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ListServ Message 09/12/2008
September 8, 2008
The following Listserv information is being distributed through Riverbend GBA. Please review to the end of this document for information that may affect your facility.
September 11, 2008 Skilled Nursing Facilities/Long Term Care Open Door Forum
Conference Call Only
Due to recent logistical changes, the September 11, 2008, Skilled Nursing Facilities/Long Term Care Open Door Forum (ODF) will now be conference call only. Participants will not have the option of attending the ODF at the Hubert Humphrey Building in Washington DC. For your convenience, the dial-in information is below.
Start Time: 2:00 PM Eastern Daylight Time (EDT)
(Please dial in at least 15 minutes prior to call start time.)
To participate by phone:
Dial: 1-800-837-1935 & Reference Conference ID: 58369702
(Persons participating by phone are not required to RSVP.)
TTY Communications Relay Services are available for the Hearing Impaired. For TTY services dial 7-1-1 or 1-800-855-2880 and for Internet Relay services click here http://www.consumer.att.com/relay/which/index.html .A Relay Communications Assistant will help.
The following Webinars are available for registration on the RGBA Website at: http://www.rgbagov.com/Education/Schedule-Events/Workshop-Registration/event.do
Description: Implementation of revised ABN and discussion of changes and each section and blanks. |
Time: 2:00 PM EST |
Date: 2008-09-16 |
Description: This Webinar is designed for providers that recently obtained RHC status and provider number, but any RHC provider is welcome to join in. Topics covered will include; Riverbend GBA reports, UB-04 claims submission, payment schedules, payment processes, signing up for electronic claims, RGBA Website, reference materials and much more! |
Time: 2:00 PM ET |
Date: 2008-09-09 |
Description: This Webinar will cover the MSP provisions as mandated by The CMS. Issues covered will be; responsibilities of each party involved, the claims flow process, how and when claims may be submitted for Medicare Secondary payment. This Webinar information is great for all levels of billing personnel. |
Time: 2:00 PM ET |
Date: 2008-09-18 |
Description: This Webinar covers the HIQA and DDE screens as they pertain to Medicare beneficiary eligibility, and information used to submit Medicare claims. Also, the DDE screens and their functions will be covered. This Webinar is designed for all levels of DDE and HIQA users. |
Time: 2:00 PM ET |
Date: 2008-09-25 |
End of Listserv Message.
September 10, 2008
Important Information for ESRD Facilities from The CMS!
The agenda for today’s Special ODF on Convening of the Special Needs Plan Chronic Conditions Panel can be found below. It will also be posted on the CMS Special ODF webpage in the Downloads section (http://www.cms.hhs.gov/OpenDoorForums/05_ODF_SpecialODF.asp#TopOfPage)
Agenda
Special Open Door Forum:
Convening of the Special Needs Plan Chronic Condition Panel
Wednesday, September 10, 2008
2:00 PM to 3:00 PM ET
Welcome Greeting & Introductions
Moderator, Natalie Highsmith, Office of External Affairs
Opening Remarks: Mike Adelberg, Acting Director,
Division of Special Programs
Teresa DeCaro, RN, M.S., Acting Director,
Medicare Drug & Health Plan Contract Administration Group
Jeffrey Kelman, MD., Chief Medical Officer,
Center for Drug & Health Plan Choice
Presentations
MIPPA of 2008 Section 1859(b)(6)(B)(iii) -- Teresa DeCaro
Introduction of Panel Members – Jeffrey Kelman
Q & A Session – Moderator, Natalie Highsmith
End Q & A Session– Moderator, Natalie Highsmith
Closing Remarks – Teresa DeCaro
Close of Forum- Moderator, Natalie Highsmith
September 12, 2008
The following Listserv information is being distributed through Riverbend GBA. Please review to the end of this document for information that may affect your facility.
Information from The CMS.
New:
MM6012 Revision to the Inpatient Prospective Payment System (IPPS) Post Acute Transfer Policy for Discharges/Transfers to Home Under Care of an Organized Home Health Service Organization in Anticipation of Covered Skilled Care
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6012.pdf
MM6122 Indicator for the Technical Component of Purchased Diagnostic Services
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6122.pdf
MM6186 October 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.3
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6186.pdf
Flu Shot Reminder
Flu Season Is Coming! It’s not too early to start vaccinating as soon as you receive vaccine. Encourage your patients to get a flu shot as it is still their best defense against the influenza virus. (Medicare provides coverage of the flu vaccine without any out-of-pocket costs to the Medicare patient. No deductible or copayment/coinsurance applies.) And don’t forget, health care workers also need to protect themselves. Get Your Flu Shot. – Not the Flu.
Remember Influenza vaccine plus its administration are covered Part B benefits. Note that influenza vaccine is NOT a Part D covered drug.
For information about Medicare’s coverage of the influenza virus vaccine and its administration as well as related educational resources for health care professions and their staff, please go to http://www.cms.hhs.gov/MLNProducts/Downloads/flu_products.pdf on the CMS website. To order, free of charge, a quick reference chart on Medicare Part B Immunization Billing go to http://cms.meridianksi.com/kc/main/kc_frame.asp?kc_ident=kc0001&loc=5 on the CMS website.
End of Listserv Message.
September 10, 2008
The following Listserv information is being distributed through Riverbend GBA. Please review to the end of this document for information that may affect your facility.
Important Information from The CMS.
The Medicare Learning Network's (MLN) Learning Management System (LMS) that hosts our web-based training courses and product ordering page will be unavailable for a period of approximately 7 to 10 days starting the week of September 22, 2008 while we perform system maintenance and upgrades. If you need MLN products or need to complete a web-based training course within this time frame, it is recommended that you do so before September 17, 2008.
Thank you for your interest in the Medicare Learning Network. If you have any questions, please send them to MLN@cms.hhs.gov.
MEDICARE PROVIDER FEEDBACK TOWN HALL MEETING
September 22, 2008
2:00 - 4:00 PM ET
The Centers for Medicare & Medicaid Services (CMS) requests your participation in a Town Hall meeting on September 22, 2008, from 2:00 PM to 4:00 PM (Eastern Time). The meeting will be held via conference call as well as in the auditorium at the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244.
The purpose of the meeting is to capture individual provider feedback on relevant Fee-for-Service (FFS) Medicare policy and operational issues. By doing so, we advance CMS’ efforts to enhance our relationship with providers and suppliers. This Town Hall meeting also provides a venue to allow CMS staff to continue a process to engage individual providers and suppliers through the following year. This meeting is open to all Medicare FFS providers and suppliers that participate in the Medicare program.
The agenda topics include: 5010-Possible next version of HIPAA standards for claims and other transactions; Recovery Auditing and Medicare Administrative Contractor (MAC) Transitions as noted in the September 22, 2008 Federal Register Notice. Meeting agenda and discussion materials will be available to download at (www.cms.hhs.gov/center/provider.asp) by September 19, 2008. CMS will conduct a dialogue session at the meeting that offers meeting participants an opportunity to provide feedback on agenda topics.
Please note: Due to time constraints not all participants will have an opportunity to speak, but written submissions will be accepted at MFG@cms.hhs.gov through September 30, 2008. CMS will give consideration to feedback received but written responses will not be provided.
Meeting Registration Details
All participants must pre-register for the meeting through on-line registration located at (http://registration.intercall.com/go/cms2). Registration will open on August 29, 2008 and will close on September 17, 2008. Registered participants may be contacted for follow-up meetings to solicit additional individual opinions and clarify any issues that may arise during the September 22 Town Hall meeting.
You will receive a confirmation page to indicate the completion of your registration. Please print this page as your registration receipt. We encourage you to complete your registration as soon as possible. Registration after 5:00 p.m. on September 17, 2008 will not be accepted.
Meeting Participation Details
All persons attending the meeting in person will be required to show a photographic identification (a valid driver's license or passport). Further details can be found in the August 22, 2008 Federal Register Notice. All persons participating via conference call will receive dial-in information with their confirmation email.
Additional Questions/Information
For questions or additional information about the Medicare Provider Feedback Town Hall Meeting, please send an email to MFG@cms.hhs.gov
Updated Information from The CMS.
Agenda for POE All Contractor Call
9/16/08
1:30p.m. - 3:00p.m. E.T.
1-888-790-5760, Passcode – POE
C.O. – C4-08-01
Welcome – Debra Shannon & Shana Olshan
MLN Product Update – Nicole Cooney
The New Issue Review Process in the Recovery Audit Process(RAC) – Melanie Combs-Dyer
Inpatient Hospital Medical Review Update – Dan Schwartz
Website Satisfaction Survey – Alikia Mack
Revised Provider Service Plan (PSP)/Educational Activity Report (EAR) templates– Debra Shannon
Open Discussion
End of Listserv.
September 11, 2008
The following Listserv information is being distributed through Riverbend GBA. Please review to the end of this document for information that may affect your facility.
Information from The CMS.
The Centers for Medicare & Medicaid Services (CMS) today announced the postponement of the 2009 Medicare Part B Competitive Acquisition Program (CAP). The program will continue through December 31, 2008.
Earlier this year, CMS accepted bids for vendor contracts for the 2009-11 CAP. While CMS received several qualified bids, contractual issues with the successful bidders resulted in CMS postponing the 2009 program. As a result, CAP physician election for participation in the CAP in 2009 will not be held, and CAP drugs will not be available from an approved CAP vendor for dates of service after December 31, 2008.
Later this fall, CMS will provide additional guidance for participating CAP physicians on how to transition out of the program. This information will be posted on the CMS CAP physician’s page at: http://www.cms.hhs.gov/CompetitiveAcquisforBios/02_infophys.asp
CMS also plans to seek feedback on the CAP from participating physicians, potential vendors, and other interested parties. CMS will assess the information and consider implementing changes to the CAP before proceeding with another bid solicitation. As part of the process, CMS is interested in hearing from the public about a range of issues, including, but not limited to, the categories of drugs provided under the CAP, the distribution of areas that are served by the CAP, and procedural changes that may increase the program’s flexibility and appeal to potential vendors and physicians.
Information about how to submit comments will be available at:
ttp://www.cms.hhs.gov/CompetitiveAcquisforBios/
Visit the Medicare Learning Network ~ it’s free!
Subscriber’s Note: The Medicare Learning Network's (MLN) Learning Management System (LMS) that hosts our web-based training courses and product ordering page will be unavailable for a period of approximately 7 to 10 days starting the week of September 22, 2008 while we perform system maintenance and upgrades. If you need MLN products or need to complete a web-based training course, it is recommended that you do so before September 17, 2008.
Thank you for your interest in the Medicare Learning Network. If you have any questions, please send them to MLN@cms.hhs.gov
New:
MM6185 – Medicare Coverage of Artificial Hearts
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6185.pdf
MM6136 – Revised Form CMS-R-131 Advance Beneficiary Notice of Noncoverage
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6136.pdf
MM6079 – Pneumococcal Pneumonia, Influenza Virus, and Hepatitis B Vaccines
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6079.pdf
MM6195 – Clinical Laboratory Fee Schedule—Medicare Travel Allowance Fees for Collection of Specimens http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6195.pdf
MM6166 – Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2009 http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6166.pdf
MM6203 – Delay of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6203.pdf
PPES - Keeping It Safe and Keeping it Updated
This message is for health care providers, particularly physicians and other practitioners, who have obtained National Provider Identifiers (NPIs) and have records in the National Plan and Provider Enumeration System (NPPES). The Centers for Medicare & Medicaid Services (CMS) recommends that each health care provider, including individual physicians and non-physician practitioners:
· Know and maintain their NPPES User Ids and passwords.
· Reset their NPPES passwords at least once a year. See the NPPES Application Help page regarding the ‘Reset Password’ rules. Those rules indicate the length, format, content and requirements of NPPES passwords.
· Review their NPPES records in order to ensure that the information reflects current and correct information.
Maintaining NPPES Account Information for Safety and Accessibility
Health care providers, including physicians and non-physician practitioners, should maintain their own NPPES account information (i.e., User ID, Password, and Secret Question/Answer) for safety and accessibility purposes.
Viewing NPPES Information
Health care providers, including physicians and non-physician practitioners, can view their NPPES information in one of two ways:
(1) By accessing the NPPES record at https://nppes.cms.hhs.gov/NPPES/Welcome.do and following the NPI hyperlink and selecting Login. The user will be prompted to enter the User ID and password that he/she previously created. *
* If the health care provider has forgotten the password, enter the User ID and click the “Reset Forgotten Password” button to navigate to the Reset Password Page. If the health care provider enters an incorrect User ID and Password combination three times, the User ID will be disabled. Please contact the NPI Enumerator at 1-800-465-3203 if the account is disabled or if the health care provider has forgotten the User ID.
OR
(2) By accessing the NPI Registry at https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do. The NPI Registry gives the health care provider an online view of Freedom of Information Act (FOIA)-disclosable NPPES data. The health care provider can search for its information using the name or NPI as the criterion.
Updating NPPES Information
Health care providers, including physicians and non-physician practitioners, can correct, add, or delete information in their NPPES records by accessing their NPPES records at https://nppes.cms.hhs.gov/NPPES/Welcome.do and following the NPI hyperlink and selecting Login. The user will be prompted to enter the User ID and password that he/she previously created.
Please note: Required information cannot be deleted from an NPPES record; however, required information can be changed/updated to ensure that NPPES captures the correct information. Certain information is inaccessible via the web, thus requiring the change/update to be made via paper application. The paper NPI Application/Update Form can be downloaded and printed at http://www.cms.hhs.gov/cmsforms/downloads/CMS10114.pdf.
Need More Information?
Providers can apply for an NPI online at https://nppes.cms.hhs.gov or can call the NPI enumerator to request a paper application at 1-800-465-3203. Having trouble viewing any of the URLs in this message? If so, try to cut and paste any URL in this message into your web browser to view the intended information.
Note: All current and past CMS NPI communications are available by clicking "CMS Communications" in the left column of the www.cms.hhs.gov/NationalProvIdentStand CMS webpage.
End of Listserv Message.
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