Medicare Insights Weekly - JH Part A

In this week's Medicare Insights Weekly podcast, please enjoy our article on submitting additional documentation. The Centers for Medicare and Medicaid Services issued new Medicare Learning Network Matters articles on Claims Processing Instructions for Inlier Bills and Cost Outlier Bills with Benefits Exhausted and Tax Identification Numbers of Foreign Owning and Managing Entities and Individuals. 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-04032013.html https://www.novitas-solutions.com/bulletins/parta/newsletter/2013/mar.html https://www.novitas-solutions.com/claims/submission_errors/parta/index-a.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1310.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8258.pdf

In this week's Medicare Insights Weekly podcast, please enjoy our articles on the Appeals Status Tool, a Local Coverage Determination and Service Wide Review Results. The Centers for Medicare and Medicaid Services is hosting a national provider call on Physician Quality Reporting System Group Practice Reporting Option and Registry Reporting. 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/appeals/status.html https://www.novitas-solutions.com/policy/index.html https://www.novitas-solutions.com/edi/ref-pub/bulletins/2013/04092013.html http://www.eventsvc.com/blhtechnologies

In this week's Medicare Insights Weekly podcast, please enjoy our articles on the April 2013 quarterly release issues, Manual Medical Review of Therapy Services exceeding the therapy cap threshold and improved policy search. In our Electronic Billing segment, PC-ACE Pro32 users are instructed to upgrade to the latest version. The Centers for Medicare and Medicaid Services is hosting two national provider calls on the Medicare Shared Savings Program and Physician Quality Reporting System Group Practice Reporting Option and Registry Reporting. In addition, please take time to review the Medicare Learning Network Matters article on CMS Administrator's Ruling: Part A to Part B Rebilling of Denied Hospital Inpatient Claims. In addition, please take time to review Medicare Learning Network Matters articles on Physician Delegation of Tasks in Skilled Nursing Facilities and Nursing Facilities and Clarification of Detection of Duplicate Claims Section of the Centers for Medicare and Medicaid Services Internet Only Manual. As we conclude this week’s episode, please review our list of upcoming educational events. We are offering another series of free all-day Medicare Symposiums. Dates and locations are posted to the Training and Events Center. Stay tuned for further details. 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/news04012013a.html http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medical-Review/TherapyCap.html https://www.novitas-solutions.com/edi/products/pc-ace/index.html http://www.eventsvc.com/blhtechnologies http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8185.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1308.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8121.pdf

In this week's Medicare Insights Weekly podcast, please enjoy our interview with our Contractor Medical Director. 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

In this week's Medicare Insights Weekly podcast, please enjoy our article on the annual Inpatient Prospective Payment System update, Diagnosis Related Group disclosure statements. This podcast also includes the top claim submission errors and updated frequently asked questions. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on July 2013 Quarterly Average Sales Price Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files, Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens and Quarterly Update of Healthcare Common Procedure Coding System Codes Used for Home Health Consolidated Billing Enforcement and Modification to Common Working File, Fiscal Intermediary Standard System, and MultiCarrier System to Return Submitted Information When There is a Common Working File Name and Health Insurance Claim Number Mismatch. As we conclude this week’s episode, please review our list of upcoming educational events. We are hosting face-to-face workshops for Indian Health Service Providers. Please join us for our first event in Gallup, New Mexico. Additional dates and locations are available on the Training and Events Center of our website. Please take advantage of these educational opportunities! 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/index.html https://www.novitas-solutions.com/ql-faq.html https://www.novitas-solutions.com/training/poag/index.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8247.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8203.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8246.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM7260.pdf https://www.novitas-solutions.com/ihs/training.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on Sequestration and its impact on Medicare payment and the service wide review of Healthcare Common Procedure Coding System code, C2616, Brachytherapy source, non-stranded, yttrium-90, per source. Our Electronic Data Interchange segment includes an article on the timeframe to review and retrieve reports and what information you need when calling about these reports. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on April Update to the Calendar Year 2013 Medicare Physician Fee Schedule Database, Inpatient Prospective Payment System Hospital Payment Extensions per the American Taxpayer Relief Act of 2012, April 2013 Update of the Hospital Outpatient Prospective Payment System, April 2013 Update of the Hospital Outpatient Prospective Payment System, April 2013 Integrated Outpatient Code Editor Specifications Version 14.1 and Medicare Now Provides Coverage for Eligible Medicare Beneficiaries of a One-Time Ultrasound Screening for Abdominal Aortic Aneurysms When Referred for this Screening as a Result of the Initial Preventive Physical Examination. 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-03112013.html https://www.novitas-solutions.com/bulletins/parta/newsroom/news03112013a.html https://www.novitas-solutions.com/claims/index.html https://www.novitas-solutions.com/edi/ref-pub/bulletins/2013/03082013.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8169.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8214.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8228.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8242.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE0711.pdf

In this week's Medicare Insights Weekly podcast, please enjoy our article on Manual Medical Review of Therapy Services. This podcast also includes articles on reason code 30940 and removing eligibility from direct data entry. In the Enrollment segment, we advise you of the recommencement of revalidations. The Centers for Medicare and Medicaid Services issued a new Medicare Learning Network Matters article on Reorganization of Chapter 13. 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-03012013.html https://www.novitas-solutions.com/bulletins/all/news-03062013.html https://www.novitas-solutions.com/enrollment/bulletins/01212013.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE1249.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM7824.pdf https://www.novitas-solutions.com/bulletins/all/news-03052013.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on Low Volume Hospital Adjustments and a system alert regarding referred services billed by Independent Clinical Laboratories. The Electronic Data Interchange segment includes an article on returned enrollment forms. The Centers for Medicare and Medicaid Services released checklists and timelines designed to help you prepare for the International Classification of Diseases, Tenth Edition, diagnosis and procedure coding system. In addition, new and revised Medicare Learning Network Matters articles were issued on Recovery of Annual Wellness Visit Overpayments, Update to Chapter 15 of the Program Integrity Manual, April Quarterly Update for 2013 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Fee Schedule, and Multiple Procedure Payment Reduction for Selected Therapy Services. 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/alerts.html http://www.cms.gov/Medicare/Coding/ICD10/ICD-10ImplementationTimelines.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8153.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8155.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8204.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8206.pdf

In this week's Medicare Insights Weekly podcast, please enjoy our article on total joint replacement, understanding documentation requirements for inpatient admission. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters article on Modification of Payment Window Edit in the Common Working File to Modify Diagnostic Service List, Emergency Update to the Calendar Year 2013 Medicare Physician Fee Schedule Database, April 2013 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files, Adjustment to Fiscal Intermediary Shared System Consistency Edit to Validate Attending Physician National Provider Identifier and Expansion of Medicare Telehealth Services for Calendar Year 2013. 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-02072013.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8046.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8143.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8161.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8171.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM7900.pdf

In this week's Medicare Insights Weekly podcast, please enjoy our article on the clarification of the proper use and billing of Adenosine injections. 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/sessions.html http://www.wedi.org/forms/meeting/MeetingFormPublic/view?id=220AC00000156 https://www.novitas-solutions.com/bulletins/all/news-02062013.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on draft local coverage determinations. 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.html https://www.novitas-solutions.com/enrollment/addresses.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on helpful hints to avoid delays in Appeal requests and Customer Service Center training closure change in February. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on International Classification of Diseases 10th Edition Conversion from International Classification of Diseases 9th Edition and Related Code Infrastructure of the Medicare Shared Systems as They Relate to the Centers for Medicare and Medicaid Services National Coverage Determinations and Manual Updates to Clarify Inpatient Rehabilitation Facility Claims Processing. 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/appeals/alerts.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8109.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8127.pdf

In this week's Medicare Insights Weekly podcast, please enjoy our articles on Diagnosis Related Group 227, Cardiac Defibrillator Implant without Cardiac Catheterization without Major Complication or Co-morbidity and bookmarking our Part A Center. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters article on Transcatheter Aortic Valve Replacement Coding Update and Policy Clarification. 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/index.html https://www.novitas-solutions.com/bulletins/all/news-01142013.html http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c01.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/ncd103c1_Part1.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c06.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8168.pdf

In this week's Medicare Insights Weekly podcast, please enjoy our articles on preventive services and Flu vaccine. In our Electronic Data Interchange segment we discuss the new version of PC-Ace Pro32. The Centers for Medicare and Medicaid Services is hosting a National Provider Call, on Meaningful Use Stage 1 and Stage 2. 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: http://www.eventsvc.com/blhtechnologies http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/PreventiveServices.html http://www.cms.gov/Medicare/Prevention/Immunizations/index.html?redirect=/immunizations

In this week's Medicare Insights Weekly podcast, please enjoy our article on customer service call volume. The podcast will be on hiatus until January 2013. From all of us at Novitas Solutions, Have a Safe and Happy Holiday! In our Customer Service segment, we discuss the JH Inquiry Guide. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters article on Implementing the Claims-Based Data Collection Requirement for Outpatient Therapy Services — Section 3005g of the Middle Class Tax Relief and Jobs Creation Act of 2012, Expansion of Medicare Telehealth Services for Calendar Year 2013, Update to Medicare Deductible, Coinsurance, and Premium Rates for 2013, Calendar Year 2013 Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Fee Schedule and Health Insurance Portability and Accountability Act Eligibility Transaction System to Replace Common Working File Medicare Beneficiary Health Insurance Eligibility Queries. Our billing megabits segment we discuss how to find claims by specific status locations in the Fiscal Intermediary Standard System. 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: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8005.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1249.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM7900.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8052.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8133.pdf