Railroad Medicare Provider News for 8/10/2018

Medicare Podiatry Services: Information for Medicare Fee-For-Service Health Care Professionals Fact Sheet

This CMS fact sheet is designed to provide education on Medicare coverage of podiatry services. It includes an overview of routine foot care related to underlying systemic conditions, billing guidelines, and a list of resources.

Provider Minute: Utilizing Your MAC

This CERT Task Force video will help providers understand how their Medicare Administrative Contractor (MAC) can assist them in the Comprehensive Error Rate Testing (CERT) review process. Please review this video and share it with your staff.


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Jurisdiction M Part B News for 8/10/2018

Medicare Podiatry Services: Information for Medicare Fee-For-Service Health Care Professionals Fact Sheet

This CMS fact sheet is designed to provide education on Medicare coverage of podiatry services. It includes an overview of routine foot care related to underlying systemic conditions, billing guidelines, and a list of resources.

Top 10 Medical Review Denials Module

The goal of Palmetto GBA’s medical review program is to ensure that payment is only made for services that meet all Medicare coverage, coding and medical necessity requirements. This updated module reviews the 10 most common provider errors. Please share with appropriate staff.


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Jurisdiction J Part B News for 8/10/2018

Medicare Podiatry Services: Information for Medicare Fee-For-Service Health Care Professionals Fact Sheet

This CMS fact sheet is designed to provide education on Medicare coverage of podiatry services. It includes an overview of routine foot care related to underlying systemic conditions, billing guidelines, and a list of resources.


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Railroad Medicare Provider News for 8/9/2018

Podiatry: Coverage and Medical Review of Hyperkeratotic Lesion Treatment – Recorded Presentation

Register now to access the recorded presentation of the August 7, 2018, Railroad Medicare live webcast focused on podiatry treatment of hyperkeratotic lesions. Please share this announce and registration instructions with your staff.


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Jurisdiction M Home Health & Hospice News for 8/9/2018

2018 Jurisdiction M (JM) Home Health Medicare Workshop Series – Winning with Medicare

Attention Home Health Providers! Palmetto GBA is pleased to announce our 2018 Home Health Workshop Series, Winning with Medicare. These workshops are designed for home health providers and their staff to equip them with the tools they need to be successful with Medicare billing, coverage and documentation requirements. Please review this information and share it with your staff.


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This post applies to: JM HHH

Railroad Medicare Provider News for 7/27/2018

Hurricane Maria and Medicare Disaster Related United States Virgin Islands and Commonwealth of Puerto Rico Claims

SE17028 was revised on July 25, 2018, to advise providers that the public health emergency (PHE) declaration and Section 1135 waiver authority for the U.S. Virgin Islands were renewed again on June 13, 2018. The PHE and Section 1135 waiver authority for Puerto Rico expired on June 13, 2018. All other information is unchanged. Please review this updated article and share it with your staff.


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Jurisdiction M Home Health & Hospice News for 7/27/2018

Key Points to Changes to the Hospice Eligibility Data Implemented with the July 2018 Quarterly Systems Release

On June 7, 2018, CMS released MLN Matters SE18007 that described system changes that would be implemented with the July 2018 quarterly systems release for hospice providers. The system changes apply to dates of service on or after June 1, 2018, and impact the way hospices are able to view a patient’s eligibility records through the Health Insurance Query Access (HIQA) screen in the Direct Data Entry (DDE) system. Hospice providers should note that the system will no longer post the Notice of Election (NOE), Type of Bill (TOB) 8XA, under the hospice benefit period screen in HIQA. Please review this article and share it with your staff.


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This post applies to: JM HHH

Jurisdiction M Part B News for 7/27/2018

HCPCS Code G0416 and Immunohistochemistry (IHC) Codes in Prostate Pathology

HCPCS code G0416 is commonly used to report (non-saturation) prostate biopsy pathology. The reporting pathologist or urologist may, when indicated, use additional stains needed for the interpretation of pathology. Please review this article and share it with your staff.


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Jurisdiction J Part B News for 7/27/2018

HCPCS Code G0416 and Immunohistochemistry (IHC) Codes in Prostate Pathology

HCPCS code G0416 is commonly used to report (non-saturation) prostate biopsy pathology. The reporting pathologist or urologist may, when indicated, use additional stains needed for the interpretation of pathology. Please review this article and share it with your staff.


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