #125) and proposed measures for 2009 PQRI; incentives for electronic prescribing; 2007 PQRI feedback reports and incentive payments, and a question and answer session.
A PowerPoint slide presentation will be posted to the PQRI webpage at http://www.cms.hhs.gov/PQRI/02_CMSSponsoredCalls.asp on the CMS website for you to download prior to the call so that you can follow along with the presenters, Dr. Michael Rapp, and Dr. Daniel Green.
Following the presentation, callers will have an opportunity to ask questions of CMS subject matter experts.
Conference call details:
Date: September 18, 2008
Conference
Title: 2008 Physician Quality Reporting Initiative National Provider Call
Time: 3:30-5:00 EDT
In order to receive the call-in information, you must register for the call. It is important to note that if you are planning to sit in with a group, only one person needs to register to receive the call-in data. This registration is solely to reserve a phone line, NOT to allow participation. If you cannot attend the call, replay information is available below.
Registration will close at 3:30 p.m. EDT on September 17, 2008, or when available space has been filled. No exceptions will be made, so please be sure to register prior to this time.
To register for the call participants need to go to http://www2.eventsvc.com/palmettogba/091808
Fill in all required data.
Verify your time zone is displayed correctly the drop down box.
Click "Register".
You will be taken to the “Thank you for registering” page and will receive a confirmation email shortly thereafter. Note: Please print and save this page, in the event that your server blocks the confirmation emails. If you do not receive the confirmation email, please check your spam/junk mail filter as it may have been directed there.
For those of you who will be unable to attend, a replay option will be available shortly following the end of the call. This replay will be accessible from 5:30 p.m. EDT 9/18/2008 until 11:59 p.m. EDT 9/25/2008. The call in data for the replay is (800) 642-1687 and the passcode is 61954941.
If you require services for the hearing impaired please send an email to Medicare.TTT@PalmettoGBA.com.
This call will provide an update on registry reporting for 2008; information on the E-prescribing measure for 2008 PQRI (measure #125) and proposed measures for 2009 PQRI; incentives for electronic prescribing; 2007 PQRI feedback reports and incentive payments, and a question and answer session.
A PowerPoint slide presentation will be posted to the PQRI webpage at http://www.cms.hhs.gov/PQRI/02_CMSSponsoredCalls.asp on the CMS website for you to download prior to the call so that you can follow along with the presenters, Dr. Michael Rapp, and Dr. Daniel Green.
Following the presentation, callers will have an opportunity to ask questions of CMS subject matter experts.
Conference call details:
Date: September 18, 2008
Conference
Title: 2008 Physician Quality Reporting Initiative National Provider Call
Time: 3:30-5:00 EDT
In order to receive the call-in information, you must register for the call. It is important to note that if you are planning to sit in with a group, only one person needs to register to receive the call-in data. This registration is solely to reserve a phone line, NOT to allow participation. If you cannot attend the call, replay information is available below.
Registration will close at 3:30 p.m. EDT on September 17, 2008, or when available space has been filled. No exceptions will be made, so please be sure to register prior to this time.
To register for the call participants need to go to http://www2.eventsvc.com/palmettogba/091808
Fill in all required data.
Verify your time zone is displayed correctly the drop down box.
Click "Register".
You will be taken to the “Thank you for registering” page and will receive a confirmation email shortly thereafter. Note: Please print and save this page, in the event that your server blocks the confirmation emails. If you do not receive the confirmation email, please check your spam/junk mail filter as it may have been directed there.
For those of you who will be unable to attend, a replay option will be available shortly following the end of the call. This replay will be accessible from 5:30 p.m. EDT 9/18/2008 until 11:59 p.m. EDT 9/25/2008. The call in data for the replay is (800) 642-1687 and the passcode is 61954941.
If you require services for the hearing impaired please send an email to Medicare.TTT@PalmettoGBA.com.
Palmetto/J1MAC Website Updates
The following updates have been posted to the Palmetto/J1MAC website.
Clinical Social Worker Services
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Clinical%20Social%20Worker%20Services?opendocument
Services of a clinical social worker (aka CSW) are not covered when
furnished to inpatients of a hospital or to inpatients of a SNF if the
services furnished in the SNF are those that the SNF is required to furnish
as a condition of participation in Medicare.
Applies to:
Part A Transition: General
Part B Transition: General
----------
J1 A/B MAC LCD Reconsideration Requests
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20AB%20MAC%20LCD%20Reconsideration%20Requests?opendocument
J1 A/B MAC LCD Reconsideration Requests
Applies to:
Part A Transition: General
Part B Transition: General
----------
J1 EDI Extended Hours for One Week
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20EDI%20Extended%20Hours%20for%20One%20Week?opendocument
Palmetto GBA EDI Operations will remain open an extra two hours Tuesday
through Friday, September 2-5, as well as on Saturday from 8:00 a.m. PT
until 5:00 p.m. PT.
Applies to:
Part A Transition: EDI
Part B Transition: EDI
----------
NHIC Customers (Segment 3): The J1 Part B Go Live date is September 2,
2008!
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/NHIC%20Customers%20(Segment%203)%3A%20The%20J1%20Part%20B%20Go%20Live%20date%20is%20September%202%2C%202008!?opendocument
Attention NHIC Customers (Segment 3): 4 days and counting. Are you ready
?!? If you currently receive electronic payments from your current
contractor and have not submitted an updated CMS-588 Form to Palmetto GBA,
please do so immediately.
Applies to:
Part B Transition: EDI
----------
Paper Claims Containing Multiple Services: Verify Payments
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Paper%20Claims%20Containing%20Multiple%20Services%3A%20Verify%20Payments?opendocument
If you submitted paper claims to your Jurisdiction 1 Outgoing Contractor
(OGC) prior to August 1, 2008, some service lines may have been
inadvertently omitted from the information transferred to Palmetto GBA.
These processing errors affect paper claims only that were submitted during
this transitional period.
Applies to:
Part B Transition: General
Clinical Social Worker Services
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Clinical%20Social%20Worker%20Services?opendocument
Services of a clinical social worker (aka CSW) are not covered when
furnished to inpatients of a hospital or to inpatients of a SNF if the
services furnished in the SNF are those that the SNF is required to furnish
as a condition of participation in Medicare.
Applies to:
Part A Transition: General
Part B Transition: General
----------
J1 A/B MAC LCD Reconsideration Requests
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20AB%20MAC%20LCD%20Reconsideration%20Requests?opendocument
J1 A/B MAC LCD Reconsideration Requests
Applies to:
Part A Transition: General
Part B Transition: General
----------
J1 EDI Extended Hours for One Week
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20EDI%20Extended%20Hours%20for%20One%20Week?opendocument
Palmetto GBA EDI Operations will remain open an extra two hours Tuesday
through Friday, September 2-5, as well as on Saturday from 8:00 a.m. PT
until 5:00 p.m. PT.
Applies to:
Part A Transition: EDI
Part B Transition: EDI
----------
NHIC Customers (Segment 3): The J1 Part B Go Live date is September 2,
2008!
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/NHIC%20Customers%20(Segment%203)%3A%20The%20J1%20Part%20B%20Go%20Live%20date%20is%20September%202%2C%202008!?opendocument
Attention NHIC Customers (Segment 3): 4 days and counting. Are you ready
?!? If you currently receive electronic payments from your current
contractor and have not submitted an updated CMS-588 Form to Palmetto GBA,
please do so immediately.
Applies to:
Part B Transition: EDI
----------
Paper Claims Containing Multiple Services: Verify Payments
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Paper%20Claims%20Containing%20Multiple%20Services%3A%20Verify%20Payments?opendocument
If you submitted paper claims to your Jurisdiction 1 Outgoing Contractor
(OGC) prior to August 1, 2008, some service lines may have been
inadvertently omitted from the information transferred to Palmetto GBA.
These processing errors affect paper claims only that were submitted during
this transitional period.
Applies to:
Part B Transition: General
Palmetto/J1MAC Website Updates
The following updates have been posted to the Palmetto/J1MAC website.
Clinical Social Worker Services
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Clinical%20Social%20Worker%20Services?opendocument
Services of a clinical social worker (aka CSW) are not covered when
furnished to inpatients of a hospital or to inpatients of a SNF if the
services furnished in the SNF are those that the SNF is required to furnish
as a condition of participation in Medicare.
Applies to:
Part A Transition: General
Part B Transition: General
----------
J1 A/B MAC LCD Reconsideration Requests
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20AB%20MAC%20LCD%20Reconsideration%20Requests?opendocument
J1 A/B MAC LCD Reconsideration Requests
Applies to:
Part A Transition: General
Part B Transition: General
----------
J1 EDI Extended Hours for One Week
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20EDI%20Extended%20Hours%20for%20One%20Week?opendocument
Palmetto GBA EDI Operations will remain open an extra two hours Tuesday
through Friday, September 2-5, as well as on Saturday from 8:00 a.m. PT
until 5:00 p.m. PT.
Applies to:
Part A Transition: EDI
Part B Transition: EDI
----------
NHIC Customers (Segment 3): The J1 Part B Go Live date is September 2,
2008!
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/NHIC%20Customers%20(Segment%203)%3A%20The%20J1%20Part%20B%20Go%20Live%20date%20is%20September%202%2C%202008!?opendocument
Attention NHIC Customers (Segment 3): 4 days and counting. Are you ready
?!? If you currently receive electronic payments from your current
contractor and have not submitted an updated CMS-588 Form to Palmetto GBA,
please do so immediately.
Applies to:
Part B Transition: EDI
----------
Paper Claims Containing Multiple Services: Verify Payments
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Paper%20Claims%20Containing%20Multiple%20Services%3A%20Verify%20Payments?opendocument
If you submitted paper claims to your Jurisdiction 1 Outgoing Contractor
(OGC) prior to August 1, 2008, some service lines may have been
inadvertently omitted from the information transferred to Palmetto GBA.
These processing errors affect paper claims only that were submitted during
this transitional period.
Applies to:
Part B Transition: General
Clinical Social Worker Services
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Clinical%20Social%20Worker%20Services?opendocument
Services of a clinical social worker (aka CSW) are not covered when
furnished to inpatients of a hospital or to inpatients of a SNF if the
services furnished in the SNF are those that the SNF is required to furnish
as a condition of participation in Medicare.
Applies to:
Part A Transition: General
Part B Transition: General
----------
J1 A/B MAC LCD Reconsideration Requests
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20AB%20MAC%20LCD%20Reconsideration%20Requests?opendocument
J1 A/B MAC LCD Reconsideration Requests
Applies to:
Part A Transition: General
Part B Transition: General
----------
J1 EDI Extended Hours for One Week
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20EDI%20Extended%20Hours%20for%20One%20Week?opendocument
Palmetto GBA EDI Operations will remain open an extra two hours Tuesday
through Friday, September 2-5, as well as on Saturday from 8:00 a.m. PT
until 5:00 p.m. PT.
Applies to:
Part A Transition: EDI
Part B Transition: EDI
----------
NHIC Customers (Segment 3): The J1 Part B Go Live date is September 2,
2008!
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/NHIC%20Customers%20(Segment%203)%3A%20The%20J1%20Part%20B%20Go%20Live%20date%20is%20September%202%2C%202008!?opendocument
Attention NHIC Customers (Segment 3): 4 days and counting. Are you ready
?!? If you currently receive electronic payments from your current
contractor and have not submitted an updated CMS-588 Form to Palmetto GBA,
please do so immediately.
Applies to:
Part B Transition: EDI
----------
Paper Claims Containing Multiple Services: Verify Payments
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Paper%20Claims%20Containing%20Multiple%20Services%3A%20Verify%20Payments?opendocument
If you submitted paper claims to your Jurisdiction 1 Outgoing Contractor
(OGC) prior to August 1, 2008, some service lines may have been
inadvertently omitted from the information transferred to Palmetto GBA.
These processing errors affect paper claims only that were submitted during
this transitional period.
Applies to:
Part B Transition: General
Palmeto/J1MAC Website Update
The following updates have been posted to the Palmetto/J1MAC website.
Electronic Claims and FAX Attachments
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Electronic%20Claims%20and%20FAX%20Attachments?opendocument
Palmetto GBA offers the availability of a FAX service for electronic
submitters to submit additional documentation. The FAX Documentation Cover
Sheets are now available to download. ********If you are unable to access
the link below, please go to www.palmettogba.com/J1, click on Publications,
then click on Articles.********
Applies to:
Part B Transition: General
----------
Electronic Submission of MSP Claims
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Electronic%20Submission%20of%20MSP%20Claims?opendocument
Reading the updated procedure for Electronic Submission of MSP Claims.
Applies to:
Part B Transition: General
----------
Important Information for Stratford Software Users
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Important%20Information%20for%20Stratford%20Software%20Users?opendocument
Palmetto GBA and Stratford Software are working together to facilitate
connectivity to Palmetto GBA for Stratford Software customers. At this
time, please use the HyperTerminal instructions below to connect and
transmit files to Palmetto GBA using your Stratford Software.
Applies to:
Part B Transition: EDI
----------
Important Medicare Addresses and Telephone Numbers for Segment 3 Providers
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Important%20Medicare%20Addresses%20and%20Telephone%20Numbers%20for%20Segment%203%20Providers?opendocument
View and/or download a list of Important Medicare Addresses and Telephone
Numbers for Segment 3 Part B providers in the state of California.
Applies to:
Part B Transition: General
----------
J1 A/B MAC Billing Instructions for IDEs
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20AB%20MAC%20Billing%20Instructions%20for%20IDEs?opendocument
Billing Instructions for Investigational Device Exemptions (IDEs) for Part
A Providers in A/B MAC Jurisdiction 1.
Applies to:
Part A Transition: General
Part B Transition: General
----------
J1 A/B MAC PCC Customer Service Training – August 29, 2008
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20AB%20MAC%20PCC%20Customer%20Service%20Training%20%E2%80%93%20August%2029%2C%202008?opendocument
J1 A/B MAC Provider Contact Center (PCC) Customer Service Training – August
29, 2008
Applies to:
Part A Transition: General
Part B Transition: General
----------
NHIC Customers (Segment 3): The J1 Part B Go Live date is September 2,
2008!
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/NHIC%20Customers%20(Segment%203)%3A%20The%20J1%20Part%20B%20Go%20Live%20date%20is%20September%202%2C%202008!?opendocument
Attention NHIC Customers (Segment 3): 6 days and counting. Are you ready
?!? If you currently receive electronic payments from your current
contractor and have not submitted an updated CMS-588 Form to Palmetto GBA,
please do so immediately.
Applies to:
Part B Transition: EDI
----------
Updated FAQs
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Updated%20FAQs?opendocument
Based on questions we've received from you, we've recently added FAQs in
Appeals, EDI, EFT, LCDs, Medical Review, and Provider Enrollment. Click on
the link to read the new FAQs.
Applies to:
Part A Transition: General
Part B Transition: General
----------
Electronic Claims and FAX Attachments
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Electronic%20Claims%20and%20FAX%20Attachments?opendocument
Palmetto GBA offers the availability of a FAX service for electronic
submitters to submit additional documentation. The FAX Documentation Cover
Sheets are now available to download. ********If you are unable to access
the link below, please go to www.palmettogba.com/J1, click on Publications,
then click on Articles.********
Applies to:
Part B Transition: General
----------
Electronic Submission of MSP Claims
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Electronic%20Submission%20of%20MSP%20Claims?opendocument
Reading the updated procedure for Electronic Submission of MSP Claims.
Applies to:
Part B Transition: General
----------
Important Information for Stratford Software Users
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Important%20Information%20for%20Stratford%20Software%20Users?opendocument
Palmetto GBA and Stratford Software are working together to facilitate
connectivity to Palmetto GBA for Stratford Software customers. At this
time, please use the HyperTerminal instructions below to connect and
transmit files to Palmetto GBA using your Stratford Software.
Applies to:
Part B Transition: EDI
----------
Important Medicare Addresses and Telephone Numbers for Segment 3 Providers
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Important%20Medicare%20Addresses%20and%20Telephone%20Numbers%20for%20Segment%203%20Providers?opendocument
View and/or download a list of Important Medicare Addresses and Telephone
Numbers for Segment 3 Part B providers in the state of California.
Applies to:
Part B Transition: General
----------
J1 A/B MAC Billing Instructions for IDEs
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20AB%20MAC%20Billing%20Instructions%20for%20IDEs?opendocument
Billing Instructions for Investigational Device Exemptions (IDEs) for Part
A Providers in A/B MAC Jurisdiction 1.
Applies to:
Part A Transition: General
Part B Transition: General
----------
J1 A/B MAC PCC Customer Service Training – August 29, 2008
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20AB%20MAC%20PCC%20Customer%20Service%20Training%20%E2%80%93%20August%2029%2C%202008?opendocument
J1 A/B MAC Provider Contact Center (PCC) Customer Service Training – August
29, 2008
Applies to:
Part A Transition: General
Part B Transition: General
----------
NHIC Customers (Segment 3): The J1 Part B Go Live date is September 2,
2008!
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/NHIC%20Customers%20(Segment%203)%3A%20The%20J1%20Part%20B%20Go%20Live%20date%20is%20September%202%2C%202008!?opendocument
Attention NHIC Customers (Segment 3): 6 days and counting. Are you ready
?!? If you currently receive electronic payments from your current
contractor and have not submitted an updated CMS-588 Form to Palmetto GBA,
please do so immediately.
Applies to:
Part B Transition: EDI
----------
Updated FAQs
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Updated%20FAQs?opendocument
Based on questions we've received from you, we've recently added FAQs in
Appeals, EDI, EFT, LCDs, Medical Review, and Provider Enrollment. Click on
the link to read the new FAQs.
Applies to:
Part A Transition: General
Part B Transition: General
----------
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