Railroad Medicare Provider News for Wednesday 1/17/18

Expired Medicare Legislative Provisions

Review information from the Centers for Medicare & Medicaid Services on expired Medicare legislative provisions related to outpatient therapy caps, the Medicare physician work geographic adjustment floor, add-on payments for ambulance services and home health rural services, payments for low volume hospitals, and payments for Medicare dependent hospitals.

2018 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List MLN

Change Request (CR) 10416 updates the list of Healthcare Common Procedure Coding System (HCPCS) codes for the MACs and DME MACs. Please make sure your billing staffs are aware of these updates.

2018 Jurisdiction List for Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) HCPCS Codes

The 2018 Jurisdiction List for Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) HCPCS Codes is now available.

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits

Change Request (CR) 10446 informs providers and MACs about the new Healthcare Common Procedure Coding System (HCPCS) codes for 2018 that are subject to and excluded from Clinical Laboratory Improvement Amendments (CLIA) edits. Make sure your billing staffs are aware of these updates.


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Jurisdiction J Part A News for Wednesday 1/17/18

Last Monthly Jurisdiction J Transition Teleconference Date Changed to February 8, 2018

Attention providers. Please note that the date for the final JJ Implementation Teleconference call has changed from Tuesday, February 6, 2018 to Thursday, February 8, 2018. Please make this date change on your calendar to join us for the last Jurisdiction J Implementation teleconference where you can learn about Palmetto GBA, what to expect during this transition and how to contact us with your questions. Please share this change with your staff who plan to attend.

Part B Quarterly Updates Webcast: March 14

Palmetto GBA will host the Medicare Administrative Contractor March Part B Quarterly Updates, Changes and Reminders Webcast on March 14, 2018 at 10 am. ET.


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Jurisdiction M Home Health & Hospice News for Wednesday 1/17/18

Expired Medicare Legislative Provisions

Review information from the Centers for Medicare & Medicaid Services on expired Medicare legislative provisions related to outpatient therapy caps, the Medicare physician work geographic adjustment floor, add-on payments for ambulance services and home health rural services, payments for low volume hospitals, and payments for Medicare dependent hospitals.


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This post applies to: JM HHH

Jurisdiction M Part B News for Wednesday 1/17/18

Expired Medicare Legislative Provisions

Review information from the Centers for Medicare & Medicaid Services on expired Medicare legislative provisions related to outpatient therapy caps, the Medicare physician work geographic adjustment floor, add-on payments for ambulance services and home health rural services, payments for low volume hospitals, and payments for Medicare dependent hospitals.

Ask the Contractor Teleconference (ACT): Compliance Matters: February 15

Palmetto GBA will host the next Jurisdiction M Part B Ask the Contractor Teleconference (ACT) on February 15, 2018, from 10 to 11 a.m. ET. Prior to opening the phone lines for general questions, we will share a brief narrative on the importance of provider compliance with Medicare rules and regulations. Additionally, we will discuss resources available to help practices foster an environment that seeks to promote compliance and proactively identify and resolve compliance issues. Please plan to attend.

Part B Quarterly Updates Webcast: March 14

Palmetto GBA will host the Medicare Administrative Contractor March Part B Quarterly Updates, Changes and Reminders Webcast on March 14, 2018 at 10 am. ET.

2018 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List MLN

Change Request (CR) 10416 updates the list of Healthcare Common Procedure Coding System (HCPCS) codes for the MACs and DME MACs. Please make sure your billing staffs are aware of these updates.

2018 Jurisdiction List for Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) HCPCS Codes

The 2018 Jurisdiction List for Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) HCPCS Codes is now available.

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits

Change Request (CR) 10446 informs providers and MACs about the new Healthcare Common Procedure Coding System (HCPCS) codes for 2018 that are subject to and excluded from Clinical Laboratory Improvement Amendments (CLIA) edits. Make sure your billing staffs are aware of these updates.

Psychotherapy Services

The Office of the Inspector General (OIG) plans to review Part B payments for psychotherapy services to determine whether they were allowable in accordance with Medicare documentation requirements. Review this article to avoid the most common documentation errors. Please share with appropriate staff.


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Jurisdiction M Part A News for Wednesday 1/17/18

Expired Medicare Legislative Provisions

Review information from the Centers for Medicare & Medicaid Services on expired Medicare legislative provisions related to outpatient therapy caps, the Medicare physician work geographic adjustment floor, add-on payments for ambulance services and home health rural services, payments for low volume hospitals, and payments for Medicare dependent hospitals.


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Jurisdiction J Part B News for Wednesday 1/17/18

Last Monthly Jurisdiction J Transition Teleconference Date Changed to February 8, 2018

Attention providers. Please note that the date for the final JJ Implementation Teleconference call has changed from Tuesday, February 6, 2018 to Thursday, February 8, 2018. Please make this date change on your calendar to join us for the last Jurisdiction J Implementation teleconference where you can learn about Palmetto GBA, what to expect during this transition and how to contact us with your questions. Please share this change with your staff who plan to attend.

Part B Quarterly Updates Webcast: March 14

Palmetto GBA will host the Medicare Administrative Contractor March Part B Quarterly Updates, Changes and Reminders Webcast on March 14, 2018 at 10 am. ET.


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Jurisdiction M Part B News for Tuesday 1/16/18

2018 North Carolina Healthcare Finance Management Association Annual Medicare Workshop: February 13

Palmetto GBA will speak at the North Carolina Healthcare Finance Management Association (NCHFMA) Annual Medicare Workshop on Tuesday, February 13, 2018, from 8 a.m. – 4:15 p.m. It will be held at the Novant Health Conference Center, 3333 Silas Creek Parkway, Winston-Salem, NC 27103. Please plant to attend.

System Generated Letters

A CMS system issue produced certain system generated provider letters issued between January 2 and January 5, 2018, to incorrectly populated addresses, which prevented mailing. There is no provider action at this time.


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Jurisdiction M Part A News for Tuesday 1/16/18

December 13, 2017, Part A Quarterly Updates Webcast Handout

The December 13, 2017, Quarterly Updates Webcast Handout is now available. Please review and share this information with your staff.

Implementation of the Transitional Drug Add-On Payment Adjustment

This article informs you about Change Request (CR) 10065, which directs the MACS to implement the Transitional Drug Add-On Payment Adjustment (TDAPA). Please be sure your billing staffs are informed of this change.

2018 North Carolina Healthcare Finance Management Association Annual Medicare Workshop: February 13

Palmetto GBA will speak at the North Carolina Healthcare Finance Management Association (NCHFMA) Annual Medicare Workshop on Tuesday, February 13, 2018, from 8 a.m. – 4:15 p.m. It will be held at the Novant Health Conference Center, 3333 Silas Creek Parkway, Winston-Salem, NC 27103. Please plant to attend.


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Railroad Medicare Provider News for Friday 1/12/18

CMS Open Door Forum: New Medicare Card Project: January 23

Centers for Medicare & Medicaid Services Special Open Door Forum (ODF): New Medicare Card Project will be held on Tuesday, January 23, 2018, at 2 – 3 p.m. ET. During this ODF, CMS will cover the background of the New Medicare Card Project, the implementation of new Medicare numbers, the format of the new number, timeline & milestones, the transition period, outreach & education, and what you need to know to get ready for the new number. Please plan to attend.


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Jurisdiction J Part B News for Friday 1/12/18

Billing Instructions for Investigational Device Exemptions (IDEs)

Interested parties with Food and Drug Administration (FDA) approval letters dated January 1, 2015, or later for IDE Category A or Category B studies that are seeking Medicare coverage for Category A or B IDE studies must submit a request packet to the Centers for Medicare & Medicaid Services (CMS). Please follow instructions found on the Medicare Coverage Related to Investigational Device Exemption (IDE) Studies CMS web page. Please view this information and share it with your staff.

CMS Open Door Forum: New Medicare Card Project: January 23

Centers for Medicare & Medicaid Services Special Open Door Forum (ODF): New Medicare Card Project will be held on Tuesday, January 23, 2018, at 2 – 3 p.m. ET. During this ODF, CMS will cover the background of the New Medicare Card Project, the implementation of new Medicare numbers, the format of the new number, timeline & milestones, the transition period, outreach & education, and what you need to know to get ready for the new number. Please plan to attend.


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