The following information is provided by Novitas Solutions.
Updates to IRIS Software
The Intern and Resident Information System (IRIS) software programs (IRISV3 and IRISEDV3) each have three updated files (medical school codes, residency type codes, and IRISV3 Operating Instructions) for collecting and reporting information on resident training in hospital and non-hospital settings. They are categorized as follows:
August 2014 IRISV3 Operating Instructions and Excerpts from IRISV3 Operating Instructions to Use with IRISEDV3 (mandatory for cost reporting periods beginning before July 1, 2014):
• CMS added nine new IRIS residency type codes to the IRIS Residency Type Code Table.
• CMS also added seven new IRIS medical school codes to the IRIS Medical School Code Table.
• Providers may begin using the new medical school and residency type codes in the IRIS programs for cost reporting periods ending on or after June 30, 2014.
September 2014 IRISV3 Operating Instructions and Excerpts from IRISV3 Operating Instructions to Use with IRISEDV3 (mandatory for cost reporting periods beginning on or after July 1, 2014):
• CMS renumbered IRIS residency type codes in the IRIS Residency Type Code Table; CMS removed obsolete IRIS residency type codes from this table.
• CMS removed obsolete IRIS medical school codes from the IRIS Medical School Code Table.
• Providers must use the renumbered IRIS residency type codes in the IRIS programs for cost reporting periods beginning on or after July 1, 2014.
The IRIS programs are available for downloading via the IRIS website (http://go.usa.gov/Grw3).
Medicare Learning Network (MLN) Articles from CMS
New:
SE1434 – Provider Enrollment Requirements for Writing Prescriptions for Medicare Part D Drugs
Medical Policy Updates
The following JH Local Coverage Determinations (LCDs) which were posted for notice on October 9, 2014 are now effective:
- 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)
The following JH Local Coverage Article has been added:
The following JH LCDs have been retired effective December 3, 2014:
- Category III Codes (L32691)
- Extracorporeal Shock Wave Therapy (ESWT) (L32729)
- Lumbar Matrix Scan (L32609)
- Off Label Use Autologous Cellular Immunotherapy Treatment of Malignancy of Prostate (L32615)
- Routine Foot Care (L32669)
- Transoral Incisionless Fundoplication (L32620)
Customer Contact Center Survey "How are we doing?"
Please take a few moments to complete a short survey and give us your valued opinion. We are looking for feedback on your interaction with the Customer Contact Centers (General Inquiries, Claims Correction, Electronic Data Interchange (EDI) and Provider Enrollment). Your responses will help us enhance our service to you. Take our survey today *.
Reminder: 2015 Medicare Part B Fee Schedules Available Now
If you haven't already had a chance to download the new 2015 fee schedules, now is your chance! You can access our new Fee Search & Download Tool that offers a quick, convenient way to download the files or search by a single code.
