Rescheduled RHC TA call – From Coverage to Care (C2C)
We have rescheduled the RHC TA Call – From Coverage to Care. The call will now be Wednesday, August 6th at 2:00pm EASTERN. The call-in information is as follows:
Call-in Number: 888-603-9640
Participant Code: 9854323
From Coverage to Care is an initiative to help people with new health care coverage understand their benefits and connect to primary care and the preventive services that are right for them, so they can live a long and healthy life. Our speaker will identify the resources you can share with your patients (particularly those newly insured) to help them on their journey from coverage to care. A link to the speaker's slides will be sent under a separate email.
In the meantime, here is a link where you can learn more about the C2C initiative.
There is no charge to participate in this event and we encourage you to share this call-in information with others whom you think could benefit from hearing this important presentation.
Thursday, July 31, 2014
Medicare Part A and B News-Jurisdiction H for July 31st, 2014
The following information is provided by Novitas Solutions.
Medicare Learning Network (MLN) Articles from CMS
New:
- MM8792 – Affordable Care Act Bundled Payments for Care Improvement (BPCI) Initiative: Provider education regarding new demonstration codes for Skilled Nursing Facility (SNF) claims and payment of SNF claims for BPCI Model 2 beneficiaries who have not met the 3-day hospital stay requirement
- MM8855 – Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update
Novitas Solutions Mailing Address – Forwarding Expiration Extended!
Still mailing claims and other correspondence to the Novitas Solutions Camp Hill address? The post office extended the Forwarding Expiration date. You have until August 26 to change our address in your records from Camp Hill, Pennsylvania to Mechanicsburg, Pennsylvania. After August 26, mail received at the Camp Hill address will be returned to you. A list of mailing addresses is located on the Contact Us page of our website.
CMS MLN Connects Provider eNews for July 31, 2014
Please take note of the articles included in the Claims, Pricers and Codes section:
- Mass Adjustment of OPPS Claims
- July OPPS Provider Specific Files Now Available
New Medicare Insights Weekly Podcasts are ready for YOU!
In this week's Medicare Insights Weekly podcast, we introduce the new Novitas Medicare Learning Center. Learn more about this powerful tool for Medicare education.
CREATE Tip of the Week
Copy and
Pasting Will Equal A Recipe for Disaster in a CREATE Application
It is a fact that certain grant applications stand out because it is obvious that the grant writer understands that real people are behind the grants, and that they have opinions and feelings. Grant proposals that speak directly to those people are usually successful. They are not the grants that are "cut and pasted. Writing one master Service Need and Cost Effective Project Budget narrative then cutting and pasting it into all other course section narratives’ is a recipe for failure. Having key messages, stats and objectives is fine, but the tone and focus of each course narrative should reflect each individual course requested. It will take longer than cutting and pasting, but you’ll get a much higher success rate this way.
It is a fact that certain grant applications stand out because it is obvious that the grant writer understands that real people are behind the grants, and that they have opinions and feelings. Grant proposals that speak directly to those people are usually successful. They are not the grants that are "cut and pasted. Writing one master Service Need and Cost Effective Project Budget narrative then cutting and pasting it into all other course section narratives’ is a recipe for failure. Having key messages, stats and objectives is fine, but the tone and focus of each course narrative should reflect each individual course requested. It will take longer than cutting and pasting, but you’ll get a much higher success rate this way.
Think of it like job applications. You can send the same
cover letter and resume to 100 employers and you might get 5 interviews. Or,
you can focus on the 15 jobs that you really want and write the cover letters
from scratch according to the personal specifications they’re looking for. The
result is that you’re more likely to end up with the job you really want. Here
are some ideas and tips for increasing the likelihood of success for grant
applications:
Develop your key facts and
figures
These are the things that don’t change (or don’t change
much) from one application to the next. They could include your organization’s
background, what makes you unique, monitoring & evaluation, budget, etc.
Write in plain language
Just because the Expert Review Committee (ERC) members
are all experts in EMS, doesn’t mean they’re impressed with lots of jargon in
the industry. Write in clear and accessible language. Reading it out loud will
help you express your need in the most intelligent way possible.
You don’t always have to
go in cold
There is an opportunity for technical assistance when
writing a CREATE grant. In fact, you can benefit greatly from engaging with
CREATE staff by ensuring that you fully understand the program intent,
guidelines and eligibility requirements. Contact CREATE staff at (720) 248-2742
or by email at lj@coruralhealth.org.
Medicare Part A and B News- Jurisdiction H for July 29th, 2014
The following information is provided by Novitas Solutions.
Webinar Handouts Now Available
Handout materials are now available in the Novitas Medicare Learning Center for the following events:
7/29 - JH/JL Part A Medicare Updates - 2014 Third Quarter
7/31 - JH/JL Part A Medicare Secondary Payer (MSP) Billing
Online Courses Available!
Is self-paced training more your speed? Do you want to learn about Medicare when your schedule permits? Look no further! The Novitas Medicare Learning Center offers access to free online courses (formerly known as web-based training modules) that allow you and your staff to attend at your convenience. These online courses are available 24/7 and can be accessed through your Novitas Medicare Learning Center account or under Learning Center Online Course Catalog located on the Education & Training page of our website.
Online courses currently available:
Webinar Handouts Now Available
Handout materials are now available in the Novitas Medicare Learning Center for the following events:
7/29 - JH/JL Part A Medicare Updates - 2014 Third Quarter
7/31 - JH/JL Part A Medicare Secondary Payer (MSP) Billing
Online Courses Available!
Is self-paced training more your speed? Do you want to learn about Medicare when your schedule permits? Look no further! The Novitas Medicare Learning Center offers access to free online courses (formerly known as web-based training modules) that allow you and your staff to attend at your convenience. These online courses are available 24/7 and can be accessed through your Novitas Medicare Learning Center account or under Learning Center Online Course Catalog located on the Education & Training page of our website.
Online courses currently available:
- Medicare Appeals
- National Correct Coding Initiative
- Understanding National Coverage Determinations and Local Coverage Determinations
Medicare News-Updated FAQs
Other Part A Frequently Asked Question (FAQ) Topics
The Other Part A FAQs have been updated. A new FAQ has been added to the Skilled Nursing Facility (SNF), General category, regarding the 3-day qualifying stay requirement. Please take time to review all FAQs for answers to your questions.
The Other Part A FAQs have been updated. A new FAQ has been added to the Skilled Nursing Facility (SNF), General category, regarding the 3-day qualifying stay requirement. Please take time to review all FAQs for answers to your questions.
Medicare Part A and B News-Jurisdiction H for July 25th, 2014
The following information is provided by Novitas Solutions.
Correction to SNF Consolidated Billing Code Lists
Correction to SNF Consolidated Billing Code Lists: Certain Healthcare Common Procedure Coding System (HCPCS) codes were not included in the 2014 annual update to the Skilled Nursing Facility (SNF) consolidated billing code editing lists. A correction to the coding lists will be implemented in October, 2014. The affected HCPCS codes for practitioner billing are Q2050 and the professional component of G0461 and G0462. The affected code for institutional provider billing is Q2050. If you have claims that have been erroneously denied, you should contact your Medicare Administrative Contractor to have the claims re-opened and re-processed.
Medical Policy Updates
The following JH Local Coverage Determinations (LCDs) which were posted for notice on June 5, 2014 are now effective:
- 3D Interpretation and Reporting of Imaging Studies (L34709)
- Autonomic Function Tests (L34788)
- Barium Swallow Studies, Modified (L34747)
- Biomarkers for Oncology (L34796)
- Chiropractic Services (L34816)
- Hyaluronan Acid Therapies for Osteoarthritis of the Knee (L32237)
- Independent Diagnostic Testing Facility (IDTF) (L34792)
- Magnetic Pelvic Floor Stimulation (MPFS) (L34612)
- Multiple Imaging in Oncology (L34790) (also revised)
- Non-Invasive Cerebrovascular Arterial Studies (L34711) (also revised)
- Non-Invasive Peripheral Venous Studies (L34714)
- Non-Vascular Extremity Ultrasound (L34716) (also revised)
- Oximetry Services (L34749)
- Pulmonary Function Testing (L34751)
- Sacral Nerve Stimulation (L34707)
- Spinal Cord Stimulation (Dorsal Column Stimulation) (L34705)
- Thrombolytic Agents (L34743)
- Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic) (L34745)
The following JH LCD has been revised:
- Biomarkers Overview (L33638)
- 3D Interpretation and Reporting of Imaging Studies (L32602)
- Barium Swallow Studies, Modified (L32621)
- Biomarkers for Oncology (L33138)
- Chiropractic Services (L32718)
- Hyaluronate Polymers (L32737)
- Oximetry Services (L32700)
- Pulmonary Function Testing (L32762)
- Sacral Nerve Stimulation (L32749)
- Spinal Cord Stimulation (Dorsal Column Stimulation) (L32753)
- Thrombolytic Agents (L32756)
- Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic) (L32681)
The following JH Local Coverage Article which was posted for notice on June 5, 2014 is now effective:
The following JH Local Coverage Articles have been added:
- Chiropractic Services (A47798)
- Non Invasive Cerebrovascular Arterial Studies (A47800)
- Non Invasive Peripheral Venous Studies (A47801)
Medicare Part D Donut Hole Savings & 49th Anniversary of Medicare/Medicaid
Over 8.2 million seniors have saved more than $11.5 billion on prescription drugs since 2010
Findings come on eve of Medicare’s 49th anniversary
Information released today by the Department of Health and Human Services shows that more than 8.2 million seniors and people with disabilities with Medicare continue to enjoy prescription drug savings as a result of the Affordable Care Act, saving $11.5 billion since 2010.
This news comes on the heels of continued historic low levels of growth in Medicare spending. According to the recent Medicare Trustees report, the life of the Trust Fund has been extended to 2030, up from its projection of 2017 in 2009, and Part B premiums are expected to stay the same rather than increase for the second year in a row. Additionally, a new HHS report found that per capita, Medicare spending growth has averaged 2 percent over 2009 – 2012, and nearly 0 percent in 2013, one-third of the growth rate over the 2000-2008 period.
“Thanks to the Affordable Care Act, seniors and people with disabilities are saving on needed medications,” said HHS Secretary Sylvia M. Burwell. “By making prescription drugs more affordable, we are improving and promoting the best care for people with Medicare.”
The Affordable Care Act makes Medicare prescription drug coverage more affordable by gradually closing the gap in coverage where beneficiaries had to pay the full cost of their prescriptions out of pocket, before catastrophic coverage took effect. This gap is known as the donut hole.
Since the enactment of the Affordable Care Act, out-of-pocket savings on medications for people with Medicare prescription drug coverage continues to grow. More than 8.2 million seniors and people with disabilities with Medicare have saved over $11.5 billion on prescription drugs since 2010 as a result of discounts in the donut hole and rebates in 2010, for an average of $1,407. These figures are higher than last year at this time when over 6.6 million seniors and people with disabilities with Medicare had saved over $7 billion on prescription drugs averaging $1,061 per beneficiary in donut hole discounts.
Because of the Affordable Care Act, in 2010, anyone with a Medicare prescription drug plan who reached the prescription drug donut hole received a $250 rebate. Beginning in 2011, beneficiaries in the donut hole began receiving discounts on covered brand-name drugs and savings on generic drugs. These savings and Medicare coverage will gradually increase until 2020, when the donut hole will be closed. In 2014, people with a Medicare prescription drug plan who fall into the donut hole will save from discounts and increased coverage in the gap about 53 percent on the cost of brand name drugs and save from increased coverage in the gap about 28 percent on the cost of generic drugs.
For state-by-state information on discounts on the donut hole, please visit: http://downloads.cms.gov/files/Medicare-Part-D-Donut-Hole-Savings-Summary-2010-June-2014.pdf.
For more information about Medicare prescription drug benefits, please visit: http://www.medicare.gov/part-d/.
Webinar: New Standards for Medical Tubing Connectors
New Standards for Medical Tubing Connectors: Are You Ready?
Wednesday, August 20th, 2014
12-1:30 PM Mountain Standard Time
Wednesday, August 20th, 2014
12-1:30 PM Mountain Standard Time
Registration
This program is part of Premier's Advisor Live® webinar series: There is no charge to participate in this public event. We encourage you to forward this information to others who may find it useful.
Description
New global design standards for medical tubing connectors are being released and include new connectors for enteral, neuraxial and respiratory devices. Starting with enteral feeding and the new ENFit connector by the end of this year, these new design standards will help ensure that connectors do not fit into ports other than the type for which they are intended, reducing the risk of serious or often fatal consequences of misconnections. These standards and new connectors have broad implications across the entire supply chain and continuum of patient care settings. This program will cover:
This program is part of Premier's Advisor Live® webinar series: There is no charge to participate in this public event. We encourage you to forward this information to others who may find it useful.
Description
New global design standards for medical tubing connectors are being released and include new connectors for enteral, neuraxial and respiratory devices. Starting with enteral feeding and the new ENFit connector by the end of this year, these new design standards will help ensure that connectors do not fit into ports other than the type for which they are intended, reducing the risk of serious or often fatal consequences of misconnections. These standards and new connectors have broad implications across the entire supply chain and continuum of patient care settings. This program will cover:
- The new standards and product-specific changes, including the enteral feeding systems and the transition timeline;
- Implications for supply chain and inventory for effective transition;
- How these new standards and products will affect multiple functions, protocols and processes across the entire continuum of patient care; and
- Identifying steps needed to prepare, educate and implement a plan for a smooth transition to the new products to maximize patient safety.
Medicare Part B-System Updates
The following information is provided by Novitas Solutions.
UPDATE 07/25/2014 @ 3:27 PM:
Novitas has completed additional analysis on this issue. The Part B claims that contained certain non-payable measurement codes which also contained other payable services did actually cross over to the COBC. The claims with the payable services were received and accepted by the COBC and sent to the appropriate supplemental insurers for processing.
The non-payable measurement services which contained the dash (-) in the standard message field and where the ERA showed OA 121 were also accepted by the COBC but did not contain sufficient information for the supplemental insurers to make a determination on responsibility/liability for the non-payable measurement code service. Although there should not be a change in payment, Novitas will be performing adjustments on these claims to correct the system outputs. No action is required by providers at this time.
Original Issue 07/11/2014:
Due to a system error, Part B claims containing certain non-payable measurement codes were not being crossed over to the Coordination of Benefits Contractor (COBC). Although the measurement codes are non-payable, if the claim contained a non-payable measurement code and another payable service, the system error prevented the entire claim from being crossed over to the COBC. In these situations, the provider remittance shows a message that the claim was crossed over to the COBC, however, the system error prevented the claim from being accepted by the COBC. In addition, the system error may have caused the paper remittance to show a dash (-) in the standard message field, and the ERA may show qualifier OA and message 121 for the impacted services. The system error impacted claims finalizing between July 1 and July 10. Novitas is currently identifying all claims that were impacted by this error, and will perform adjustments on the claims to correct the system error and the corrected claims will be sent to the COBC for further processing. We will update this notice as we work through the adjustment process. We apologize for any inconvenience this has caused. No action is necessary at this time by providers.
Paper Billers - CMS 1500 Claim Form Issue
UPDATE 7/25/14 @ 3:27PM:
The universe of OCR claims related to this issue has been identified. Novitas will start recoupments of all identified claims starting the week of 07/28/14. We appreciate your patience as we complete the last phase of the project.
Original Issue 06/05/2014:
A system issue for paper billers has been identified. During the Optical Character Recognition (OCR) scanning process, certain data from the providers’ CMS 1500 claim form is being populated incorrectly into the Part B processing system. For example, a mapping issue is causing an incorrect amount to be loaded to the beneficiary paid amount field (block 29 on the claim form). This may cause incorrect payments to the provider as well as the beneficiary. Novitas is working on identifying the claims and will make the appropriate adjustments. We apologize for any inconvenience this may cause. No action is necessary at this time by providers.
Revolutionized Burn Care Through Telemedicine
From the Arizona Telemedicine Program Blog, the article "A National Tragedy Leads to Revolutionized Burn Care Through Telemedicine" discusses how 9/11 transformed the impact of telemedicine. To read the article, click here.
ICD-10 Documentation Gap Analysis Webinar
Please join us Thursday, August 7, 2014 at 12:00 pm for THE NEXT STEP in your transition to ICD-10 -- Documentation Gap Analysis.
To register for the webinar, click here.
Thursday, July 24, 2014
Medicare Part B News-Jurisdiction H for July 24th, 2014
The following information is provided by Novitas Solutions.
System Alert
Issued 07/23/2014 at 1:15 PM
JH Part B AR, LA and MS Providers - HIGLAS Notice
The purpose of this notice is to advise you that Novitas Solutions will be undergoing a HIGLAS transition involving the JH MAC Part B workloads (AR, LA, MS) and explain the impact this will have on your organization’s Medicare payments.
We ask that you please take the time to carefully read this information and that you share it with the appropriate staff in your organization.
Effective July 25, 2014, the Centers for Medicare & Medicaid Services (CMS) will be consolidating financial data that is maintained within the Healthcare Integrated General Ledger Accounting System (HIGLAS). This transition involves only our financial accounting system. We will continue to use MCS for all claims processing activities and there are no impacts to that system by this transition.
HIGLAS Transition Timeline
Temporary Reduction of the Claims Processing Payment Floor
CMS has directed Novitas Solutions to reduce the payment floor for both paper and EDI claims. On July 24, 2014 the payment floor will be reduced by 1-day for both EDI and paper claims, and payments will be released for claims that have already been approved for payment.
This temporary 1-day reduction of the payment floor will result in payments being issued early (checks and Electronic Funds Transfers (EFTs)). This may give the appearance that your cash revenues have increased when in fact payments for some of your claims have simply been made earlier than normal.
Additionally, as part of this transition, starting on July 25, 2014, the HIGLAS system will not be available for approximately 1 to 2 business days. Please be aware of this impact for any financial related inquiries.
For further information, please visit our website at www.novitas-solutions.com. If you have questions regarding the information contained in this publication, please contact our Customer Service Call Contact center toll free at: 1-855-252-8782.
System Alert
Issued 07/23/2014 at 1:15 PM
JH Part B AR, LA and MS Providers - HIGLAS Notice
The purpose of this notice is to advise you that Novitas Solutions will be undergoing a HIGLAS transition involving the JH MAC Part B workloads (AR, LA, MS) and explain the impact this will have on your organization’s Medicare payments.
We ask that you please take the time to carefully read this information and that you share it with the appropriate staff in your organization.
Effective July 25, 2014, the Centers for Medicare & Medicaid Services (CMS) will be consolidating financial data that is maintained within the Healthcare Integrated General Ledger Accounting System (HIGLAS). This transition involves only our financial accounting system. We will continue to use MCS for all claims processing activities and there are no impacts to that system by this transition.
HIGLAS Transition Timeline
- July 24, 2014: Last MCS cycle where payments are generated, which will include the 1-day pay forward
- July 25, 2014: HIGLAS transition begins
- July 25-28, 2014: Providers may experience a reduction in payments due to the early claim payments issued prior to the transition. Providers need to monitor and manage their cash flows during this time period.
Temporary Reduction of the Claims Processing Payment Floor
CMS has directed Novitas Solutions to reduce the payment floor for both paper and EDI claims. On July 24, 2014 the payment floor will be reduced by 1-day for both EDI and paper claims, and payments will be released for claims that have already been approved for payment.
This temporary 1-day reduction of the payment floor will result in payments being issued early (checks and Electronic Funds Transfers (EFTs)). This may give the appearance that your cash revenues have increased when in fact payments for some of your claims have simply been made earlier than normal.
Additionally, as part of this transition, starting on July 25, 2014, the HIGLAS system will not be available for approximately 1 to 2 business days. Please be aware of this impact for any financial related inquiries.
For further information, please visit our website at www.novitas-solutions.com. If you have questions regarding the information contained in this publication, please contact our Customer Service Call Contact center toll free at: 1-855-252-8782.
Medicare Part A News-Jurisdiction H for July 24th, 2014
The following information is provided by Novitas Solutions.
Medicare News
Medicare Learning Network (MLN) Articles from CMS
New:
CMS MLN Connects Provider eNews for July 24, 2014
Please take note of the article included in the Claims, Pricers and Codes section:
- Correction to SNF Consolidated Billing Code Lists
Medicare Part A and B News-Jurisdiction H for July 23rd, 2014
The following information is provided by Novitas Solutions.
Medicare News
Medicare Learning Network (MLN) Articles from CMS
New:
Novitas Solutions Mailing Address - Time is running out!
In just two (2) days, mail received at the Novitas Solutions Camp Hill address will be returned to you. On July 25, the post office will no longer forward mail received at the Camp Hill address to the Mechanicsburg address. To locate the appropriate mailing address, please visit the Contact Us page of our website.
Medicare News
Medicare Learning Network (MLN) Articles from CMS
New:
- MM8829 – October Quarterly Update to 2014 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
- MM8836 – October 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
- MM8805 – New Waived Tests
Novitas Solutions Mailing Address - Time is running out!
In just two (2) days, mail received at the Novitas Solutions Camp Hill address will be returned to you. On July 25, the post office will no longer forward mail received at the Camp Hill address to the Mechanicsburg address. To locate the appropriate mailing address, please visit the Contact Us page of our website.
Medicare Part A and B News- Jurisdiction H for July 22nd, 2014
The following information is provided by Novitas Solutions.
Updated Symposium Handouts Now Available
Updated handouts are now available for our upcoming symposiums in North Little Rock, AR on July 23 and Frisco, TX on August 26. There's still time! Register today to attend one of these informative, in-person events.
Medicare Learning Network (MLN) Articles from CMS
Revised:
Physicians and Teaching Hospitals: MLN Connects™ National Provider Call on July 22
On July 22, MLN Connects™ will host a National Provider Call. During the call, CMS experts will give a brief introductory presentation about Open Payments and provide an overview of the registration and review and dispute process. This overview will be followed by a question and answer session - responses for questions submitted prior to the call - and a live session for participants on the call.
Agenda:
- Brief Open Payments overview
- Recap of registration process in the CMS Enterprise Portal
- Provide instructions on how to register in the Open Payments system and participate in the review and dispute process
- Answers to submitted questions
- Live Q&A session
Target Audience: Physicians, teaching hospitals, professional organizations, physician staff and other interested parties.
Click here to register for the call.
Medicare Part A and B- Novitas Medicare Learning Center Revised FAQs
Novitas Medicare Learning Center Frequently Asked Questions (FAQs) have been revised.
Please take time to review the newest Novitas Medicare Learning Center FAQs.
Please take time to review the newest Novitas Medicare Learning Center FAQs.
Open Payments (The Sunshine Act) Reminder: Review Your Data by August 27
As part of the Open Payments program, the Centers for Medicare & Medicaid Services (CMS) will soon make data about the financial relationships between drug/device manufacturers and physicians and teaching hospitals available to the public. Physicians includes doctors of medicine and osteopathy, dental surgeons, dentists, licensed chiropractors, optometrists and podiatrists.
Open Payments registration for physicians and teaching hospitals in the CMS Enterprise Portal and the Open Payments system is currently open. Although registration is a voluntary process, it is required if physicians or teaching hospitals want to review any of the data reported about them, by the industry, prior to public posting of the data on September 30, 2014.
Registration and Data Review
Registration, review and data submission for physicians and teaching hospitals will be conducted in two phases for this first Open Payments reporting year:
Phase 1 includes user registration in the CMS Enterprise Portal to request access to the Open Payments system
Phase 2 includes physician and teaching hospital registration in the Open Payments system, and allows them to review and dispute data submitted by applicable manufacturers and applicable group purchasing organizations (GPOs) prior to public posting of the data.
Open Payments registration for physicians and teaching hospitals in the CMS Enterprise Portal and the Open Payments system is currently open. Although registration is a voluntary process, it is required if physicians or teaching hospitals want to review any of the data reported about them, by the industry, prior to public posting of the data on September 30, 2014.
Registration and Data Review
Registration, review and data submission for physicians and teaching hospitals will be conducted in two phases for this first Open Payments reporting year:
Phase 1 includes user registration in the CMS Enterprise Portal to request access to the Open Payments system
Phase 2 includes physician and teaching hospital registration in the Open Payments system, and allows them to review and dispute data submitted by applicable manufacturers and applicable group purchasing organizations (GPOs) prior to public posting of the data.
Phase 1 & 2 registration is underway. Data review and submission, for the 2013 year, ends August 27, 2014.
Physicians can learn more about requirements, how to access and register in the Open Payments system, and get access to education materials and other resources on the Physicians web page of the Open Payments website. CMS has also developed a brochure about the program to be shared with patients.
An updated Open Payments Mobile for Physicians app is available to help physicians track payments and other transfers of value they receive from applicable manufacturers and applicable GPOs throughout the year. The app can be used by physicians and teaching hospitals. The app is voluntary, free for use, and can be downloaded at the Google Play app store or iOSApple app store. At either store, search for "Open Payments."
Physicians can learn more about requirements, how to access and register in the Open Payments system, and get access to education materials and other resources on the Physicians web page of the Open Payments website. CMS has also developed a brochure about the program to be shared with patients.
An updated Open Payments Mobile for Physicians app is available to help physicians track payments and other transfers of value they receive from applicable manufacturers and applicable GPOs throughout the year. The app can be used by physicians and teaching hospitals. The app is voluntary, free for use, and can be downloaded at the Google Play app store or iOSApple app store. At either store, search for "Open Payments."
Road to 10...that's ICD-10
With the passage of the Protecting Access to Medicare Act of 2014, the ICD-10 compliance date has been extended. To help your practice make the best use of this extension, CMS is excited to offer the Road to 10 Program at http://www.roadto10.org.
For information regarding ICD-10 Technical Assistance and free resources to support your transition, click here!
For information regarding ICD-10 Technical Assistance and free resources to support your transition, click here!
HRSA Health IT and Quality Webinar
Health Resources and Services Administration
Health Information Technology and Quality Webinar
“Financing for Health IT Infrastructure and Broadband”
Friday, July 25, 2014, 2PM - 3PM ET
Under current conditions, rural health care providers face challenges in harnessing the benefits of health information technology (IT) due to limited access to capital and workforce challenges. Rural hospitals tend to have lower financial operating margins and limited capital to make the investments needed to purchase hardware, software, and other equipment. As a result, the United States Department of Agriculture (USDA) and the Department of Health and Human Services (HHS) signed an MOU in August 2011 linking rural health care hospitals and clinics to USDA grants and loans to support the acquisition of health IT infrastructure. The White House Rural Council adopted this initiative and publicly announced its commitment to expanding financing for rural health IT.
Since the signing of the MOU, participating critical access hospital and small rural hospitals have received roughly $38 Million in funding. In-person funding workshops have been launched in Iowa, Kansas, Texas, Illinois, Mississippi, Montana, Georgia, Michigan, Minnesota, and Tennessee to share information regarding the available health IT infrastructure funding for rural safety net providers which now includes rural health clinics, long term care facilities, and mental health clinics serving rural veterans.
Presenters for this webinar will speak about current funding opportunities in the states where workshops have taken place and anticipated workshops in additional states. Presenters also will share their experience on how they have been able to leverage the funds to support the health IT infrastructure and rural economic development in their safety net communities.
Presenters include:
-Leila Samy, MPH
Rural Health IT Coordinator
Office of the National Coordinator for Health IT
U.S. Department of Health and Human Services
-Jeffrey Schwartz, Ed. D.
Education Program Manager
Appalachian Regional Commission
Participants can register at https://cc.readytalk.com/r/tpp0c92p6dl0&eom
Questions for presenters are welcome ahead of the event and may be emailed to healthit@hrsa.gov.
For reasonable accommodations, email in advance, HRSA Reasonable Accommodations at RA-Request@hrsa.gov.
Previous HRSA Health IT and Quality Webinars can be accessed at the HRSA Health IT and Quality Webinar website: http://www.hrsa.gov/healthit/toolbox/webinars/
Office of the National Coordinator for Health IT
U.S. Department of Health and Human Services
-Jeffrey Schwartz, Ed. D.
Education Program Manager
Appalachian Regional Commission
Participants can register at https://cc.readytalk.com/r/tpp0c92p6dl0&eom
Questions for presenters are welcome ahead of the event and may be emailed to healthit@hrsa.gov.
For reasonable accommodations, email in advance, HRSA Reasonable Accommodations at RA-Request@hrsa.gov.
Previous HRSA Health IT and Quality Webinars can be accessed at the HRSA Health IT and Quality Webinar website: http://www.hrsa.gov/healthit/toolbox/webinars/
Reminder: 340B Recertification Webinar
We invite you to join a special interactive webinar on 340B hospital recertification on Thursday, July 31 from 11:00 AM-12:15 PM (Eastern).
The purpose of annual recertification is twofold: it verifies the accuracy of entities’ information on the OPA covered entity database, and it requires entities to certify that they meet the statutory requirements for 340B program participation. SNHPA strongly encourages hospitals to promptly update their information in OPA’s covered entity database, particularly their email addresses and other contact information, to guard against missing this critical forthcoming recertification email.
At our July 31 webinar, we will:
- Describe the 2014 recertification process
- Provide guidance on how to prepare for recertification, including review of relevant Medicare cost report worksheets
- Discuss recent changes to OPA’s hospital and offsite facility registration process and OPA’s expectations for recertification related to these changes
- Outline implications and risks of not performing recertification
There will also be time for Q and A.
WHO SHOULD ATTEND: C-Suite executives and other authorizing officials, pharmacy directors, in-house counsel, 340B managers and compliance officers.
FACILITATORS: The webinar will be facilitated by Lisa Scholz, SNHPA’s Chief Operating Officer and Chief Pharmacy Officer, Maureen Testoni, SNHPA General Counsel and Jeff Davis, SNHPA Associate Counsel.
REGISTRATION:
Registration Category
|
Registration Fee
|
Member Hospital or
Platinum Level Corporate Partner
|
Complimentary
|
Gold or Silver Level Corporate Partner
|
$25
|
Prospective Member
|
$100
|
Pre-registration is required (including for member hospitals and Platinum Level Corporate Partners for whom this event is free). Please click HERE to register. The deadline is July 30. A confirmation will be e-mailed to you once you register so please be sure to enter your e-mail address correctly. If you have questions about your registration or creating a log-in account, please contact Evangeline SoleynJohn at (202) 552-5865 or evangeline.soleynjohn@snhpa.org.
MORE INFORMATION: Feel free to contact Lee-Anne Gabrielli at lee-anne.gabrielli@snhpa.org or (202) 552-5856.
CMS Informational Bulletin
Today the Centers for Medicare & Medicaid Services (CMS) is releasing an Informational Bulletin describing opportunities for states to collaborate with CMCS on a new national initiative to improve maternal and infant health outcomes in Medicaid and CHIP.
The Informational Bulletin can be accessed on Medicaid.gov at http://www.medicaid.gov/Federal-Policy-Guidance/Federal-Policy-Guidance.html
The Informational Bulletin can be accessed on Medicaid.gov at http://www.medicaid.gov/Federal-Policy-Guidance/Federal-Policy-Guidance.html
Medicare Part A and B News- Jurisdiction H for July 18th, 2014
The following information is provided by Novitas Solutions.
Medicare News
CMS MLN Connects Provider eNews for July 17, 2014
Please take note of the articles included in the Claims, Pricers and Codes section:
Novitas Medicare Learning Center Frequently Asked Questions (FAQs) has been revised
Please take time to review the Novitas Medicare Learning Center FAQs to learn how to find dial-in information for teleconferences.
Please take note of the articles included in the Claims, Pricers and Codes section:
- Update to the CWF Qualifying Stay Edit C7123 for Inpatient SNF Claims
- Hold Any Adjustments to Method II CAH Claims that Include Services for a Surgical Assistant
- Correction to Inappropriately Returned Hospice Claims
- July 2014 Outpatient Prospective Payment System Pricer File Update
Novitas Medicare Learning Center Frequently Asked Questions (FAQs) has been revised
Please take time to review the Novitas Medicare Learning Center FAQs to learn how to find dial-in information for teleconferences.
New Application: LCD / Medical Policy Search
Our brand new Medical Policy Search application is live! Are you looking for a Local Coverage Determination (LCD) or Medical Policy? You can now find them in this helpful tool. To access the application, click "LCD/Medical Policy Search" in the top right corner of the site (pictured below).
This new search tool allows you to locate LCDs by using any of the following:
Try the application today!
This new search tool allows you to locate LCDs by using any of the following:
- Procedure Code (CPT or HCPCS)
- LCD Number
- Keywords
Try the application today!
Thursday, July 17, 2014
Medicare Part A News-Jurisdiction H for July 17th, 2014
The following information is provided by Novitas Solutions.
Medicare News
Isolated Ultrafiltration Coding Change Rescinded
Please note that the Isolated Ultrafiltration Coding Change bulletin that was published on July 14, 2014 has been rescinded for Part A providers. Please continue to watch our Website for further updates regarding coding for Isolated Ultrafiltration services. We apologize for any confusion.
Medicare News
Isolated Ultrafiltration Coding Change Rescinded
Please note that the Isolated Ultrafiltration Coding Change bulletin that was published on July 14, 2014 has been rescinded for Part A providers. Please continue to watch our Website for further updates regarding coding for Isolated Ultrafiltration services. We apologize for any confusion.
Medicare Part B News-Jurisdiction H for July 17th, 2014
The following information is provided by Novitas Solutions.
Medicare News
Customer Contact Center Survey
Your feedback is important to us. Please take a moment to complete the Customer Contact Center Survey so we can better assist you.
Novitas Mailing Addresses – Forwarding Time Expiring Soon!
Are you still mailing claim forms and other correspondence to the Novitas Solutions Camp Hill address? The time for forwarding mail to the Mechanicsburg address will end on July 25. A list of appropriate mailing addresses is located on the Contact Us page of our website.
Medicare News
Customer Contact Center Survey
Your feedback is important to us. Please take a moment to complete the Customer Contact Center Survey so we can better assist you.
Novitas Mailing Addresses – Forwarding Time Expiring Soon!
Are you still mailing claim forms and other correspondence to the Novitas Solutions Camp Hill address? The time for forwarding mail to the Mechanicsburg address will end on July 25. A list of appropriate mailing addresses is located on the Contact Us page of our website.
Swing Bed Training Program
The Swing Bed program allows a CAH to use their beds interchangeably for either acute care or post-acute care. A Swing Bed is a change in reimbursement status. The patient swings from receiving acute care services and reimbursement to receiving skilled nursing (SNF) services and reimbursement. In some circumstances, Critical Access Hospital Swing Bed regulations may be different than the Medicare long‐term care regulations. Our experts will walk you and your staff through the ins and outs of swing bed use and give you what you need to help your Critical Access Hospital succeed!
On-site 4 hour session, maximum 50 participants
-$1200 plus travel – CRHC Member Colorado CAHs
-$1800 plus travel – Non-member Colorado CAHs
-Please Inquire for CAHs outside of Colorado
***The Colorado Rural Health Center is now available to sponsor on-site swing bed training with your facility. Spaces are limited, so please contact Caleb Siem at cs@coruralhealth.org to schedule your onsite swing bed training.
To schedule swing bed training or obtain swing bed manuals for your state, contact:
Caleb Siem, CAH Program Manager
1-800-851-6782 • cs@coruralhealth.org
Swing Bed Training Program:
- On-site training for hospital staff
- Geared toward physicians, clinical staff and case managers
- Facilitated by an experienced RN consultant
- Tailored to meet specific needs
- Comprehensive overview of Medicare regulations
- State-specific Medicaid regulations
- Resource links and sample documentation forms
- Includes laminated “Quick Reference Guide”
On-site 4 hour session, maximum 50 participants
-$1200 plus travel – CRHC Member Colorado CAHs
-$1800 plus travel – Non-member Colorado CAHs
-Please Inquire for CAHs outside of Colorado
On-site 1-2 hour training, customized for physicians with limited time availability
-$500/hr plus travel – CRHC Member Colorado CAHs
- $750/hr plus travel – Non-member Colorado CAHs
-Please Inquire for CAHs outside of Colorado
- $750/hr plus travel – Non-member Colorado CAHs
-Please Inquire for CAHs outside of Colorado
Swing Bed Manual
Medicare only………………….No Charge for Colorado CAHs (PDF File), $199 for out of state CAHs
Medicare only………………….No Charge for Colorado CAHs (PDF File), $199 for out of state CAHs
***The Colorado Rural Health Center is now available to sponsor on-site swing bed training with your facility. Spaces are limited, so please contact Caleb Siem at cs@coruralhealth.org to schedule your onsite swing bed training.
To schedule swing bed training or obtain swing bed manuals for your state, contact:
Caleb Siem, CAH Program Manager
1-800-851-6782 • cs@coruralhealth.org
Findings Brief: How Does Medicaid Expansion Affect Insurance Coverage of Rural Populations?
How Does Medicaid Expansion Affect Insurance Coverage of Rural Populations?
Examines how states’ decisions on Medicaid expansion are impacting rural areas in the United States. The study used population estimates, current status of state expansion, and state-level insurance estimates to answer two primary questions:
- How is Medicaid expansion affecting rural populations, and
- how would it differ if every state were to expand Medicaid.
Read the article here.
MLN Connects- Provider eNews for July 17th, 2014
View the MLN Connects Provider eNews for July 17th, 2014 here. This edition includes announcements, updates, and events from Centers for Medicare and Medicaid Services.
Credentialing Network Webinar Series, Part 2
The second webinar in the Credentialing Network Webinar Series will take place on July 23rd at 11:00am, featuring our credentialing specialist, Dianna Gilmore.
To register, click here.
The webinars can be purchased individually at $99 for CRHC members or $149 for CRHC non-Members. You will be invoiced following the webinar. Or save by purchasing all four webinars through a Credentialing Network Membership, which is $250 for CRHC Members and $375 for CRHC non-members –for information about purchasing a Credentialing Network Membership, contact Liz Kelman at lk@coruralhealth.org.
The webinars can be purchased individually at $99 for CRHC members or $149 for CRHC non-Members. You will be invoiced following the webinar. Or save by purchasing all four webinars through a Credentialing Network Membership, which is $250 for CRHC Members and $375 for CRHC non-members –for information about purchasing a Credentialing Network Membership, contact Liz Kelman at lk@coruralhealth.org.
The Surveyors are Out!
Are you ready for that unexpected visit from the state? Colorado Rural Health Center is featuring our Mock Survey technical assistance service this month to provide your clinic the opportunity to pass your next inspection with flying colors! The mock survey covers an extensive review of the following in your clinic:
· Physical Plant and Environment – Clinic walk-through.
· Medical Records – Please prepare to randomly pull 10 – 15 charts for review.
· Annual Evaluation – I will review your past two annual evaluations
· Policies and Procedures – Please have your policies and procedures manual(s) ready for review.
Following the survey you will receive a report identifying which areas you are currently at risk for or are not compliant. The mock survey will take most of the day to complete and is available at a discounted price for all CRHC members. For more information or to schedule a site visit, please contact Liz Kelman at lk@coruralhealth.org
· Physical Plant and Environment – Clinic walk-through.
· Medical Records – Please prepare to randomly pull 10 – 15 charts for review.
· Annual Evaluation – I will review your past two annual evaluations
· Policies and Procedures – Please have your policies and procedures manual(s) ready for review.
Following the survey you will receive a report identifying which areas you are currently at risk for or are not compliant. The mock survey will take most of the day to complete and is available at a discounted price for all CRHC members. For more information or to schedule a site visit, please contact Liz Kelman at lk@coruralhealth.org
2015 Proposed Physician Fee Advance Copy
The excerpt below is from the proposed 2015 physician fee schedule Federal Registry (advance copy). If adopted, it will eliminate the need for ancillary
personnel in a RHC to be W-2 employees.
D. Removal of Employment Requirements for Services Furnished “Incident to” Rural Health
Clinics (RHC) and Federally Qualified Health Center (FQHC) Visits
1. Background
Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) furnish physicians’ services; services and supplies incident to the services of physicians; nurse practitioner (NP), physician assistant (PA), certified nurse-midwife (CNM), clinical psychologist (CP), and clinical social worker (CSW) services; and services and supplies incident to the services of NPs, PAs, CNMs, CPs, and CSWs. They may also furnish diabetes self-management training and medical nutrition therapy (DSMT/MNT), transitional care management services, and in some cases, visiting nurse services furnished by a registered professional nurse or a licensed practical nurse. (For additional information on requirements for furnishing services in
RHCs and FQHCs, see Chapter 13 of the CMS Benefit Policy Manual.)
In the May 2, 2014 final rule with comment period (79 FR 25436) entitled “Prospective
Payment System for Federally Qualified Health Centers; Changes to Contracting Policies for
Rural Health Clinics; and Changes to Clinical Laboratory Improvement Amendments of 1988
Enforcement Actions for Proficiency Testing Referral,” we removed the regulatory requirements
that NPs, PAs, CNMs, CSWs, and CPs furnishing services in a RHC must be employees of the
RHC. RHCs are now allowed to contract with NPs, PAs, CNMs, CSWs, and CPs, as long as at
least one NP or PA is employed by the RHC, as required under section 1861(aa)(2)(iii) of the
Act.
Services furnished in RHCs and FQHCs by nurses, medical assistants, and other auxiliary personnel are considered “incident to” a RHC or FQHC visit furnished by a RHC or FQHC practitioner. The regulations at §405.2413(a)(6), §405.2415(a)(6), and §405.2452(a)(6) state that services furnished incident to an RHC or FQHC visit must be furnished by an employee of the RHC or FQHC. Since there is no separate benefit under Medicare law that specifically authorizes payment to nurses, medical assistants, and other auxiliary personnel for their professional services, they cannot bill the program directly and receive payment for their services, and can only be remunerated when furnishing services to Medicare patients in an “incident to” capacity.
2. Provisions of Proposed Rule
To provide RHCs and FQHCs with as much flexibility as possible to meet their staffing needs, we are proposing to revise §405.2413(a)(5), §405.2415(a)(5) and §405.2452(a)(5) anddelete §405.2413(a)(6), §405.2415(a)(6) and §405.2452(a)(6) to remove the requirement that services furnished incident to an RHC or FQHC visit must be furnished by an employee of the RHC or FQHC to allow nurses, medical assistants, and other auxiliary personnel to furnish incident to services under contract in RHCs and FQHCs. We believe that removing the requirements will provide RHCs and FQHCs with additional flexibility without adversely impacting the quality or continuity of care.
D. Removal of Employment Requirements for Services Furnished “Incident to” Rural Health
Clinics (RHC) and Federally Qualified Health Center (FQHC) Visits
1. Background
Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) furnish physicians’ services; services and supplies incident to the services of physicians; nurse practitioner (NP), physician assistant (PA), certified nurse-midwife (CNM), clinical psychologist (CP), and clinical social worker (CSW) services; and services and supplies incident to the services of NPs, PAs, CNMs, CPs, and CSWs. They may also furnish diabetes self-management training and medical nutrition therapy (DSMT/MNT), transitional care management services, and in some cases, visiting nurse services furnished by a registered professional nurse or a licensed practical nurse. (For additional information on requirements for furnishing services in
RHCs and FQHCs, see Chapter 13 of the CMS Benefit Policy Manual.)
In the May 2, 2014 final rule with comment period (79 FR 25436) entitled “Prospective
Payment System for Federally Qualified Health Centers; Changes to Contracting Policies for
Rural Health Clinics; and Changes to Clinical Laboratory Improvement Amendments of 1988
Enforcement Actions for Proficiency Testing Referral,” we removed the regulatory requirements
that NPs, PAs, CNMs, CSWs, and CPs furnishing services in a RHC must be employees of the
RHC. RHCs are now allowed to contract with NPs, PAs, CNMs, CSWs, and CPs, as long as at
least one NP or PA is employed by the RHC, as required under section 1861(aa)(2)(iii) of the
Act.
Services furnished in RHCs and FQHCs by nurses, medical assistants, and other auxiliary personnel are considered “incident to” a RHC or FQHC visit furnished by a RHC or FQHC practitioner. The regulations at §405.2413(a)(6), §405.2415(a)(6), and §405.2452(a)(6) state that services furnished incident to an RHC or FQHC visit must be furnished by an employee of the RHC or FQHC. Since there is no separate benefit under Medicare law that specifically authorizes payment to nurses, medical assistants, and other auxiliary personnel for their professional services, they cannot bill the program directly and receive payment for their services, and can only be remunerated when furnishing services to Medicare patients in an “incident to” capacity.
2. Provisions of Proposed Rule
To provide RHCs and FQHCs with as much flexibility as possible to meet their staffing needs, we are proposing to revise §405.2413(a)(5), §405.2415(a)(5) and §405.2452(a)(5) anddelete §405.2413(a)(6), §405.2415(a)(6) and §405.2452(a)(6) to remove the requirement that services furnished incident to an RHC or FQHC visit must be furnished by an employee of the RHC or FQHC to allow nurses, medical assistants, and other auxiliary personnel to furnish incident to services under contract in RHCs and FQHCs. We believe that removing the requirements will provide RHCs and FQHCs with additional flexibility without adversely impacting the quality or continuity of care.
New CREATE Scoring Tool is Approved
SEMTAC just approved the new scoring tool and we want to tell you about it.
On July 10th, SEMTAC approved the new CREATE scoring tool which changes the way in which reviewers will assess your applications for approval. With the new tool in place as of the July 2014 ERC meeting, we want to take the time to share the big news with you all. Join us for one of two stakeholder calls to learn how the new tool works. Both calls will include the same information and allow you to ask questions during the webinar. Use the links below to sign up:
July 17th, 3pm Registration link: https://cc.readytalk.com/r/8o3mzdcxt6j&eom
July 22nd, 11am Registration link: https://cc.readytalk.com/r/xswdy0y7csxm&eom
You will also need to dial in by phone to hear the call:
Dial-in: 866.740.1260
Passcode: 5655847
(for both webinars)
Trouble signing up? Contact Lakesha Jones at lj@coruralhealth.org or by phone at 720.248.2742.
On July 10th, SEMTAC approved the new CREATE scoring tool which changes the way in which reviewers will assess your applications for approval. With the new tool in place as of the July 2014 ERC meeting, we want to take the time to share the big news with you all. Join us for one of two stakeholder calls to learn how the new tool works. Both calls will include the same information and allow you to ask questions during the webinar. Use the links below to sign up:
July 17th, 3pm Registration link: https://cc.readytalk.com/r/8o3mzdcxt6j&eom
July 22nd, 11am Registration link: https://cc.readytalk.com/r/xswdy0y7csxm&eom
You will also need to dial in by phone to hear the call:
Dial-in: 866.740.1260
Passcode: 5655847
(for both webinars)
Trouble signing up? Contact Lakesha Jones at lj@coruralhealth.org or by phone at 720.248.2742.
THE Consortium: HIT Educational Webinar - August 13, 2014 - HIPAA updates
Please join us for the HIT Educational Webinar, taking place August 13th at 12:00pm. Click here to register.
New Interactive Tool Simplifies Proposed 2014 Participation Options
Now Available: Interactive Tool to Help Providers Understand 2014 CEHRT NPRM
In May 2014, CMS released a notice of proposed rulemaking (NPRM) that would grant flexibility to providers who are experiencing difficulties fully implementing 2014 Edition certified EHR technology (CEHRT) to attest this year.
CMS has created an interactive decision tool that guides providers through their potential participation options for 2014. Providers answer a few questions about their current stage of meaningful use and Edition of EHR certification, and the tool displays the corresponding options proposed in the NPRM.
About the NPRM
Under this proposal, valid only for the 2014 reporting year, providers would be able to use 2011 Edition CEHRT for either Stage 1 or Stage 2, would have the option to attest to the 2013 definition of meaningful use core and menu objectives, and use the 2013 definition CQMs.
The proposed rule also includes a provision that would formalize CMS and ONC’s recommended timeline to extend Stage 2 through 2016. If finalized, the earliest a provider would participate in Stage 3 of meaningful use would be 2017.
Submit Comments
CMS and ONC invite the public to submit comments on the NPRM. Comments must be received by July 21, 2014 to be considered.
For More Information
Visit the CMS Newsroom to read the press release about the NPRM.
In May 2014, CMS released a notice of proposed rulemaking (NPRM) that would grant flexibility to providers who are experiencing difficulties fully implementing 2014 Edition certified EHR technology (CEHRT) to attest this year.
CMS has created an interactive decision tool that guides providers through their potential participation options for 2014. Providers answer a few questions about their current stage of meaningful use and Edition of EHR certification, and the tool displays the corresponding options proposed in the NPRM.
About the NPRM
Under this proposal, valid only for the 2014 reporting year, providers would be able to use 2011 Edition CEHRT for either Stage 1 or Stage 2, would have the option to attest to the 2013 definition of meaningful use core and menu objectives, and use the 2013 definition CQMs.
|
2011 CEHRT Providers in Stage 1 or 2:
|
|
Combination of 2011 & 2014 CEHRT Providers in Stage 1:
|
|
2014 CEHRT Providers in Stage 1:
|
The proposed rule also includes a provision that would formalize CMS and ONC’s recommended timeline to extend Stage 2 through 2016. If finalized, the earliest a provider would participate in Stage 3 of meaningful use would be 2017.
Submit Comments
CMS and ONC invite the public to submit comments on the NPRM. Comments must be received by July 21, 2014 to be considered.
For More Information
Visit the CMS Newsroom to read the press release about the NPRM.
Medicare Part A News-Jurisdiction H for July 14th, 2014
The following information is provided by Novitas Solutions.
Medicare News
Part A Teleconference Handout: "Two Midnight Rule Probe and Educate"
Medicare News
Part A Teleconference Handout: "Two Midnight Rule Probe and Educate"
July 15, 2014 (2:00pm-3:00pm ET/1:00pm-2:00pm CT)
Handout materials are now available for our teleconference "Two Midnight Rule Probe and Educate" on July 15, 2014 (2:00pm-3:00pm ET/1:00pm-2:00pm CT).
We will provide an overview of the Two Midnight Rule (CMS 1599-F), discuss the Probe and Educate review process, and review case scenarios for identified Probe and Educate errors.
Registration is still open for this teleconference. Register today to reserve your spot!
Draft Local Coverage Determination Comment Period Closed
The comment period is now closed for the following JH MAC Draft Local Coverage Determinations (LCDs). The comments received are being reviewed by our Contractor Medical Directors.
Update to the CWF Qualifying Stay Edit C7123 for Inpatient SNF Claims
CMS recently resolved an issue concerning the Common Working File (CWF) qualifying stay edit C7123 to allow Skilled Nursing Facility (SNF) claims that contain a valid qualifying hospital stay to bypass edit C7123. SNF providers that have received this edit in error may adjust their affected claims or contact their Medicare Administrative Contractor (MAC) in order to have their claims adjusted. CMS is currently working on a permanent coding fix for CWF edit C7123 that will address all possible bypass scenarios for the edit. SNF providers should contact their MAC with any questions or concerns.
Handout materials are now available for our teleconference "Two Midnight Rule Probe and Educate" on July 15, 2014 (2:00pm-3:00pm ET/1:00pm-2:00pm CT).
We will provide an overview of the Two Midnight Rule (CMS 1599-F), discuss the Probe and Educate review process, and review case scenarios for identified Probe and Educate errors.
Registration is still open for this teleconference. Register today to reserve your spot!
Draft Local Coverage Determination Comment Period Closed
The comment period is now closed for the following JH MAC Draft Local Coverage Determinations (LCDs). The comments received are being reviewed by our Contractor Medical Directors.
- DL32679 Cardiac Event Detection Monitoring
- DL30529 Cardiac Rhythm Device Evaluation
- DL27487 Debridement of Mycotic Nails
- DL32712 Intravenous Immune Globulin (IVIG)
- DL32610 Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
- DL32628 Monitored Anesthesia Care
- DL35269 Pharmacokinetic (PK) Testing for Chemotherapy Dosing
- DL27486 Routine Foot Care
- DL31686 Services That Are Not Reasonable and Necessary
- DL27532 Surgical Treatment of Nails
- DL32932 Transoral Incisionless Fundoplication
- DL32678 Treatment of Varicose Veins and Venous Stasis Disease of the Lower Extremities
Update to the CWF Qualifying Stay Edit C7123 for Inpatient SNF Claims
CMS recently resolved an issue concerning the Common Working File (CWF) qualifying stay edit C7123 to allow Skilled Nursing Facility (SNF) claims that contain a valid qualifying hospital stay to bypass edit C7123. SNF providers that have received this edit in error may adjust their affected claims or contact their Medicare Administrative Contractor (MAC) in order to have their claims adjusted. CMS is currently working on a permanent coding fix for CWF edit C7123 that will address all possible bypass scenarios for the edit. SNF providers should contact their MAC with any questions or concerns.
CMS Launches Restructured Quality Improvement Program
As you may know, the Centers for Medicare & Medicaid Services (CMS) is restructuring the Quality Improvement Organization (QIO) Program, effective August 1, 2014. The QIO Program is an integral part of the U.S. Department of Health and Human Services’ national quality strategy for providing better care, better health at lower costs, and providing “boots on the ground” technical assistance through a national network of independent organizations working to improve care delivery at the community level. The updated approach to improving care will allow for greater efficiencies across the program, eliminate any perceived conflicts of interest and will continue to emphasize the need for greater patient-centered care in support of the needs of Medicare beneficiaries.
New Contact for Medicare Coverage Appeals and Quality of Care Concerns
The restructuring of the QIO Program separates medical case review and monitoring activities from the traditional quality improvement activities of QIOs, creating two separate structures:
• Medical case review – to be performed by Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIO)
New Contact for Medicare Coverage Appeals and Quality of Care Concerns
The restructuring of the QIO Program separates medical case review and monitoring activities from the traditional quality improvement activities of QIOs, creating two separate structures:
• Medical case review – to be performed by Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIO)
• Quality improvement initiatives and technical assistance – to be performed by Quality Innovation Network Quality Improvement Organizations (QIN-QIO)
These contracts cannot be held by the same organization and CFMC has chosen to pursue the quality improvement work as a QIN-QIO. We will continue to perform clinical review work, including the Medicare appeal reviews until July 31, 2014.
In early May, CMS awarded the BFCC-QIO contracts to Livanta, LLC, located in Annapolis Junction, Maryland and KEPRO, located in Seven Hills Ohio. These contractors will be responsible for conducting case review functions such as complaint reviews, quality of care reviews, discharge appeals, higher weighted diagnostic related groups (DRG) requests and Emergency Medical Treatment and Active Labor Act (EMTALA) reviews.
Beginning August 1, 2014, Colorado hospitals, hospital swing beds, skilled nursing facilities, home health agencies, hospice agencies, and comprehensive outpatient rehabilitation facilities must contact KEPRO, the new BFCC-QIO that will serve Colorado, toll-free at 1-844-430-9504 for all appeal requests and Quality of Care concerns. All outstanding Higher-Weighted DRG medical record requests after the above date should be mailed to:
KEPRO
Rock Run Center
5700 Lombardo Center, Suite 100
Seven Hills, Ohio 44131
Likewise, beneficiaries who have a concern about the quality of care they have received from a Medicare certified setting such as a physician’s office or settings such as those listed above for appeals, will also have a new point of contact.
Steps You Will Need to Take
• Update all copies of the Notice of Non-Coverage forms which inform beneficiaries that Medicare may stop paying for their care
• Replace all print and electronic copies of beneficiary resources that include the QIO’s contact information
• Update policies and procedures that contain a reference to contact CFMC (contacts, address, telephone numbers, fax numbers)
Quality Innovation Network QIOs
Quality Innovation Network QIO (QIN-QIO) contract awards are expected to be announced in July. QIN-QIOs will be responsible for working with providers, practitioners, and the community on multiple data-driven quality initiatives to improve patient safety, reduce harm, and improve clinical care at the local and regional levels. The new QIN structure requires a multi-state, regional approach, but much of the work will still be performed at state level with each QIO offering tailored education, tools, and resources to health care providers in their states. The multi-state approach provides opportunities to share successes across states to facilitate rapid improvement.
More information on the QIO Program can be found at QIOProgram.org or by contacting 1-800-MEDICARE.
These contracts cannot be held by the same organization and CFMC has chosen to pursue the quality improvement work as a QIN-QIO. We will continue to perform clinical review work, including the Medicare appeal reviews until July 31, 2014.
In early May, CMS awarded the BFCC-QIO contracts to Livanta, LLC, located in Annapolis Junction, Maryland and KEPRO, located in Seven Hills Ohio. These contractors will be responsible for conducting case review functions such as complaint reviews, quality of care reviews, discharge appeals, higher weighted diagnostic related groups (DRG) requests and Emergency Medical Treatment and Active Labor Act (EMTALA) reviews.
Beginning August 1, 2014, Colorado hospitals, hospital swing beds, skilled nursing facilities, home health agencies, hospice agencies, and comprehensive outpatient rehabilitation facilities must contact KEPRO, the new BFCC-QIO that will serve Colorado, toll-free at 1-844-430-9504 for all appeal requests and Quality of Care concerns. All outstanding Higher-Weighted DRG medical record requests after the above date should be mailed to:
KEPRO
Rock Run Center
5700 Lombardo Center, Suite 100
Seven Hills, Ohio 44131
Likewise, beneficiaries who have a concern about the quality of care they have received from a Medicare certified setting such as a physician’s office or settings such as those listed above for appeals, will also have a new point of contact.
Steps You Will Need to Take
• Update all copies of the Notice of Non-Coverage forms which inform beneficiaries that Medicare may stop paying for their care
• Replace all print and electronic copies of beneficiary resources that include the QIO’s contact information
• Update policies and procedures that contain a reference to contact CFMC (contacts, address, telephone numbers, fax numbers)
Quality Innovation Network QIOs
Quality Innovation Network QIO (QIN-QIO) contract awards are expected to be announced in July. QIN-QIOs will be responsible for working with providers, practitioners, and the community on multiple data-driven quality initiatives to improve patient safety, reduce harm, and improve clinical care at the local and regional levels. The new QIN structure requires a multi-state, regional approach, but much of the work will still be performed at state level with each QIO offering tailored education, tools, and resources to health care providers in their states. The multi-state approach provides opportunities to share successes across states to facilitate rapid improvement.
More information on the QIO Program can be found at QIOProgram.org or by contacting 1-800-MEDICARE.
340B Recertification Webinar
We invite you to join a special interactive webinar on 340B hospital recertification on Thursday, July 31 from 11:00 AM-12:15 PM (Eastern).
The purpose of annual recertification is twofold: it verifies the accuracy of entities’ information on the OPA covered entity database, and it requires entities to certify that they meet the statutory requirements for 340B program participation. SNHPA strongly encourages hospitals to promptly update their information in OPA’s covered entity database, particularly their email addresses and other contact information, to guard against missing this critical forthcoming recertification email.
At our July 31 webinar, we will:
- Describe the 2014 recertification process
- Provide guidance on how to prepare for recertification, including review of relevant Medicare cost report worksheets
- Discuss recent changes to OPA’s hospital and offsite facility registration process and OPA’s expectations for recertification related to these changes
- Outline implications and risks of not performing recertification
There will also be time for Q and A.
WHO SHOULD ATTEND: C-Suite executives and other authorizing officials, pharmacy directors, in-house counsel, 340B managers and compliance officers.
FACILITATORS: The webinar will be facilitated by Lisa Scholz, SNHPA’s Chief Operating Officer and Chief Pharmacy Officer, Maureen Testoni, SNHPA General Counsel and Jeff Davis, SNHPA Associate Counsel.
REGISTRATION:
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Registration
Category
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Registration Fee
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Member Hospital or
Platinum Level
Corporate Partner
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Complimentary
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Gold or Silver Level Corporate Partner
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$25
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Prospective Member
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$100
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Pre-registration is required (including for member hospitals and Platinum Level Corporate Partners for whom this event is free). Please click HERE to register. The deadline is July 30. A confirmation will be e-mailed to you once you register so please be sure to enter your e-mail address correctly. If you have questions about your registration or creating a log-in account, please contact Evangeline SoleynJohn at (202) 552-5865 or evangeline.soleynjohn@snhpa.org.
MORE INFORMATION: Feel free to contact Lee-Anne Gabrielli at lee-anne.gabrielli@snhpa.org or (202) 552-5856.
Medicare Part A and B News-Jurisdiction H for July 15th, 2014
The following information is provided by Novitas Solutions.
Medicare News
Novitas Medicare Learning Center Went Live July 9!
Have you created an account to access and use the Novitas Medicare Learning Center? If not, what are you waiting for? Registration is easy. Simply click on the registration link and complete the form. If you have a question regarding the registration process, review our How to Create a Novitas Medicare Learning Center Training Account reference.
Medicare News
Novitas Medicare Learning Center Went Live July 9!
Have you created an account to access and use the Novitas Medicare Learning Center? If not, what are you waiting for? Registration is easy. Simply click on the registration link and complete the form. If you have a question regarding the registration process, review our How to Create a Novitas Medicare Learning Center Training Account reference.
- A confirmation email will be sent to you within 48 hours and once received, you can take advantage of the new learning system, including:
- Easy access to registration for educational events
- A centralized location for all education materials
- Tracking of all educational events you attend with Novitas
- Creation of your own personalized education account
- Continuing Education Unit (CEU) Certificates available for download upon completion of an event
- Available waitlist for upcoming events that have reached max capacity
- Web-based training modules available 24/7
Medicare Part A and B News-Jurisdiction H for July 15th, 2014
The following information is provided by Novitas Solutions.
Medicare News
Isolated Ultrafiltration Coding
Recently, Novitas reviewed services reporting Isolated Ultrafiltration for Management of Fluid Overload in Cardiac Disease. Following the review, it was determined that HCPCS code 90999, Unlisted Dialysis Procedure, Inpatient or Outpatient is the most accurate HCPCS code to report for this service.
Effective for dates of service on or after August 14, 2014, claims for ultrafiltration for management of fluid overload in cardiac disease should be reported with HCPCS code 90999. Consistent with the current process for Not Otherwise Classified (NOC) codes, payment for these services will be determined by the Contractor. Please refer to the Local Contractor Pricing Webpage for additional information regarding the determination of fees.
Do you have questions about proper reporting of Vagal Nerve Stimulation (VNS) Replacement Parts?
View our online bulletin for more information.
Update to the CWF Qualifying Stay Edit C7123 for Inpatient SNF Claims
CMS recently resolved an issue concerning the Common Working File (CWF) qualifying stay edit C7123 to allow Skilled Nursing Facility (SNF) claims that contain a valid qualifying hospital stay to bypass edit C7123. SNF providers that have received this edit in error may adjust their affected claims or contact their Medicare Administrative Contractor (MAC) in order to have their claims adjusted. CMS is currently working on a permanent coding fix for CWF edit C7123 that will address all possible bypass scenarios for the edit. SNF providers should contact their MAC with any questions or concerns.
Part A Top Inquiries
The Part A Top Inquiries Frequently Asked Questions (FAQs) have been updated. Please take time to review these FAQs for answers to your questions.
Part B Top Inquiries
The monthly Part B FAQs have been updated. Please take some time to review these FAQs for answers to your questions.
New Medicare Insights Weekly Podcasts Now Available
In this week's Medicare Insights Weekly podcast, we discuss the Comprehensive Error Rate Testing (CERT) program and review examples of the categories in which most of the errors occur. Learn how to avoid these errors, listen today!
Medicare Learning Network (MLN) Articles from CMS
Revised:
Medicare News
Isolated Ultrafiltration Coding
Recently, Novitas reviewed services reporting Isolated Ultrafiltration for Management of Fluid Overload in Cardiac Disease. Following the review, it was determined that HCPCS code 90999, Unlisted Dialysis Procedure, Inpatient or Outpatient is the most accurate HCPCS code to report for this service.
Effective for dates of service on or after August 14, 2014, claims for ultrafiltration for management of fluid overload in cardiac disease should be reported with HCPCS code 90999. Consistent with the current process for Not Otherwise Classified (NOC) codes, payment for these services will be determined by the Contractor. Please refer to the Local Contractor Pricing Webpage for additional information regarding the determination of fees.
Do you have questions about proper reporting of Vagal Nerve Stimulation (VNS) Replacement Parts?
View our online bulletin for more information.
Update to the CWF Qualifying Stay Edit C7123 for Inpatient SNF Claims
CMS recently resolved an issue concerning the Common Working File (CWF) qualifying stay edit C7123 to allow Skilled Nursing Facility (SNF) claims that contain a valid qualifying hospital stay to bypass edit C7123. SNF providers that have received this edit in error may adjust their affected claims or contact their Medicare Administrative Contractor (MAC) in order to have their claims adjusted. CMS is currently working on a permanent coding fix for CWF edit C7123 that will address all possible bypass scenarios for the edit. SNF providers should contact their MAC with any questions or concerns.
Part A Top Inquiries
The Part A Top Inquiries Frequently Asked Questions (FAQs) have been updated. Please take time to review these FAQs for answers to your questions.
Part B Top Inquiries
The monthly Part B FAQs have been updated. Please take some time to review these FAQs for answers to your questions.
New Medicare Insights Weekly Podcasts Now Available
In this week's Medicare Insights Weekly podcast, we discuss the Comprehensive Error Rate Testing (CERT) program and review examples of the categories in which most of the errors occur. Learn how to avoid these errors, listen today!
Medicare Learning Network (MLN) Articles from CMS
Revised:
Thursday, July 10, 2014
Colorado MCH wants to hear from you
Every five years the Colorado Department of Public Health and Environment Maternal and Child Health (MCH) Program is required to conduct a statewide needs assessment of the health and well-being of Colorado’s women, children and youth, including those with special health care needs, and their families. The purpose of the assessment is to identify seven to 10 specific priorities that state and local MCH programs can impact during the next five years. The selected priorities will focus MCH work from 2016-20.
WHO? YOU! Community members who care about the health and well-being of women, children, youth and families across the great state of Colorado (including local public health agencies and community partners, community members, family and youth leaders, etc.) are invited to attend.
WHAT? "Your Community, Your Voice" conversations are designed to hear YOUR ideas on how to improve the health and well-being of women, children and youth, including those with special health care needs, and their families.
WHEN and WHERE? PLEASE MARK YOUR CALENDARS NOW!!!
§ August 4 – Frisco
§ August 5 – Rifle
§ August 25 – Boulder
§ September 3 – Colorado Springs
§ September 8 – Denver
§ September 9 – Greeley
§ September 23 - Durango
§ September 25 – Pueblo
§ October 9 – Alamosa
WHY? It is critical to partner with people from local communities across Colorado, especially those who are most affected by these state-level priorities and decisions. So, please make the time to share your ideas and get your voice heard!
HOW? In the coming weeks, registration information will be sent via email. Or, check out https://www.colorado.gov/pacific/cdphe/mchneedsassessment for more information.
You may also contact Gina Febbraro at gina.febbraro@state.co.us or (303) 692-6409 with any questions.
WHO? YOU! Community members who care about the health and well-being of women, children, youth and families across the great state of Colorado (including local public health agencies and community partners, community members, family and youth leaders, etc.) are invited to attend.
WHAT? "Your Community, Your Voice" conversations are designed to hear YOUR ideas on how to improve the health and well-being of women, children and youth, including those with special health care needs, and their families.
WHEN and WHERE? PLEASE MARK YOUR CALENDARS NOW!!!
§ August 4 – Frisco
§ August 5 – Rifle
§ August 25 – Boulder
§ September 3 – Colorado Springs
§ September 8 – Denver
§ September 9 – Greeley
§ September 23 - Durango
§ September 25 – Pueblo
§ October 9 – Alamosa
WHY? It is critical to partner with people from local communities across Colorado, especially those who are most affected by these state-level priorities and decisions. So, please make the time to share your ideas and get your voice heard!
HOW? In the coming weeks, registration information will be sent via email. Or, check out https://www.colorado.gov/pacific/cdphe/mchneedsassessment for more information.
You may also contact Gina Febbraro at gina.febbraro@state.co.us or (303) 692-6409 with any questions.
Google Glass and WallDoc Among Top Attention Getters at ATA Trade Show
The American Telemedicine Association’s annual trade show is touted as “the world’s largest” for telemedicine, telehealth and mhealth products and services.
For Janet Major, it’s like a trip to Disneyland.
“There’s just always a lot of really cool stuff: new trends, the latest and the greatest, last year’s latest and greatest upgraded to make it even better,” says Major, the Arizona Telemedicine Program’s associate director for facilities. “So yes, for me it absolutely is like going to Disneyland.”
Read more »
For Janet Major, it’s like a trip to Disneyland.
“There’s just always a lot of really cool stuff: new trends, the latest and the greatest, last year’s latest and greatest upgraded to make it even better,” says Major, the Arizona Telemedicine Program’s associate director for facilities. “So yes, for me it absolutely is like going to Disneyland.”
Read more »
At A Glance- June 2014
The Department of Health Care Policy and Financing publication provides information on major initiatives including policy changes and program updates. Read the publication here.
Medicare Part A and B News-Jurisdiction H for July 10th, 2014
The following information is provided by Novitas Solutions.
Medicare Learning Network (MLN) Articles from CMS
New:
Medicare Learning Network (MLN) Articles from CMS
New:
New Novitas Medical Learning Center
Welcome to the Novitas Medicare Learning Center!
Beginning today, July 9, the Novitas Medicare Learning Center is available. The Novitas Medicare Learning Center replaces the previous method of registering and attending educational events and is available 24/7. All educational events scheduled on and after July 17, will be handled through the center. Please take time to read the complete article to learn about the many advantages offered by the new learning system.
CMS MLN Connects Provider eNews for July 10th, 2014
CMS MLN Connects Provider eNews for July 10, 2014
- Please take note of the articles included in the Claims, Pricers and Codes section:
- Barcoded Coversheets Required for CERT Documentation Submissions
- New Schedule for CERT Documentation Requests as of May, 2014
- CERT Datasets Posted
- Looking for CERT Information?
- Quarterly Provider Specific Files for the Prospective Payment System Now Available
Medicare Part B News- Jurisdiction H for July 3rd, 2014
The following information is provided by Novitas Solutions.
Novitas Solutions Mailing Address – Forwarding Time Running Out!
Time is running out! As of July 25, 2014, mail received at the Novitas Solutions Camp Hill address will be returned to you. Begin using the appropriate Novitas Solutions Mechanicsburg addresses now. A list of mailing addresses is located on the Contact Us page of our website.
System Alerts
Splints, casts and certain intraocular lenses codes A4565, Q4001 – Q4049 and V2630 – V2632
HCPC codes A4565, Q4001 – Q4049 and V2630 – V2632 for splints, casts and certain intraocular lenses were not added to the Common Working File (CWF) edit per change request 8645 effective with the April release which may have caused incorrect claim rejections. CWF corrected this error on May 25, 2014. Providers are not required to take any actions. Novitas will identify and adjust any impacted claims. We apologize for any inconvenience.
Quarterly System Maintenance
The Interactive Voice Respoonse (IVR) Unit and PPTN functions will not be available from Thursday evening, July 3, 2014 at 5:00 pm CT until Monday morning, July 7, 2014 at 7:00 am CT due to scheduled quarterly system maintenance.
Novitas Solutions Mailing Address – Forwarding Time Running Out!
Time is running out! As of July 25, 2014, mail received at the Novitas Solutions Camp Hill address will be returned to you. Begin using the appropriate Novitas Solutions Mechanicsburg addresses now. A list of mailing addresses is located on the Contact Us page of our website.
System Alerts
Splints, casts and certain intraocular lenses codes A4565, Q4001 – Q4049 and V2630 – V2632
HCPC codes A4565, Q4001 – Q4049 and V2630 – V2632 for splints, casts and certain intraocular lenses were not added to the Common Working File (CWF) edit per change request 8645 effective with the April release which may have caused incorrect claim rejections. CWF corrected this error on May 25, 2014. Providers are not required to take any actions. Novitas will identify and adjust any impacted claims. We apologize for any inconvenience.
Quarterly System Maintenance
The Interactive Voice Respoonse (IVR) Unit and PPTN functions will not be available from Thursday evening, July 3, 2014 at 5:00 pm CT until Monday morning, July 7, 2014 at 7:00 am CT due to scheduled quarterly system maintenance.
Medicare Part A News-Jurisdiction H for July 3rd, 2014
The following information is provided by Novitas Solutions.
Medicare News
July 2014 Quarterly Release Overview
Here is a summary of the changes that are being implemented with the July 7, 2014 release and links to references with additional information.
The comment period will close on July 10, 2014 for the following JH Draft Local Coverage Determinations (LCDs):
Submit Comments
Novitas Solutions Mailing Address – Forwarding Time Running Out!
Time is running out! As of July 25, 2014, mail received at the Novitas Solutions Camp Hill address will be returned to you. Begin using the appropriate Novitas Solutions Mechanicsburg addresses now. A list of mailing addresses is located on the Contact Us page of our website.
Medicare News
July 2014 Quarterly Release Overview
Here is a summary of the changes that are being implemented with the July 7, 2014 release and links to references with additional information.
The comment period will close on July 10, 2014 for the following JH Draft Local Coverage Determinations (LCDs):
- DL32679 Cardiac Event Detection Monitoring
- DL30529 Cardiac Rhythm Device Evaluation
- DL27487 Debridement of Mycotic Nails
- DL32712 Intravenous Immune Globulin (IVIG)
- DL32610 Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
- DL32628 Monitored Anesthesia Care
- DL35269 Pharmacokinetic (PK) Testing for Chemotherapy Dosing
- DL27486 Routine Foot Care
- DL31686 Services That Are Not Reasonable and Necessary
- DL27532 Surgical Treatment of Nails
- DL32932 Transoral Incisionless Fundoplication
- DL32678 Treatment of Varicose Veins and Venous Stasis Disease of the Lower Extremities
Submit Comments
Novitas Solutions Mailing Address – Forwarding Time Running Out!
Time is running out! As of July 25, 2014, mail received at the Novitas Solutions Camp Hill address will be returned to you. Begin using the appropriate Novitas Solutions Mechanicsburg addresses now. A list of mailing addresses is located on the Contact Us page of our website.
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