Medicare Insights Weekly - JH Part A

In this week's Medicare Insights Weekly podcast, please enjoy our articles on the customer contact center satisfaction survey, service wide review results on diagnosis related groups 254 and 743 and electronic submission of medical documentation. In our Electronic Billing segment, we invite vendors, billing companies and clearinghouses to an informative teleconference on September 25 to discuss EDI Connections – Partnering for the Future initiative. The Centers for Medicare and Medicaid Services extends the deadline for Long-Term Care Hospitals and Inpatient Rehabilitation Facilities submitting first quarter 2013 quality data, invites eligible hospitals to a webinar on Eligible Hospitals Preparing for Stage 2 and invites you to participate in the Medicare Administrative Contractor Satisfaction Indicator. They also issued new Medicare Learning Network Matters articles on October 2013 Integrated Outpatient Code Editor Specifications Version 14.3, Healthcare Provider Taxonomy Codes Update, Mandatory Reporting of an 8-Digit Clinical Trial Number on Claims. In our Comprehensive Error Rate Testing segment, we discuss and provide an actual case example on incorrect coding and its impact on inpatient hospital admissions and Diagnosis Related Group reimbursement. As we conclude this week’s episode, we announce invite you to join us at the 2013 Medicare Fall Symposium and invite you to please review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/parta/whatsnew/index.html https://www.surveymonkey.com/s/FRXNVZY https://www.novitas-solutions.com/mr/bulletins/index.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8419.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8417.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8401.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c01.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c06.pdf https://www.novitas-solutions.com/policy/mac-ab/l27548-r9.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on website changes, remit changes affecting our J12901 and J04911 customers, the Part A Newsletter, Part A Claim Submission Errors and erroneous rejections of outpatient hospital claims containing codes 11042, 11043 or 11044 for Skilled Nursing Facility Consolidated Billing. In our Electronic Billing segment, we announce edit changes occurring October 6 and invite vendors, billing companies and clearinghouses to an informative teleconference on September 10 to discuss EDI Connections – Partnering for the Future initiative. In the Centers for Medicare and Medicaid Services segment, we announce the August 15 Special Open Door Forum call on the Inpatient Hospital Admission and Medical Review Criteria (2-Midnight Provision) and Part B Inpatient Billing in Hospitals and the August 22 National Provider Call on International Classification of Diseases, 10th Revision, Basics and the availability of the 2014 General Equivalence Mappings for diagnosis codes and inpatient procedure codes. In addition, we invite you to complete the Medicare Satisfaction Indicator. The Centers for Medicare and Medicaid Services also issued new Medicare Learning Network Matters articles on Revisions and Deletions to the Internet Only Manual, Publication 100-06, Chapter 3, Overpayment, Section 50.3; Chapter 4, Debt Collection, Section 50 - 50.6 and 100.6.4 Related to Extended Repayment Schedules, October Update to the Calendar Year 2013 Medicare Physician Fee Schedule Database and The Supplemental Security Income Medicare Beneficiary Data for Fiscal Year 2011 for Inpatient Prospective Payment System Hospitals, Inpatient Rehabilitation Facilities, and Long Term Care Hospitals, Positron Emission Tomography, Update to the Claims Processing Internet-Only Manual to Add the National Uniform Billing Committee Payer Only Codes and Annual Clotting Factor Furnishing Fee Update 2014. In our Comprehensive Error Rate Testing segment, we discuss and provide an actual case example on insufficient documentation and its impact on skilled nursing facility claims. As we conclude this week’s episode, we announce the 2013 Medicare Fall Symposium and invite you to review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/parta/whatsnew/index.html https://www.novitas-solutions.com/bulletins/parta/newsletters.html https://www.novitas-solutions.com/edi/ref-pub/bulletins/index.html https://www.novitas-solutions.com/claims/index.html http://www.eventsvc.com/blhtechnologies/register/beca3541-efd6-4d04-8fbd-ab739eb1e659 http://www.cms.gov/Medicare/Coding/ICD10/index.html http://www.cms.gov/Medicare/Medicare-Contracting/MSI/ http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8347.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8386.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8406.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8381.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8413.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8423.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c08.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c06.pdf http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html https://www.novitas-solutions.com/calendar/parta/index.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on Credit Balance Status Tool, Other Part A Frequently Asked Questions, Telephone Quick Reference, Specialty Guides and the End Stage Renal Disease Network Reduction. In our Electronic Billing segment, we invite vendors, billing companies and clearinghouses to an informative teleconference on August 19 to discuss EDI Connections – Partnering for the Future initiative. In the Centers for Medicare and Medicaid Services segment, we announce the 2013 Medicare Administrator Contractor Satisfaction Indicator, the fiscal year 2014 Final Rule for Skilled Nursing Facilities, General Hospitals and Long-Term Care Hospitals and an August 22 National Provider Call on International Classification of Diseases, 10th Revision, Basics. Additionally, the Centers for Medicare and Medicaid Services issued a new Medicare Learning Network Matters article on New Claim Adjustment Reason Code to Identify a Reduction in Federal Spending Due to Sequestration. In our Comprehensive Error Rate Testing segment, we discuss and provide an actual case example on medically unnecessary service or treatment and its impact on inpatient hospital claims. As we conclude this week’s episode, please review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/bulletins/parta/newsroom/news08022013.html https://www.novitas-solutions.com/ql-faq.html https://www.novitas-solutions.com/csc/call-flow-a.html https://www.novitas-solutions.com/training/specialty/index.html https://www.novitas-solutions.com/parta/whatsnew/index.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/index.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/index.html http://cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8378.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c01.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c06.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/ncd103c1_Part1.pdf https://www.novitas-solutions.com/policy/mac-ab/l27548-r9.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on the Comprehensive Error Rate Testing A/B Contractor Task Force Service , Wide Review for DRG 491: Back and Neck Procedures and newly released Local Coverage Determinations. In our Electronic Billing segment, we invite vendors, billing companies and clearinghouses to an informative teleconference on August 8 to discuss EDI Connections – Partnering for the Future initiative. The Centers for Medicare and Medicaid Services announces the 2013 Medicare Administrator Contractor Satisfaction Indicator. In our Comprehensive Error Rate Testing segment, we provide an overview of the program. As we conclude this week’s episode, please review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/cert/articles/intro.html https://www.novitas-solutions.com/bulletins/all/news-07262013.html https://www.novitas-solutions.com/calendar/parta/teleconferences.html https://www.novitas-solutions.com/bulletins/all/news-07182013.html https://www.novitas-solutions.com/policy/history-jh.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on revisions to the AB Reference Manual, Chapter 7, Clinical Trials and Investigational Device Exemptions Requests, F-18 fluorodeoxyglucose positron emission tomography and fluorodeoxyglucose positron emission tomography computerized tomography for all oncologic indications, the credit balance report, functional reporting frequently asked questions, the eligibility option within the Interactive Voice Response unit and revised and retired policies. The podcast will be on hiatus until August. In our Electronic Billing segment, we announce an exciting initiative, EDI Connections – Partnering for the Future and related teleconferences. In our Enrollment segment, we discuss the Tie-in and Tie-out process. The Centers for Medicare and Medicaid Services announces the 2013 Medicare Administrator Contractor Satisfaction Indicator and issued a new Medicare Learning Network Matters articles on Update to Chapter 15 of the Program Integrity Manual. In our Comprehensive Error Rate Testing segment, we discuss and provide an actual case example of a medically unnecessary service or treatment and its impact on inpatient hospital admissions. As we conclude this week’s episode, please review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/refman/chapter-7.html https://www.novitas-solutions.com/bulletins/all/news-07052013.html https://www.novitas-solutions.com/bulletins/parta/newsroom/news07052013a.html http://www.cms.gov/Medicare/Billing/TherapyServices/Downloads/Functional-Reporting-PT-OT-SLP-Services-FAQ.pdf https://www.novitas-solutions.com/policy/history-jh.html https://www.novitas-solutions.com/edi/connections.html https://www.novitas-solutions.com/edi/ref-pub/bulletins/2013/07102013.html http://www.cms.gov/Medicare/Medicare-Contracting/MSI/ http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8341.pdf

In this week's Medicare Insights Weekly podcast, please enjoy our article on the eligibility option within the Interactive Voice Response unit. In our Electronic Billing segment, we announce an exciting initiative, EDI Connections – Partnering for the Future and an upgrade for PC-ACE Pro32. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on Duplicate Claims, Incorrect Number of Units Billed for Rituximab and Bevacizumab, Post-Acute Care Transfer, Guidance to Reduce Mohs Surgery Reimbursement Issues, Add-on Codes without Primary Codes and Pre-admission Diagnostic Testing Review. In our Comprehensive Error Rate Testing segment, we discuss and provide an actual case example on medically unnecessary service as well as insufficient documentation and its impact on inpatient claims. As we conclude this week’s episode, please review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/edi/connections.html. http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1314.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1316.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1317.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1318.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1320.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1324.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c03.pdf https://www.novitas-solutions.com/training/index.html

In this week's Medicare Insights Weekly podcast, please enjoy our article on the Recovery Auditor review of therapy claims. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on Ocular Photodynamic Therapy with Verteporfin for Macular Degeneration and Medicare Part A Skilled Nursing Facility Prospective Payment System Pricer Update Fiscal Year 2014. In our Comprehensive Error Rate Testing segment, we discuss and provide an actual case example on insufficient documentation and its impact on laboratory claims. As we conclude this week’s episode, please review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/bulletins/all/news-06212013.html https://www.novitas-solutions.com/bulletins/all/news-06262013.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8292.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8329.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c01.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c06.pdf https://www.novitas-solutions.com/policy/mac-ab/l27548-r9.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on Proper Billing Reminder for Drugs and Biologicals, Macular Degeneration, Customer Service training day change, Availability of Education Handouts, Top Claim Submission Errors and revised Local Coverage Determinations. In addition, we are pleased to bring you another exciting interview with our Contractor Medical Director on documentation requirements. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on Billing Social Work and Psychological Services in Comprehensive Outpatient Rehabilitation Facilities, Implementation of CMS Ruling 1455-R, Medicare Program; Part B Billing in Hospitals, Coding Requirements for Laboratory Specimen Collection Update and Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification. In our Comprehensive Error Rate Testing segment, we discuss and provide an actual case example on insufficient documentation and its impact on End Stage Renal Disease claims. As we conclude this week’s episode, please review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/parta/whatsnew/index.html https://oig.hhs.gov/oei/reports/oei-03-10-00360.asp https://www.novitas-solutions.com/claims/index.html https://www.novitas-solutions.com/policy/index.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8257.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8277.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8339.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8355.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c11.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c08.pdf

In this week's Medicare Insights Weekly podcast, please enjoy the article on Short-Term Acute Care Program for Evaluating Payment Patterns Electronic Report and Local Coverage Determinations. The Centers for Medicare and Medicaid Services released the 2011 Physician Quality Reporting System and Electronic Prescribing Incentive Program Experience Report. They also issued new and revised Medicare Learning Network Matters articles on October 2013 Quarterly Average Sales Price Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files, Expedited Determinations for Provider Service Terminations, Pass-through Payments for Certified Registered Nurse Anesthetist Anesthesia Services and Related Care, Enrollment Denials When Overpayment Exists, Revisions to the Medicare Benefit Policy Manual, Chapter 11 End Stage Renal Disease to Reflect the Implementation of the End Stage Renal Disease Prospective Payment System and July 2013 Update of the Hospital Outpatient Prospective Payment System. In our Comprehensive Error Rate Testing segment, we discuss and provide an actual case example on insufficient documentation service or treatment and its impact on inpatient hospital claims. As we conclude this week’s episode, please review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/parta/whatsnew/index.html http://www.pepperresources.org/ http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8340.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM7903.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM7896.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8039.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8261.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8338.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c01.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c06.pdf https://www.novitas-solutions.com/policy/mac-ab/l27548-r9.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on claims issues update for reason code 32232. The Centers for Medicare and Medicaid Services is hosting a webinar on June 20th for health care providers, professional coders, clearing houses, and vendors transitioning to the International Classification of Diseases, Version 10. They also issued new and revised Medicare Learning Network Matters articles on Long-Term Care Hospital Quality Reporting Program Reminders, and Claim Status Category and Claim Status Codes Update. In our Comprehensive Error Rate Testing segment, we discuss and provide an actual case example on on insufficient documentation and Present on admission indicators and its impact on inpatient hospital claims. As we conclude this week’s episode, please review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/claims/issues/issues-a.html https://www.novitas-solutions.com/bulletins/all/news-06042013.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1302.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8320.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c06.pdf

In this week's Medicare Insights Weekly podcast, please enjoy our articles on draft local medical policies available for comment. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on Use of a Rubber Stamp for Signature, Institutional Services Split Claims Billing Instructions for Medicare Fee-For-Service Claims that Span the International Classification of Diseases, 10th Edition Implementation Date, and July Quarterly Update for 2013 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Fee Schedule. In our Comprehensive Error Rate Testing segment, we discuss and provide an actual case example on medically unnecessary service or treatment and its impact on inpatient hospital claims. As we conclude this week’s episode, please review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/policy/index-draft.html https://www.novitas-solutions.com/policy/sessions.html https://www.novitas-solutions.com/parta/arcenter/audit-ref/wage/2014-puf.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8219.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1325.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8325.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c01.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c06.pdf https://www.novitas-solutions.com/policy/mac-ab/l27548-r9.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on a payment issue affecting Rural Health Clinics for Annual Wellness Visits and Initial Preventive Physical Examinations services and a reminder to follow the interim process for hospitals to bill Medicare for Part B services following a denial of an inpatient admission as not reasonable and necessary. In addition, we are pleased to bring you another exciting interview with our Contractor Medical Director on Medical Necessity. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on National Physician Payment Transparency Program, Ambulance Payment Reduction for Non-Emergency Basic Life Support Transports to and from Renal Dialysis Facilities, July Update to the Calendar Year 2013 Medicare Physician Fee Schedule Database and July 2013 Integrated Outpatient Code Editor Specifications Version 14.2. In our Comprehensive Error Rate Testing segment, we discuss medically unnecessary service or treatment of implantation or replacement of cardiac resynchronization defibrillator and its impact on Diagnostic Related Group payments. We are pleased to announce that you can earn continuing education units with each of our educational events. Please review our list of upcoming events and start earning continuing education units. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1303.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8269.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8291.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8317.pdf http://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=110 https://www.novitas-solutions.com/websch/MedPolSearchResults.do?option=medpolsearch http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c06.pdf

In this week's Medicare Insights Weekly podcast, please enjoy our article on revised, retired and new Local Coverage Determinations. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on Medicare System Update to Implement the Line Level National Provider Identifier Editing for Sanctioned Critical Access Hospitals Method II Providers, Phase III Electronic Remittance Advice Enrollment Operating Rules, Applying Multiple Procedure Payment Reductions to Therapy Cap Amounts for Critical Access Hospital Claims, July 2013 Quarterly Healthcare Common Procedure Coding System Drug and Biological Code Changes, National Coverage Determination for Transcatheter Aortic Valve Replacement, and Implementation of Mandatory Reporting of Clinical Trial Number. We are pleased to announce that you can earn continuing education units with each of our educational events. Please review our list of upcoming events and start earning continuing education units. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/policy/index.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8170.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8223.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8278.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8286.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8255.pdf https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Information.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles incarcerated and unlawfully present beneficiaries, the revision of Chapter 7 of our AB Reference Manual on Clinical Trials and Investigational Device Exemption Requests, and Physician’s Medical Necessity Certification form. As we conclude this week’s episode, please review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/claims/bulletins/index.html https://www.novitas-solutions.com/refman/chapter-7.html https://www.novitas-solutions.com/partb/forms/index.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on the AB rebilling procedure, billing implanted prosthetic devices with C9899, Interactive Voice Response unit enhancements, and top inquiries frequently asked questions. The Centers for Medicare and Medicaid Services is hosting a meeting on May 3rd on Electronic Health Records and issued new and revised Medicare Learning Network Matters articles on Remittance Advice Remark Code Claims Adjustment Reason Code Medicare Remit Easy Print and PC Print Update, Outpatient Laboratory Services Rendered in a Critical Access Hospital, Data Reporting on Home Health Prospective Payment System Claims. As we conclude this week’s episode, please review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/parta/whatsnew/index.html https://www.novitas-solutions.com/bulletins/parta/newsroom/news04182013.html https://www.novitas-solutions.com/bulletins/all/news-04222013.html https://www.novitas-solutions.com/ql-faq.html http://electronichealthrecords.eventbrite.com/ http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8281.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8025.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8136.pdf