Tuesday, October 14, 2014

Medicare Part A and B News- Jurisdiction H for October 10th

The following information is provided by Novitas Solutions.

MLN Connects™ Provider eNews for October 9, 2014
View this edition as a PDF


In This Edition:


MLN Connects™ National Provider Calls

• Overview of the 2013 Quality and Resource Use Reports — Registration Now Open
• CMS 2014 Certified EHR Technology Flexibility Rule — Registration Now Open
• Transitioning to ICD-10 — Register Now

MLN Connects™ Videos

• Monthly Spotlight: Physician Quality Reporting System

Announcements

• CMS Announces Two Medicare Quality Improvement Initiatives
• New Outreach & Education Page at CMS.gov
• Work with Older Adult Patients? New Medscape Video for CME Credit
• Electronic Funds Transfer Upgrades to the Internet-based PECOS System
• Open Payments: Know the Numbers and Decode the Data
• CMS is Accepting Suggestions for Potential PQRS Measures
• PQRS: Physician Compare 2013 Group Practice Quality Measure Preview Period through November 7
• New FAQs for PQRS
• EHR Incentive Programs: Hardship Exception Applications to Avoid 2015 Payment Adjustment due November 30
• EHR Incentive Programs: Eligible Hospitals and Requirements for CEHRT to Participate in 2015
• EHR Incentive Programs: Learn How to Report 2014 eCQMs through the QualityNet Portal

Medicare Learning Network® Educational Products

• “Dual Eligible Beneficiaries Under the Medicare and Medicaid Programs” Fact Sheet – Revised
• Medicare Learning Network® Products Available in Electronic Publication Format

Medical Policy Local Coverage Determination (LCD) and Article Updates

Medical Policy Updates

Due to system limitations, between October 9, 2014 and December 3, 2014 the following JH LCDs accessed through the policy search application are future LCDs that will become effective on December 4, 2014. The active (current) LCDs can be accessed below or by the following link. Full Index of Current Active LCDs and Future Effective LCDs
  • Cardiac Event Detection Monitoring (L32679) 
  • Intravenous Immune Globulin (IVIG) (L32712) 
  • Luteinizing Hormone-Releasing Hormone (LHRH) Analogs (L32610) 
  • Treatment of Varicose Veins and Venous Stasis Disease of the Lower Extremities (L32678) 

The following JH Local Coverage Determinations have been posted for notice. They will become effective December 4, 2014:
  • Cardiac Event Detection Monitoring (L32679) 
  • Cardiac Rhythm Device Evaluation (L30529) 
  • Intravenous Immune Globulin (IVIG) (L32712) 
  • Luteinizing Hormone-Releasing Hormone (LHRH) Analogs (L32610) 
  • Pharmacokinetic (PK) Testing for Chemotherapy Dosing (L35269) 
  • Routine Foot Care (L27486) 
  • Services That Are Not Reasonable and Necessary (L31686) 
  • Transoral Incisionless Fundoplication (L32932) 
  • Treatment of Varicose Veins and Venous Stasis Disease of the Lower Extremities (L32678) 

Comments Received and Contractor Responses

The following JH drafts are not being finalized at this time. The current active LCDs will remain in effect:

  • Debridement of Mycotic Nails (DL27487) 
  • Monitored Anesthesia Care (DL32628) 
  • Surgical Treatment of Nails (DL72532) 

The following JH LCDs have been revised:
  • Biomarkers for Oncology (L34796) 
  • Category III Codes (L32691) 
  • Sacral Nerve Stimulation (L34707) 
  • Spinal Cord Stimulation (Dorsal Column Stimulation) (L34705) 
  • Thrombolytic Agents (L34743) 

The following JH LCD has been retired:
  • MyPRS Genetic Expression Profile Testing (L32636) 

Local Coverage Article Updates