Medicare Insights Weekly - JH Part A

In this week's Medicare Insights Weekly podcast, please enjoy our article on customer service call volume. In our Customer Service segment, we discuss many of our self service options. This week, we discuss the Appeals Timeliness Calculator Tools. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on Redesign of the Medicare Summary Notice Final Implementation and Major Update to Chapter 21 of the Claims Process Manual, 2013 Annual Update to the Therapy Code List, Quarterly Update to the End Stage Renal Disease Prospective Payment System, Therapy Cap Values for Calendar Year 2013, Calendar Year 2013 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment, Further Details on the Revalidation of Provider Enrollment Information and Implementation of Provider Enrollment Provisions. The Centers for Medicare and Medicaid Services is also hosting a national provider call on therapy functional reporting requirements for outpatient physical therapy, occupational therapy and speech language pathology services effective January 1, 2013. In our Comprehensive Error Rate Testing segment we discuss medically unnecessary service or treatment, and signature requirements, and its impact on inpatient hospital claims. Our billing megabits segment we discuss how to retrieve offline claims 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/MM7676.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8126.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM7858.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8129.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8132.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1126.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM7350.pdf http://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Downloads/2012-11-29-e-News.pdf https://www.novitas-solutions.com/policy/mac-ab/l27548-r8.html

In this week's Medicare Insights Weekly podcast, please enjoy our articles on helpful hints for the Interactive Voice Response unit. In our Customer Service segment, we discuss many of our self service options. This week, we discuss the Provider Enrollment Status Inquiry Tool. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on Bariatric Surgery for the Treatment of Morbid Obesity National Coverage Determination, Addition of Laparoscopic Sleeve Gastrectomy, Importance of Preparing and Maintaining Legible Medical Records and Announcement of Medicare Rural Health Clinic and Federally Qualified Health Centers Payment Rate Increases. In our Comprehensive Error Rate Testing segment we discuss medically unnecessary service or treatment and its impact on inpatient hospital claims. Our billing megabits segment we discuss the most common 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/MM8028.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1237.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8119.pdf

Encore presentations of our interviews with SafeGuard Services and Novitas Solutions’ Program Integrity and Informatics on Comparative Billing Reports. 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 high volume of pre-approval requests related to the Manual Review of Therapy Services. This podcast also includes articles about the October Monthly Newsletter and the impact of Hurricane Sandy on the Coordination of Benefits Contractor. The JH Fee Schedules have also been posted to website. Lastly, we have a reminder of Customer Service availability during the Thanksgiving holiday. In our Customer Service segment, we discuss many of our self service options. This week, we discuss changing your password through the automated password reset. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on Alert Concerning Impacts Arising from Having Non-Compliant Physical or Practice Address Information on File with Medicare, Quarterly Update to the End Stage Renal Disease Prospective Payment System, Implementation of Changes to the End-Stage Renal Disease Prospective Payment System Consolidated Billing Requirements for Daptomycin and a Clarification of Outlier Services for Calendar Year 2013, Affordable Care Act Section 3025 Expansion of a Field in the Inpatient Provider Specific File, The Supplemental Security Income Medicare Beneficiary Data for Fiscal Year 2010 for Inpatient Prospective Payment System Hospitals, Inpatient Rehabilitation Facilities and Long Term Care Hospitals, Frequently Asked Questions on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients, Hurricane Sandy and Medicare Disaster Related Claims and Implementation of Changes in the End-Stage Renal Disease Prospective Payment System for Calendar Year 2013. In our Comprehensive Error Rate Testing segment we insufficient documentation for laboratory services on an outpatient claim. Our billing megabits segment we discuss how to calculate the diagnosis related group payment 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/SE1245.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM7858.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM7869.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8067.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8078.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1232.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1247.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8120.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c03.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/pim83c06.pdf

In this week's Medicare Insights Weekly podcast, please enjoy our interview with Program integrity and Informatics on Comparative Billing Reports. In our Customer Service segment, we discuss many of our self service options. This week, we discuss Resource Access Control Facility Identification and Password Rules. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on Manual Updates to Clarify Skilled Nursing Facility Claims Processing, Effect of Beneficiary Agreements Not to Use Medicare Coverage, When Payment May be Made to a Beneficiary for Service of an Opt-Out Physician or Practitioner and Editing Update for Annual Wellness Visit, New Informational Unsolicited Response Process to Identify Previously Paid Claims for Services Furnished to Incarcerated Medicare Beneficiaries, New Informational Unsolicited Response Process to Identify Previously Paid Claims for Services Furnished to Medicare Beneficiaries Classified as "Unlawfully Present" in the United States, Medicare System Update to Include Rendering Line Level National Provider Identifiers for Primary Care Incentive Program Payments to Critical Access Hospitals, Enforcing Interim Billing for Partial Hospitalization Services and New Erythropoietin Stimulating Agent Peginesatide Requirements for End-Stage Renal Disease. In our Comprehensive Error Rate Testing segment we discuss medically unnecessary service or treatment and its impact on skilled nursing facility claims. Our billing megabits segment we discuss claims sitting on the Return to Provider file in the Fiscal Intermediary Standard System, and how to suppress a claim from the Return to Provider file. 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/draft-status.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8044.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8100.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8107.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8007.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8009.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8030.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8048.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8050.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c08.pdf

In this week's Medicare Insights Weekly podcast, the Jurisdiction H Article A51866, Local Coverage Article for Self-Administered Drug Exclusion List, has been revised. In our new Customer Service segment, we discuss many of our self service options. This week, we discuss the name to number conversion tool. The Centers for Medicare and Medicaid Services issued new and revised Medicare Learning Network Matters articles on General Update to Chapter 15 of the Program Integrity Manual and Medicare Guidance Regarding Meningitis Outbreak. In our Comprehensive Error Rate Testing segment we discuss errors related to Physical Therapy Plan of Care Requirements. Our billing megabits segment provides tips on how to unlock your keyboard 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: https://www.novitas-solutions.com/appeals/index.html http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c08.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c03.pdf