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. Please share with appropriate staff.
Change Request (CR) 10624 informs MACs of updated drug/biological HCPCS codes. The HCPCS code set is updated on a quarterly basis. The July 2018 HCPCS file includes four new HCPCS codes: Q9991, Q9992, Q9993 and Q9995. Please make sure your billing staffs are aware of these updates. Be sure your staffs are aware of these updates.
Palmetto GBA will host a JJ/JM Part B Claims Payment Issues Log (CPIL) webcast on Tuesday, April 24, 2018 at 11 am, ET. This 60-minute Webcast is designed to provide an overview of the CPIL available on the Part B Palmetto GBA websites. The live webcast will include a question and answer period for questions related to accessing and using the CPIL.
Please join Palmetto GBA on Thursday, May 3, 2018, at 11:00 am, ET, as we share the Top 10 Medical Review Denials for Jurisdiction J and Jurisdiction M (combined) and provide a better understanding of medical review denial reasons. Please review this announcement and registration instructions and share it with your staff.
Plan to attend one of the ‘Physicians – Are You Ordering DMEPOS for Your Patient?’ webcast sessions held on May 3, 2018. This is your opportunity to hear directly from the Medicare contractors regarding documentation required for coverage criteria to be met and allow your patients to receive the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) that you prescribe in a timely manner. Representatives from all four DME MAC jurisdictions will join the education staff you are familiar with for Part A/B to explain what is required in medical records following evaluation of your patient for DMEPOS, order requirements, signature compliance and the acceptability of amendments, corrections and deleted entries to medical records.
Electronic Utilization (eUtilization) reports are now available in the eServices portal. eUtilization reports provide rendering providers and ordering and referring providers access to their personal data. This data can be reviewed to ensure providers are aware of when and by whom their NPI is being used for billing Medicare services and when their NPI is entered on a Medicare claim as the ordering referring physician.
Palmetto GBA uses electronic Comparative Billing Reports (eCBRs) as an educational tool for providers to use in order to provide insight into your billing patterns and utilization of services in comparison to your peers. eCBR will provide you with the ability to view and download your individual CBR online.
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