The following information has been received by ANCO.
****ACCC NEWS****
The Association of Community Cancer Center's (ACCC) This Week At ACCC was published and is available at http://www.accc-cancer.org/mediaroom/newsletters/2009/media_ACCCNEWSLETTER_5-11-2009.html. ANCO is an Institutional Member of ACCC. This edition features:
ACCC Selects Five Sites to Participate in Prostate Cancer Project
Arriving in Your Mail Box Soon: Cancer Care Patient Navigation Supplement
Webinar Planned on Patient Navigation Services, June 10, 2009
Washington Health Policy Expert to Deliver Keynote at ACCC's Conference
Houston, We Have a Free Meeting, June 10, Reimbursement, Management
DRUGDEX® Drug Compendium Available to ACCC Members
ACCC's 2009 Cancer Program Administrator Survey Reveals Challenges
Has Your Job or Title Changed? New Phone or Email? Let ACCC Know
Q&A on ACCC's Listserve: Use of Nurse Practitioners
ACCC's CE Blackboard: New Course on Adjuvant Treatment of Breast Cancer
****ASCO NEWS****
The American Society of Clinical Oncology's (ASCO) Cancer Poilcy Today was published and is available online at http://www.asco.org/ASCOv2/Public+Policy/Cancer+Policy+News/Cancer+Policy+Today/May+11%3A+ASCO+Meets+with+Legislators+to+Encourage+Funding+for+Cancer+Research%2C+President+Obama+Announces+FY+2010+Budget+Request. ANCO is a state/regional affiliate of ASCO. This edition features:
ASCO Meets with Legislators to Encourage Funding for Cancer Research
President Obama Announces FY 2010 Budget Request
Drug Shortage Updates
Reps. Speier and Bono Mack Introduce the Childhood Cancer Survivorship Bill
Sen. Kennedy Introduces Tobacco Control Legislation
State of Indiana Adopts Clinical Trials Coverage Law
ASCO Hosts 2009 Electronic Health Records Symposium
Kathleen Sebelius Sworn in as HHS Secretary
AHA Announces Two Calls as Part of Coding Clinic Audio Conference Series
New Edition of Practical Tips for the Oncology Practice
Join ASCO's Advocacy Network
ASCO Extends Resources to Practice Administrators
The American Society of Clinical Oncology's (ASCO) Express was published today and is available online at http://view.exacttarget.com/?j=fe5715797d6d03797415&m=ff2d16787160&ls=fdee1375776d077d7c107473&l=fe5d1575726004757c14&s=fdf2157972640d79751d7073&jb=ffcf14&ju=fe3a167374640475711473. This edition features:
Best of ASCO® Los Angeles Deadlines Approaching
Best of ASCO® International – Coming to a City Near You
Submit an Abstract for the 2009 Breast Cancer Symposium
Apply for the Accelerating Anticancer Agent Development and Validation Workshop
****CMS NEWS****
SE0908 – Mandatory Claims Submission and its Enforcement
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0908.pdf
Centers for Medicare & Medicaid Services
Special Open Door Forum:
Outpatient Imaging Efficiency Measures
Wednesday, May 20, 2009
2:00PM – 4:00PM Eastern Time (ET)
Conference Call Only
Featuring:
John Cooper, M.D. (CMS),
Mark Zezza, Ph.D. (The Lewin Group),
Thomas G. Dehn, M.D., FACR (National Imaging Associates, Inc.),
Joan DaVanzo, Ph.D. (Dobson | DaVanzo & Associates, LLC).
The Centers for Medicare & Medicaid Services (CMS) will hold a Special Open Door Forum (ODF) to discuss the development and implementation of facility-level hospital Outpatient Imaging Efficiency measures. The CMS has contracted with The Lewin Group, to develop a set of imaging efficiency measures. National Imaging Associates, and Dobson & DaVanzo are subcontracted by Lewin to support this effort.
During this Special ODF, CMS staff will discuss:
· Each of the four outpatient imaging efficiency measures currently required under the Hospital Outpatient Quality Data Reporting Program (HOP QDRP) for CY2010 payment determination;
· Highlight some frequently asked questions;
· New Outpatient Imaging Efficiency measures under development.
Afterwards, there will be an opportunity for the public to ask questions.
To make the call as informative as possible, we recommend that participants:
Visit the QualityNet (http://www.QualityNet.org) and Choose “Imaging Efficiency Measures” under “Hospital – Outpatient” and also http://www.ImagingMeasures.com ;
Pre-submit any questions you wish to have addressed on the call to Imaging.Measures@lewin.com. Please type “Question for National Open Door Forum” in your Subject line. The most frequently asked questions received by 5 pm ET on Thursday, May 14, 2009, will be addressed on the call. Submitted questions not selected for the call will be answered individually via e-mail reply.
We look forward to your participation.
Special Open Door Forum Participation Instructions:
Dial: 1-800-837-1935 Conference ID 94281978
Note: TTY Communications Relay Services are available for the Hearing Impaired.
For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will A Relay Communications Assistant will help.
An audio recording of this Special Forum will be posted to the Special Open Door Forum website at http://www.cms.hhs.gov/OpenDoorForums/05_ODF_SpecialODF.asp and will be accessible for downloading beginning May 29, 2009.
For automatic emails of Open Door Forum schedule updates (E-Mailing list subscriptions) and to view Frequently Asked Questions please visit our website at http://www.cms.hhs.gov/opendoorforums/ .
Monday, May 11, 2009
Friday, May 8, 2009
ASH, CMS, & Palmetto/J1MAC News
The following information has been received by ANCO.
****ASH NEWS****
The American Society of Hematology's (ASH) Practice Update was published and is available online at http://www.hematology.org/policy/practice/05072009.cfm#1. It features:
Influenza A (H1N1): Updated Information for Clinicians
Federal Budget Passes With Language to Ease Passage of Health Reform and to Avert Physician Payment Cuts
Medicare Proposal Includes ASH Recommendations to Limit Coverage of Genetic Tests to Determine Best Warfarin Dosage
FTC Delays Implementation of Red Flags Rule for Physicians
ASH Committee on Practice Discusses Health Reform and Physician Payment Issues With Congress
Successful ASH Webinar on PQRI & E-Prescribing
****CMS NEWS****
The Centers for Medicare & Medicaid Services’ (CMS) Provider Communications Group will host a national provider conference call on the 2009 Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing Incentive Program (e-Prescribing). This toll-free call will take place from 2:30 p.m. – 4:30 p.m., EDT, on Wednesday, May 20, 2009.
The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) made the PQRI program permanent, but only authorized incentive payments through 2010. Eligible professionals who meet the criteria for satisfactory submission of quality measures data for services furnished during the reporting period, January 1, 2009 - December 31, 2009, will earn an incentive payment of 2.0 percent of their total allowed charges for Physician Fee Schedule (PFS) covered professional services furnished during that same period. The 2009 PQRI consists of 153 quality measures and 7 measures groups.
Section 132 of MIPPA authorizes a new and separate incentive program for individual eligible professionals who are successful electronic prescribers (e-Prescribers) as defined by MIPPA. This new incentive is separate from and is in addition to PQRI.
The topics covered on this national provider call will include:
An update on the Quality Data Code (QDC) Error Report;
Tips for satisfactorily reporting a Measures Group in the 2009 PQRI; and
Frequently Asked Questions on e-Prescribing.
Following this presentation, the lines will be opened to allow participants to ask questions of CMS PQRI subject matter experts.
Educational products are available on the PQRI dedicated web page located at http://www.cms.hhs.gov/PQRI , on the CMS website, in the Educational Resources section, section, as well as educational products are available on the e-prescribing dedicated web page located at http://www.cms.hhs.gov/ERxIncentive. Feel free to download the resources prior to the call so that you may ask questions of the CMS presenters.
Conference call details:
Date: May 20, 2009
Conference Title: 2009 Physician Quality Reporting Initiative and Electronic Prescribing Incentive Program-National Provider Call
Time: 2:30 p.m. 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 2:30 p.m. EDT on May 19, 2009, 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/052009
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 5/20/2009 until 11:59 p.m. EDT 5/27/2009. The call in data for the replay is (800) 642-1687 and the passcode is 90613260.
If you require services for the hearing impaired please send an email to:Medicare.TTT@PalmettoGBA.com.
MM6303 – Requirements for Specialty Codes
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6303.pdf
****PALMETTO/J1MAC NEWS****
An Introductory Overview of the HIPAA 5010
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20A~MLNs~All%20Part%20A%20MLNs~An%20Introductory%20Overview%20of%20the%20HIPAA%205010?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575AF00695282?opendocument
SE0904, An Introductory Overview of the HIPAA 5010, outlines substantial
changes in the content of the data that must be submitted with claims, as
well as to the data available in response to electronic inquiries. The
implementation will require changes to the software, systems and perhaps
procedures used for billing Medicare and other payers.
Requirements for Specialty Codes
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~MLNs~All%20Part%20B%20MLNs~Requirements%20for%20Specialty%20Codes?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575AF00696010?opendocument
CR6303, Requirements for Specialty Codes, alerts providers that the Centers
for Medicare & Medicaid Services (CMS) is to revising the Medicare Claims
Processing Manual, Chapter 26, Section 10.8 in order to clarify the
criteria CMS considers when reviewing Medicare physician/non-physician
practitioner specialty code requests.
****ASH NEWS****
The American Society of Hematology's (ASH) Practice Update was published and is available online at http://www.hematology.org/policy/practice/05072009.cfm#1. It features:
Influenza A (H1N1): Updated Information for Clinicians
Federal Budget Passes With Language to Ease Passage of Health Reform and to Avert Physician Payment Cuts
Medicare Proposal Includes ASH Recommendations to Limit Coverage of Genetic Tests to Determine Best Warfarin Dosage
FTC Delays Implementation of Red Flags Rule for Physicians
ASH Committee on Practice Discusses Health Reform and Physician Payment Issues With Congress
Successful ASH Webinar on PQRI & E-Prescribing
****CMS NEWS****
The Centers for Medicare & Medicaid Services’ (CMS) Provider Communications Group will host a national provider conference call on the 2009 Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing Incentive Program (e-Prescribing). This toll-free call will take place from 2:30 p.m. – 4:30 p.m., EDT, on Wednesday, May 20, 2009.
The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) made the PQRI program permanent, but only authorized incentive payments through 2010. Eligible professionals who meet the criteria for satisfactory submission of quality measures data for services furnished during the reporting period, January 1, 2009 - December 31, 2009, will earn an incentive payment of 2.0 percent of their total allowed charges for Physician Fee Schedule (PFS) covered professional services furnished during that same period. The 2009 PQRI consists of 153 quality measures and 7 measures groups.
Section 132 of MIPPA authorizes a new and separate incentive program for individual eligible professionals who are successful electronic prescribers (e-Prescribers) as defined by MIPPA. This new incentive is separate from and is in addition to PQRI.
The topics covered on this national provider call will include:
An update on the Quality Data Code (QDC) Error Report;
Tips for satisfactorily reporting a Measures Group in the 2009 PQRI; and
Frequently Asked Questions on e-Prescribing.
Following this presentation, the lines will be opened to allow participants to ask questions of CMS PQRI subject matter experts.
Educational products are available on the PQRI dedicated web page located at http://www.cms.hhs.gov/PQRI , on the CMS website, in the Educational Resources section, section, as well as educational products are available on the e-prescribing dedicated web page located at http://www.cms.hhs.gov/ERxIncentive. Feel free to download the resources prior to the call so that you may ask questions of the CMS presenters.
Conference call details:
Date: May 20, 2009
Conference Title: 2009 Physician Quality Reporting Initiative and Electronic Prescribing Incentive Program-National Provider Call
Time: 2:30 p.m. 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 2:30 p.m. EDT on May 19, 2009, 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/052009
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 5/20/2009 until 11:59 p.m. EDT 5/27/2009. The call in data for the replay is (800) 642-1687 and the passcode is 90613260.
If you require services for the hearing impaired please send an email to:Medicare.TTT@PalmettoGBA.com.
MM6303 – Requirements for Specialty Codes
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6303.pdf
****PALMETTO/J1MAC NEWS****
An Introductory Overview of the HIPAA 5010
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20A~MLNs~All%20Part%20A%20MLNs~An%20Introductory%20Overview%20of%20the%20HIPAA%205010?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575AF00695282?opendocument
SE0904, An Introductory Overview of the HIPAA 5010, outlines substantial
changes in the content of the data that must be submitted with claims, as
well as to the data available in response to electronic inquiries. The
implementation will require changes to the software, systems and perhaps
procedures used for billing Medicare and other payers.
Requirements for Specialty Codes
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~MLNs~All%20Part%20B%20MLNs~Requirements%20for%20Specialty%20Codes?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575AF00696010?opendocument
CR6303, Requirements for Specialty Codes, alerts providers that the Centers
for Medicare & Medicaid Services (CMS) is to revising the Medicare Claims
Processing Manual, Chapter 26, Section 10.8 in order to clarify the
criteria CMS considers when reviewing Medicare physician/non-physician
practitioner specialty code requests.
Thursday, May 7, 2009
Palmetto/J1MAC News
The following information has been received by ANCO.
****PALMETTO/J1MAC NEWS****
Billing Routine Cost of Clinical Trials (Revised)
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20A~MLNs~All%20Part%20A%20MLNs~Billing%20Routine%20Cost%20of%20Clinical%20Trials%20(Revised)?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575AE005CEE2C?opendocument
Change Request (CR) 6431, alerts providers that they should continue to
report the International Classification of Diseases diagnosis code V70.7
(Examination of Participant in Clinical Trial) on clinical trial claims. It
is no longer necessary to make a distinction between a diagnostic and
therapeutic clinical trial service on the claim. Note: This article was
revised on April 30, 2009, to reflect a revised CR 6431, issued by the
Centers for Medicare & Medicaid Services (CMS) on April 29, 2009.
Expansion of the Current Scope of Editing for Ordering/Referring Providers
for Claims Processed by Medicare Carriers and Part B Medicare
Administrative Contractors (MACs)
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~MLNs~All%20Part%20B%20MLNs~Expansion%20of%20the%20Current%20Scope%20of%20Editing%20for%20OrderingReferring%20Providers%20for%20Claims%20Processed%20by%20Medicare%20Carriers%20and%20Part%20B%20Medicare%20Administrative%20Contractors%20(MACs)?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575AE006C139D?opendocument
CR6417, Expansion of the Current Scope of Editing for Ordering/Referring
Providers for Claims Processed by Medicare Carriers and Part B Medicare
Administrative Contractors (MACs), announces that CMS is expanding claim
editing to verify that the ordering/referring provider on a claim is
enrolled in Medicare and is eligible to order or refer Medicare services.
Update to List of Medicare Telehealth Services
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20A~MLNs~All%20Part%20A%20MLNs~Update%20to%20List%20of%20Medicare%20Telehealth%20Services?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575AE005F852C?opendocument
CR6458, Update to List of Medicare Telehealth Services, changes the list of
Medicare telehealth services to reflect the coding changes for ESRD-related
services that took effect during the 2009 Healthcare Procedural Coding
System (HCPCS) update.
Updated: Independent Diagnostic Testing Facility Table
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Resources~Provider%20Enrollment~IDTF~Updated%20Independent%20Diagnostic%20Testing%20Facility%20Table?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA385257590006C0948?opendocument
This table shows the CPT codes, physician supervision levels and physician
and technician requirements for independent diagnostic testing facilities.
****PALMETTO/J1MAC NEWS****
Billing Routine Cost of Clinical Trials (Revised)
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20A~MLNs~All%20Part%20A%20MLNs~Billing%20Routine%20Cost%20of%20Clinical%20Trials%20(Revised)?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575AE005CEE2C?opendocument
Change Request (CR) 6431, alerts providers that they should continue to
report the International Classification of Diseases diagnosis code V70.7
(Examination of Participant in Clinical Trial) on clinical trial claims. It
is no longer necessary to make a distinction between a diagnostic and
therapeutic clinical trial service on the claim. Note: This article was
revised on April 30, 2009, to reflect a revised CR 6431, issued by the
Centers for Medicare & Medicaid Services (CMS) on April 29, 2009.
Expansion of the Current Scope of Editing for Ordering/Referring Providers
for Claims Processed by Medicare Carriers and Part B Medicare
Administrative Contractors (MACs)
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~MLNs~All%20Part%20B%20MLNs~Expansion%20of%20the%20Current%20Scope%20of%20Editing%20for%20OrderingReferring%20Providers%20for%20Claims%20Processed%20by%20Medicare%20Carriers%20and%20Part%20B%20Medicare%20Administrative%20Contractors%20(MACs)?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575AE006C139D?opendocument
CR6417, Expansion of the Current Scope of Editing for Ordering/Referring
Providers for Claims Processed by Medicare Carriers and Part B Medicare
Administrative Contractors (MACs), announces that CMS is expanding claim
editing to verify that the ordering/referring provider on a claim is
enrolled in Medicare and is eligible to order or refer Medicare services.
Update to List of Medicare Telehealth Services
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20A~MLNs~All%20Part%20A%20MLNs~Update%20to%20List%20of%20Medicare%20Telehealth%20Services?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575AE005F852C?opendocument
CR6458, Update to List of Medicare Telehealth Services, changes the list of
Medicare telehealth services to reflect the coding changes for ESRD-related
services that took effect during the 2009 Healthcare Procedural Coding
System (HCPCS) update.
Updated: Independent Diagnostic Testing Facility Table
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Resources~Provider%20Enrollment~IDTF~Updated%20Independent%20Diagnostic%20Testing%20Facility%20Table?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA385257590006C0948?opendocument
This table shows the CPT codes, physician supervision levels and physician
and technician requirements for independent diagnostic testing facilities.
Wednesday, May 6, 2009
CMS & Palmetto/J1MAC News
The following information has been received by ANCO.
****CMS NEWS****
MM6417 – Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6417.pdf
MM6455 – Ensuring Only Clinical Trial Services Receive Fee-for-Service (FFS) Payment on Claims Billed for Managed Care Beneficiaries
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6455.pdf
MM6330 – Clarification on Use of National Drug Codes (NDCs) in 837 I Billing
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6330.pdf
MM6431 – Billing Routine Costs of Clinical Trials
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6431.pdf
****PALMETTO/J1MAC NEWS****
PC-ACE Pro32 version 2.12 update file
http://www.palmettogba.com/palmetto/Providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~EDI~Software%20Manuals~PC-ACE%20Pro32%20version%20212%20update%20file?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/Providers.nsf/docsCat/8525746A00550AA3852574F7007E6407?opendocument
The PC-ACE Pro32 software has been updated with several CMS Medicare
mandates and enhancements. All PC-ACE Pro32 users must download and install
the attached software update file immediately.
Updated: Independent Diagnostic Testing Facility Table
http://www.palmettogba.com/palmetto/Providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Resources~Provider%20Enrollment~IDTF~Updated%20Independent%20Diagnostic%20Testing%20Facility%20Table?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/Providers.nsf/docsCat/8525746A00550AA385257590006C0948?opendocument
This table shows the CPT codes, physician supervision levels and physician
and technician requirements for independent diagnostic testing facilities.
Important Information Regarding the Centers for Medicare & Medicaid
Services (CMS) National Claims Crossover Process
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20A~MLNs~All%20Part%20A%20MLNs~Important%20Information%20Regarding%20the%20Centers%20for%20Medicare%20Medicaid%20Services%20(CMS)%20National%20Claims%20Crossover%20Process?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575AD004610FA?opendocument
CR SE0909, which includes information on the National Claims Crossover
Process, requests that providers allow sufficient time for the Medicare
crossover process before attempting to balance bill their patients’
supplemental insurers and payers for amounts remaining after Medicare’s
payment determination on their submitted claims.
****CMS NEWS****
MM6417 – Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6417.pdf
MM6455 – Ensuring Only Clinical Trial Services Receive Fee-for-Service (FFS) Payment on Claims Billed for Managed Care Beneficiaries
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6455.pdf
MM6330 – Clarification on Use of National Drug Codes (NDCs) in 837 I Billing
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6330.pdf
MM6431 – Billing Routine Costs of Clinical Trials
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6431.pdf
****PALMETTO/J1MAC NEWS****
PC-ACE Pro32 version 2.12 update file
http://www.palmettogba.com/palmetto/Providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~EDI~Software%20Manuals~PC-ACE%20Pro32%20version%20212%20update%20file?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/Providers.nsf/docsCat/8525746A00550AA3852574F7007E6407?opendocument
The PC-ACE Pro32 software has been updated with several CMS Medicare
mandates and enhancements. All PC-ACE Pro32 users must download and install
the attached software update file immediately.
Updated: Independent Diagnostic Testing Facility Table
http://www.palmettogba.com/palmetto/Providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Resources~Provider%20Enrollment~IDTF~Updated%20Independent%20Diagnostic%20Testing%20Facility%20Table?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/Providers.nsf/docsCat/8525746A00550AA385257590006C0948?opendocument
This table shows the CPT codes, physician supervision levels and physician
and technician requirements for independent diagnostic testing facilities.
Important Information Regarding the Centers for Medicare & Medicaid
Services (CMS) National Claims Crossover Process
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20A~MLNs~All%20Part%20A%20MLNs~Important%20Information%20Regarding%20the%20Centers%20for%20Medicare%20Medicaid%20Services%20(CMS)%20National%20Claims%20Crossover%20Process?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575AD004610FA?opendocument
CR SE0909, which includes information on the National Claims Crossover
Process, requests that providers allow sufficient time for the Medicare
crossover process before attempting to balance bill their patients’
supplemental insurers and payers for amounts remaining after Medicare’s
payment determination on their submitted claims.
Monday, May 4, 2009
ACCC & CMS News
The following information has been received by ANCO.
****ACCC NEWS****
The Association of Community Cancer Center's (ACCC) This Week At ACCC was published and is available online at http://www.accc-cancer.org/mediaroom/newsletters/2009/media_ACCCNEWSLETTER_5-4-2009.html. ANCO is an Institutional Member of ACCC. This edition features:
DRUGDEX® Drug Compendium Available to ACCC Members
ACCC's 2009 Cancer Program Administrator Survey Reveals Challenges
Meeting Focuses on Cancer Center Construction, Renovation
Minneapolis Is Site for ACCC's September Oncology Economics Conference
Webinar Planned on Patient Navigation Services, June 10, 2009
FDA Updates Renal Dosing for Revlimid
New Early Detection Studies of Lung Cancer in Non-Smokers Launched Today
Cincinnati Get Ready: ACCC's Symposium Is May 6; Houston to Follow
Q&A on ACCC's Listserve: More on Patient Navigation
ACCC's CE Blackboard: New Course on Best Practices in RCC
****CMS NEWS****
The General Equivalence Mappings – ICD-9-CM To and From ICD-10-CM and ICD-10-PCS (Fact Sheet) (March 2009), which provides information and resources regarding the General Equivalence Mappings that were developed as a tool to assist with the conversion of International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) codes to International Classification of Diseases, 10th Edition (ICD-10) and the conversion of ICD-10 codes back to ICD-9-CM, is now available in print format from the Centers for Medicare & Medicaid Services Medicare Learning Network. To place your order, visit http://www.cms.hhs.gov/MLNGenInfo/ , scroll down to “Related Links Inside CMS” and select “MLN Product Ordering Page.”
SE0904 – An Introductory Overview of the HIPAA 5010
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0904.pdf
The implementation of HIPAA 5010 presents substantial changes in the content of the data that providers submit with their claims, as well as the data available to them in response to their electronic inquiries. This Special Edition MLN Matters article alerts providers of these HIPAA changes and how they need to plan for their implementation.
****ACCC NEWS****
The Association of Community Cancer Center's (ACCC) This Week At ACCC was published and is available online at http://www.accc-cancer.org/mediaroom/newsletters/2009/media_ACCCNEWSLETTER_5-4-2009.html. ANCO is an Institutional Member of ACCC. This edition features:
DRUGDEX® Drug Compendium Available to ACCC Members
ACCC's 2009 Cancer Program Administrator Survey Reveals Challenges
Meeting Focuses on Cancer Center Construction, Renovation
Minneapolis Is Site for ACCC's September Oncology Economics Conference
Webinar Planned on Patient Navigation Services, June 10, 2009
FDA Updates Renal Dosing for Revlimid
New Early Detection Studies of Lung Cancer in Non-Smokers Launched Today
Cincinnati Get Ready: ACCC's Symposium Is May 6; Houston to Follow
Q&A on ACCC's Listserve: More on Patient Navigation
ACCC's CE Blackboard: New Course on Best Practices in RCC
****CMS NEWS****
The General Equivalence Mappings – ICD-9-CM To and From ICD-10-CM and ICD-10-PCS (Fact Sheet) (March 2009), which provides information and resources regarding the General Equivalence Mappings that were developed as a tool to assist with the conversion of International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) codes to International Classification of Diseases, 10th Edition (ICD-10) and the conversion of ICD-10 codes back to ICD-9-CM, is now available in print format from the Centers for Medicare & Medicaid Services Medicare Learning Network. To place your order, visit http://www.cms.hhs.gov/MLNGenInfo/ , scroll down to “Related Links Inside CMS” and select “MLN Product Ordering Page.”
SE0904 – An Introductory Overview of the HIPAA 5010
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0904.pdf
The implementation of HIPAA 5010 presents substantial changes in the content of the data that providers submit with their claims, as well as the data available to them in response to their electronic inquiries. This Special Edition MLN Matters article alerts providers of these HIPAA changes and how they need to plan for their implementation.
CMA News
The following information has been received by ANCO.
All ANCO Online LIstServ postings are archived at the ANCO Online ListSev blog available online at http://anco-online.blogspot.com/.
****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:
FTC Delays Enforcement of Red Flag Rules for 3 Months
Swine Flu Guidance for Physicians Available on CMA Website
CMA Opposes Efforts to Erode the Bar on Corporate Practice of Medicine in California
CMA Kills Bills to Expand Nonphysicians’ Scope of Practice
CIGNA Clarifies Policy Regarding Claims Documentation
Physicians Face 21% Medicare Rate Cut in 2010
Aetna Amends Physician Contracts to Include Medicare Products
Nominate a Colleague for the CMA Foundation Leadership Awards
2009-2010 Council and Committee Nomination Deadline Is May 29
Board Highlights Now Available
All ANCO Online LIstServ postings are archived at the ANCO Online ListSev blog available online at http://anco-online.blogspot.com/.
****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:
FTC Delays Enforcement of Red Flag Rules for 3 Months
Swine Flu Guidance for Physicians Available on CMA Website
CMA Opposes Efforts to Erode the Bar on Corporate Practice of Medicine in California
CMA Kills Bills to Expand Nonphysicians’ Scope of Practice
CIGNA Clarifies Policy Regarding Claims Documentation
Physicians Face 21% Medicare Rate Cut in 2010
Aetna Amends Physician Contracts to Include Medicare Products
Nominate a Colleague for the CMA Foundation Leadership Awards
2009-2010 Council and Committee Nomination Deadline Is May 29
Board Highlights Now Available
Friday, May 1, 2009
Palmetto/J1MAC News
The following information has been received by ANCO.
****PALMETTO/J1MAC NEWS****
Medicare Part B Medical Records: Signature Requirements, Acceptable and
Unacceptable Practices
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Articles~General~Medicare%20Part%20B%20Medical%20Records%20Signature%20Requirements%20Acceptable%20and%20Unacceptable%20Practices?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575A80064242F?opendocument
CMS guidelines mandate the presence of signatures specifically for all
“medical review” purposes, modifiers, etc., records pertaining to any
procedures billed to Medicare Part B. Please share with your staff the
signature requirement changes for incident to, split/shared services and
co-surgeon or assistant-at-surgery services.
****PALMETTO/J1MAC NEWS****
Medicare Part B Medical Records: Signature Requirements, Acceptable and
Unacceptable Practices
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Articles~General~Medicare%20Part%20B%20Medical%20Records%20Signature%20Requirements%20Acceptable%20and%20Unacceptable%20Practices?opendocument
If the above link does not work in your e-mail program, please use the
temporary alternate link provided below.
http://www.palmettogba.com/palmetto/providers.nsf/docsCat/8525746A00550AA3852575A80064242F?opendocument
CMS guidelines mandate the presence of signatures specifically for all
“medical review” purposes, modifiers, etc., records pertaining to any
procedures billed to Medicare Part B. Please share with your staff the
signature requirement changes for incident to, split/shared services and
co-surgeon or assistant-at-surgery services.
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