Friday, September 26, 2014

ICD-10 News: ICD-10 Is Coming Oct. 1, 2015

ICD-10
News Updates September 26, 2014

ICD-10 Compliance Date Is Oct. 1, 2015

Reminder: the U.S. Department of Health and Human Services (HHS) issued a rule finalizing Oct. 1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10, the tenth revision of the International Classification of Diseases. This deadline allows providers, insurance companies and others in the health care industry time to ramp up their operations to ensure their systems and business processes are ready to go on Oct. 1, 2015.
The rule requires the use of ICD-10 beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015.
For resources on transitioning to ICD-10, visit the ICD-10 website.
Keep Up to Date on ICD-10Visit the CMS ICD-10 website for the latest news and resources to help you prepare. Sign up for CMS ICD-10 Industry Email Updates and follow us on Twitter.
Department of Health and Human ServicesCenters for Medicare & Medicaid Services
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Administrative Simplification News: New System Features for HPID Enumeration

Centers for Medicare & Medicaid Services

New Functionality for HPID Enumeration

The Health Plan and Other Entity Enumeration System (HPOES), which is used by health plans to apply for ahealth plan identifier (HPID), has been updated with new functionality. HPOES now allows multiple controlling health plans to register for an HPID using a single employer identification number (EIN). Please consult the Health Plan ID User Manual as well as the new systems Quick Guide on the CMS website for more information.

Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.
 

Thursday, September 25, 2014

CMS MLN Connects™ Weekly Provider eNews – Important PQRS, eRx and Hospital Appeals Settlement Updates

The MLN Connects™ Provider eNews contains important news, announcements, and updates for health care professionals.

Thursday, September 25, 2014


Don’t miss important information on PQRS, eRx & the Hospital Appeals Settlement in this week’s edition!

View the MLN Connects™ Provider eNews

                                                                 View this edition as a PDF
In This Edition:

MLN Connects™ National Provider Calls

  • Hospital Compare Star Ratings: Overview of HCAHPS Star Ratings — Registration Opening Soon
  • Hospital Appeals Settlement Update — Registration Now Open
  • Transitioning to ICD-10 — Register Now
  • New MLN Connects™ National Provider Call Video Slideshow

Announcements

  • Volunteers Sought for ICD-10 End-to-End Testing in January: Forms due October 3
  • National Partnership to Improve Dementia Care Exceeds Goal to Reduce Use of Antipsychotic Medications in Nursing Homes: CMS Announces New Goal
  • Hospital Appeals Settlement: New FAQs Posted
  • Groups: Remember to Register for 2014 PQRS GPRO Participation by September 30
  • 2014 PQRS 2nd Quarter Interim Feedback Dashboard Reports Available
  • 2013 PQRS and eRx Incentive Program Incentive Payments Available
  • 2013 PQRS and eRx Incentive Program Feedback Reports Available
  • 2012 eRx Incentive Program and 2012 PQRS Supplemental Incentive Payments Available
  • Completion and Submission Timeframes for Hospice Item Set Records
  • Important Skill Sets for Doctors and Nurses: CME Articles Available on Medscape
  • New Resources and Webinars from National Health IT Week
  • PQRS: New Quality Reporting Training Modules to Help Ensure Satisfactory 2014 Reporting
  • 2014 CAHPS for PQRS Survey
  • New PQRS FAQs Available
  • New and Updated FAQs for the EHR Incentive Programs

Claims, Pricers, and Codes

  • FDG PET for Solid Tumor Claims

Medicare Learning Network® Educational Products

  • “Medicare Billing Information for Rural Providers and Suppliers” Booklet — Revised
  • “Rural Health Clinic” Fact Sheet — Revised
  • “Avoiding Medicare Fraud & Abuse: A Roadmap for Physicians” Fact Sheet — Revised
  • “Critical Access Hospital” Fact Sheet — Revised
  • Subscribe to the Medicare Learning Network® Educational Products and MLN Matters® Electronic Mailing Lists

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Monday, September 22, 2014

ICD-10 News: Volunteers Sought for ICD-10 End-to-End Testing in January: Forms due October 3

ICD-10
News Updates September 19, 2014

Volunteers Sought for ICD-10 End-to-End Testing in January: Forms due October 3

January 26-30, 2015
During the week of January 26 through 30, 2015, a sample group of providers will have the opportunity to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor. The goal of end-to-end testing is to demonstrate that:
  • Providers and submitters are able to successfully submit claims containing ICD-10 codes to the Medicare Fee-For Service (FFS) claims systems
  • CMS software changes made to support ICD-10 result in appropriately adjudicated claims
  • Accurate Remittance Advices are produced
Approximately 850 volunteer submitters will be selected to participate in the January end-to-end testing. This nationwide sample will yield meaningful results, since CMS intends to select volunteers representing a broad cross-section of provider, claim, and submitter types, including claims clearinghouses that submit claims for large numbers of providers.
To volunteer as a testing submitter:
  • Volunteer forms are available on your MAC website
  • Completed volunteer forms are due October 3
  • CMS will review applications and select the group of testing submitters
  • By October 24, the MACs and CEDI will notify the volunteers selected to test and provide them with the information needed for the testing 
Additional opportunities for end-to-end testing will be available in 2015. Any issues identified during testing will be addressed prior to ICD-10 implementation. Educational materials will be developed for providers and submitters based on the testing results.
For more information:
MLN Matters® Special Edition Article #SE1409, “Medicare FFS ICD-10 Testing Approach” 
Keep Up to Date on ICD-10
Visit the CMS ICD-10 website for the latest news and resources to help you prepare. Sign up for CMS ICD-10 Industry Email Updates and follow us on Twitter.
Department of Health and Human ServicesCenters for Medicare & Medicaid Services

Thursday, September 18, 2014

CMS MLN Connects™ Weekly Provider eNews: Upcoming Events on ICD-10 & Hospital Appeals Settlement

The MLN Connects™ Provider eNews contains important news, announcements, and updates for health care professionals.

Thursday, September 18, 2014


Be sure to check out the upcoming calls and event on ICD-10 and the Hospital Appeals Settlement in this week’s edition!

View the MLN Connects™ Provider eNews

                                                                 View this edition as a PDF
In This Edition:
MLN Connects™ National Provider Calls
  • Hospital Appeals Settlement Update — Registration Opening Soon
  • Transitioning to ICD-10 — Registration Now Open
  • New MLN Connects™ National Provider Call Audio Recording and Transcript
CMS Events
  • ICD-10 Coordination and Maintenance Committee Meeting
Announcements
  • New Affordable Care Act Tools and Payment Models Deliver $372 Million in Savings, Improve Care
  • HHS Provides Additional Flexibility for Certification of Electronic Health Record Technology
  • Medicare EHR Incentive Program: October 3 Last Day for 1st-year EPs to Begin 2014 Reporting Period
Claims, Pricers, and Codes
  • Mass Adjustments to IPF Claims with Teaching Adjustment Amounts Being Duplicated
MLN Educational Products
  • "2014-2015 Influenza (Flu) Resources for Health Care Professionals" MLN Matters® Article — Released
  • "Internet-based PECOS FAQs" Fact Sheet — Released
  • "Safeguard Your Identity and Privacy Using PECOS" Fact Sheet — Released
  • "Dual Eligible Beneficiaries Under the Medicare and Medicaid Programs" Fact Sheet — Revised
  • "Health Professional Shortage Area (HPSA) Physician Bonus, HPSA Surgical Incentive Payment, and Primary Care Incentive Payment Programs" Fact Sheet — Revised
  • MLN Products Available In Electronic Publication Format

Is the eNews meeting your needs? Give us your feedback!

Monday, September 15, 2014

Register Now for the CMS-AAPC ICD-10 Code-a-thon on September 15, 2014

ICD-10
News Updates September 12, 2014

Get Your ICD-10 Coding Questions Answered by AAPC Experts!

The fourth annual National Health IT Week takes place September 15-19. CMS will mark the week by hosting webinars and launching new eHealth University resourcesthat help providers participate in eHealth programs. For the latest news and updates on CMS health IT activities, visit the CMS eHealth website.
The Centers for Medicare & Medicaid Services (CMS) is collaborating with the American Academy of Professional Coders (AAPC) on a “code-a-thon” event to help providers and industry professionals learn about ICD-10.
The code-a-thon will take place MondaySeptember 15, 2014, from 1:00 p.m. to 4:45 p.m. ET, beginning with an introduction by CMS and a presentation by AAPC. The code-a-thon will include a live three-hour Q&A with ICD-10 trainers from AAPC.
The code-a-thon is a great opportunity to learn more about the ICD-10 code set and get individual questions answered by AAPC coding experts.
Space is limited, so register now to ensure you don't miss this event. We hope you will join us!
Keep Up to Date on ICD-10.
Please visit www.cms.gov/icd10 for the latest news and resources to help you prepare!
Department of Health and Human ServicesCenters for Medicare & Medicaid Services
Questions?  Contact Us
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Thursday, September 11, 2014

CMS MLN Connects™ Weekly Provider eNews

The MLN Connects™ Provider eNews contains important news, announcements, and updates for health care professionals.

Thursday, September 11, 2014


View the MLN Connects™ Provider eNews

                                                                 View this edition as a PDF
In This Edition:
MLN Connects™ National Provider Calls
  • PQRS: How to Avoid 2016 Negative Payment Adjustments for CMS Medicare Quality Reporting Programs — Last Chance to Register
Announcements
  • Hospitals Appeals Settlement FAQs
  • National Cholesterol Education Month — Medicare Preventive Services for Cardiovascular Disease
  • New Release of PEPPER for Short-term Acute Care Hospitals
  • EHR Incentive Programs: Learn More about Patient Electronic Access Requirements
  • EHR Incentive Programs: Exclusions and Hardship Exceptions for Broadband Access
Claims, Pricers, and Codes
  • Incarcerated Beneficiary Update
  • Updated Information on Preventive Services Paid Based on the RHC or FQHC All-Inclusive Rate
  • October 2014 Average Sales Price Files Now Available
MLN Educational Products
  • "HIPAA Privacy and Security Basics for Providers" Fact Sheet — Released
  • "The CMS Physician Quality Reporting System (PQRS) Program: What Medicare Eligible Professionals Need to Know in 2014" Web-Based Training Course — Released
  • "The CMS Value-Based Payment Modifier: What Medicare Eligible Professionals Need to Know in 2014" Web-Based Training Course — Released
  • "The Medicare and Medicaid EHR Incentive Programs: What Medicare and Medicaid Providers Need to Know in 2014" Web-Based Training Course — Released
  • "Examining the Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN)" MLN Matters®Article — Revised
  • "Scenarios and Coding Instructions for Submitting Requests to Reopen Claims that are Beyond the Claim Filing Timeframes – Companion Information to MM8581: Automation of the Request for Reopening Claims Process" MLN Matters® Article — Revised
  • New MLN Topic of the Month  

Is the eNews meeting your needs? Give us your feedback!

Thursday, September 4, 2014

CMS MLN Connects™ Weekly Provider eNews

The MLN Connects™ Provider eNews contains important news, announcements, and updates for health care professionals.

Thursday, September 4, 2014


View the MLN Connects™ Provider eNews

                                                               View this edition as a PDF
In This Edition:

MLN Connects™ National Provider Calls

  • CMS Offers Settlement to Acute Care Hospitals and CAHs for Resolving Patient Status Denials — Register Now
  • PQRS: How to Avoid 2016 Negative Payment Adjustments for CMS Medicare Quality Reporting Programs — Register Now
  • New MLN Connects™ National Provider Call Audio Recording and Transcript
  • Providers and Suppliers — Browse the MLN Connects™ Call Program Collection of Resources

Announcements

  • Get Ready for DMEPOS Competitive Bidding — Get Accredited
  • Healthy Aging® Month — Discuss Preventive Services with your Patients
  • New CMS Rule Allows Flexibility in Certified EHR Technology for 2014
  • Open Payments System Outages

MLN Educational Products

  • “Quick Reference Information: Coverage and Billing Requirements for Medicare Ambulance Transports” Educational Tool — Released
  • “Intravenous Immune Globulin (IVIG) Demonstration - Implementation” MLN Matters® Article — Revised
  • “Medicare Enrollment and Claim Submission Guidelines” Booklet — Revised
  • “Medicare Vision Services” Fact Sheet — Revised
  • “Medicare Enrollment Guidelines for Ordering/Referring Providers” Fact Sheet — Revised
  • New MLN Provider Compliance Fast Fact
  • MLN Products Available in Electronic Publication Format

Is the eNews meeting your needs? Give us your feedback!