CMS Provider Education Message:
MLN Connects® Provider eNews for April 9, 2015
View this edition as a PDF
In This Edition:
- MLN Connects® National Provider Calls
- Open Payments (Sunshine Act) 2015: Prepare to Review Reported Data — Last Chance to Register
- How to Register for the PQRS Group Practice Reporting Option in 2015 — Last Chance to Register
- Medicare Shared Savings Program ACO: Application Process — Register Now
CMS Events
- Volunteer for ICD-10 End-to-End Testing in July — Forms Due April 17
- Webinar for Comparative Billing Report on Ophthalmology
Announcements
- Results From March 2015 ICD-10 Acknowledgement Testing Week
- Prepare for a Successful Transition to ICD-10 with Medicare Testing Resources
- 2015 PV-PQRS GPRO Registration is Now Open
- Open Payments Physician and Teaching Hospital Review and Dispute Period Began April 6
- EHR Stage 3 Proposed Rule: Comment Period Closes May 29
- Medscape Article for CME Credit: Public Reporting on Quality and Payments
Claims, Pricers, and Codes
- Mass Adjustment of OPPS Claims with APC 1448
- April 2015 Outpatient Prospective Payment System Pricer File Update
- January 2015 PPS Provider Data Available — Revised
Medicare Learning Network® Educational Products
- “Food and Drug Administration Approval of First Biosimilar Product” MLN Matters® Article —Released
- “Discontinued Coverage of Vacuum Erection Systems (VES) Prosthetic Devices in Accordance with the Achieving a Better Life Experience Act of 2014” MLN Matters® Article — Released
- “Partial Hospitalization Program (PHP) Claims Coding & CY2015 per Diem Payment Rates” MLN Matters® Article — Released
- “Medicare Information for Advanced Practice Registered Nurses, Anesthesiologist Assistants, and Physician Assistants” Booklet — Revised
- “The ABCs of the Initial Preventive Physical Examination (IPPE)” Educational Tool — Revised
- “The ABCs of the Annual Wellness Visit (AWV)” Educational Tool — Revised
Medical Policy Local Coverage Determination (LCD) and Article Updates
Medical Policy Updates
- The following JH Local Coverage Determination (LCDs) which were posted for notice on February 20, 2015 are now effective:
- Blood Glucose Monitoring in a Skilled Nursing Facility (SNF) (L27475)
- Coverage of Services and Procedures in Nursing Facilities (L27485)
- Diagnostic Abdominal Aortography and Renal Angiography (L32709)
- Evaluation and Management Services Provided in a Nursing Facility (L27496)
- Hemophilia Factor Products (L33658)
- Hydration Therapy (L32738)
- Lower Extremity Major Joint Replacement (Hip and Knee) (L35594)
- Monitored Anesthesia Care (MAC) (L32628)
- Non-Coronary Vascular Stents (L32641)
- Speech-Language Pathology (SLP) Services: Dysphagia; Includes VitalStim® Therapy (L27537)
- Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography (L32673)
The following JH MAC Local Coverage Determination (LCDs) which were posted for notice on February 20, 2015 are now effective. These LCDs have also been revised:
- Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds (L27549)
- Co-Management of Surgical Procedures (L27481)
- Speech-Language Pathology (SLP) Services: Communication Disorders (L27531)
The following JH LCDs have been retired effective April 8, 2015 for dates of service on and after April 9, 2015:
- Bioengineered Skin Substitutes (L32622)
- Hemophilia Factor Products (L32735)
Local Coverage Article Updates
The following JH Local Coverage Articles have been added:
- Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds (A54115)
- Speech-Language Pathology (SLP) Services: Communication Disorders (A54110)
- Co-Management of Surgical Procedures (A47790)
Medicare Learning Network (MLN) Articles from CMS
New:
Revised:
Spring has sprung and so have our 2015 Medicare Symposiums!
Join us, live and in-person, as we discuss what is new and exciting with Medicare. Topics this year include Medicare Secondary Payer (MSP), provider enrollment, and modifiers. Don’t miss your chance to interact with the Novitas Solutions Provider Outreach and Education team!
Register today to attend our upcoming symposium in Albuquerque, NM on Wednesday, April 22! This event will be held at the DoubleTree by Hilton Albuquerque.
Registration is available for other symposium events and more locations are still to come!
Registration closes two business days prior to the event, so register early to reserve your seat!
We look forward to seeing you at an upcoming symposium event!
