Monday, November 24, 2014

MLN Connects Videos on ICD-10: Medicare Testing Plans and Home Health Conversion

ICD-10
News Updates November 21, 2014

New MLN Connects™ Videos on ICD-10: Medicare Testing Plans and Home Health Conversion

These MLN Connects™ videos were recorded from CMS presentations at the ICD-10 Coordination and Maintenance Committee on September 23, 2014.
Keep Up to Date on ICD-10Visit the ICD-10 Medicare Fee-For-Service Provider Resources web page for Medicare Learning Network® educational materials, including a complete list of MLN Connects videos on ICD-10. To receive notification of upcoming MLN Connects videos and calls and the latest Medicare program information on ICD-10, subscribe to the weekly MLN Connects™ Provider eNews.
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
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Friday, November 21, 2014

Report Once in 2014 for Medicare Quality Reporting Programs

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

Thursday, November 20, 2014


View the MLN Connects™ Provider eNews

                                                                 View this edition as a PDF
In This Edition:
MLN Connects™ National Provider Calls
  • 2015 Physician Fee Schedule Final Rule: Changes to Physician Quality Reporting Programs — Register Now
  • National Partnership to Improve Dementia Care in Nursing Homes — Register Now
  • Certifying Patients for the Medicare Home Health Benefit — Register Now
  • New MLN Connects™ National Provider Call Audio Recording and Transcript
CMS Events
  • "Home Health Change of Care Notice and Advance Beneficiary Notice of Noncoverage” Webinar — Registration Open
Announcements
  • National Home Care and Hospice Month
  • Seasonal Influenza and Diabetes Awareness
  • Affordable Care Act and Health Care Coverage: CME Articles on Medscape
  • Prior Authorization Process for Repetitive, Scheduled, Non-Emergent Ambulance Transport
  • 2013 QRURs Available
  • PEPPER Still Available for SNFs, Hospices, CAHs, LTCHs, IPFs, IRFs and PHPs
  • Distribution of 2012 PQRS Supplemental Incentive Payments
  • EHR Incentive Program: How to Report Once in 2014 for Medicare Quality Reporting Programs
  • EHR Incentive Programs: Summary of Care Meaningful Use Requirements in Stage 2
Medicare Learning Network® Educational Products
  • The Medicare Learning Network® Autumn 2014 Catalog — Released
  • “Revised Centers for Medicare & Medicaid Services (CMS) 855R Application – Reassignment of Medicare Benefits” MLN Matters® Article — Released
  • “Medicare Billing: 837I and Form CMS-1450” Fact Sheet — Revised
  • “Medicare Billing: 837P and Form CMS-1500” Fact Sheet — Revised
  • “Evaluation and Management Services Guide” Educational Tool — Revised
  • New Medicare Learning Network® Provider Compliance Fast Fact
  • Medicare Learning Network® Product Available in Electronic Publication Format

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

Friday, November 14, 2014

ICD-10 Acknowledgement Testing: Open to all next week

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

Thursday, November 13, 2014


View the MLN Connects™ Provider eNews

                                                                  View this edition as a PDF
In This Edition:
MLN Connects™ National Provider Calls
  • 2015 Physician Fee Schedule Final Rule: Changes to Physician Quality Reporting Programs — Registration Now Open
  • National Partnership to Improve Dementia Care in Nursing Homes — Register Now
  • Certifying Patients for the Medicare Home Health Benefit — Registration Now Open
  • New MLN Connects™ National Provider Call Audio Recordings and Transcripts
CMS Events
  • Participate in ICD-10 Acknowledgement Testing Week: November 17 through 21, 2014
Announcements
  • Recognizing Lung Cancer Awareness Month and the Great American Smokeout
  • Dialysis Facility Compare Star Ratings and Data Release for January 2015
  • Coverage of Speech Generating Devices
  • Clinical Laboratory Improvement Amendments Proposed Rule
  • PQRS Negative Payment Adjustment
  • FY 2016 IRF Quality Reporting Program Submission Deadline: November 15
  • FY 2016 LTCH Quality Reporting Program Submission Deadline: November 15
  • OASIS Updates for Home Health Agencies
  • Get Ready for DMEPOS Competitive Bidding
  • EHR Incentive Program: Deadlines for 2014 Hospital Reporting on November 30
  • Changes to Medicare EHR Incentive Program Hardship Exceptions
  • ICD-10 Resources for Small Physician Practices on Medscape
Claims, Pricers, and Codes
  • ICD-10 MS-DRG v32 Definitions Manual and Medicare Code Editor Files Available
  • 2015 HCPCS Annual Update
  • Acute Inpatient PPS FY 2015.2 Software Release Available
  • FDG PET for Solid Tumors: Claims Hold Extension
Medicare Learning Network® Educational Products
  • "Safeguarding Your Medical Identity” Web-Based Training Course — Revised
  • “Medicare Enrollment and Claim Submission Guidelines” Booklet — Revised
  • “Medicaid Program Integrity: Understanding and Preventing Provider Medical Identity Theft” Booklet — Revised
  • “Medicaid Program Integrity: Preventing Provider Medical Identity Theft” Fact Sheet — Revised
  • “Medicaid Program Integrity: Safeguarding Your Medical Identity Using Continuing Medical Education (CME)” Educational Tool — Revised
  • Medicare Learning Network® Products Available in Electronic Publication Format

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

Friday, November 7, 2014

Now Released: CY 2015 Payment and Policy Changes

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

Thursday, November 6, 2014


View the MLN Connects™ Provider eNews

                                                                 View this edition as a PDF
In This Edition:

MLN Connects™ National Provider Calls

  • 2015 Physician Fee Schedule Final Rule: Changes to Physician Quality Reporting Programs — Registration Opening Soon
  • National Partnership to Improve Dementia Care in Nursing Homes — Registration Now Open
  • Certifying Patients for the Medicare Home Health Benefit — Registration Opening Soon
  • New MLN Connects™ National Provider Call Audio Recording and Transcript

MLN Connects™ Videos

  • Monthly Spotlight: Medicare Preventive Services

Announcements

  • CY 2015 Policy and Payment Changes to the Medicare Physician Fee Schedule
  • CY 2015 Policy and Payment Changes for ESRD Facilities and Implementation of Competitive Bidding-Based Prices for DMEPOS
  • CY 2015 Payment and Policy Changes for Hospital Outpatient and Ambulatory Surgical Centers
  • CY 2015 Payment Changes for Medicare Home Health Agencies
  • Raising Awareness of Diabetes in November
  • Final Rule Changes for Open Payments
  • Teaching Hospitals Receiving FTE Resident Caps Under Section 5506 of the Affordable Care Act
  • CMS is Accepting Suggestions for Potential PQRS Measures
  • Comparative Billing Report on Modifier 25: Family Practice

Medicare Learning Network® Educational Products

  • “Medicare Appeals Process” Podcast — New
  • “Skilled Nursing Facility Prospective Payment System” Fact Sheet — Revised
  • “Inpatient Rehabilitation Facility Prospective Payment System” Fact Sheet — Revised
  • Medicare Learning Network® Products Available in Electronic Publication Format

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

Tuesday, November 4, 2014

Last Chance to Register for MLN Connects National Provider Call on Transitioning to ICD-10

ICD-10
News Updates November 3, 2014

MLN Connects™ National Provider Call: Transitioning to ICD-10 — Last Chance to Register

Wednesday, November 51:30-3pm ET
To Register: Visit MLN Connects™ Upcoming Calls. Space may be limited, register early.
HHS has issued a rule finalizing October 1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10. During this MLN Connects™ National Provider Call, CMS subject matter experts will discuss ICD-10 implementation issues, opportunities for testing, and resources. A question and answer session will follow the presentations.
Agenda:
  • Final rule and national implementation
  • Medicare Fee-For-Service testing
  • Medicare Severity Diagnosis Related Grouper (MS-DRG) Conversion Project
  • Partial code freeze and annual code updates
  • Home health conversions
  • Claims that span the implementation date
Target Audience: Medical coders, physicians, physician office staff, nurses and other non-physician practitioners, provider billing staff, health records staff, vendors, educators, system maintainers, laboratories, and all Medicare providers
Continuing education credit may be awarded for participation in certain MLN Connects Calls. Visit the Continuing Education Credit Information web page to learn more.
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
Questions?  Contact Us
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Monday, November 3, 2014

Health Plan Identifier Notice of Enforcement Discretion

Centers for Medicare & Medicaid Services

Statement of Enforcement Discretion regarding 45 CFR 162 Subpart E - Standard Unique Health Identifier for Health Plans

Effective October 31, 2014, the Centers for Medicare & Medicaid Services (CMS) Office of E-Health Standards and Services (OESS), the division of the Department of Health & Human Services (HHS) that is responsible for enforcement of compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) standard transactions, code sets, unique identifiers and operating rules, announces a delay, until further notice, in enforcement of 45 CFR 162, Subpart E, the regulations pertaining to health plan enumeration and use of the Health Plan Identifier (HPID) in HIPAA transactions adopted in the HPID final rule (CMS-0040-F). This enforcement delay applies to all HIPAA covered entities, including healthcare providers, health plans, and healthcare clearinghouses.
On September 23, 2014, the National Committee on Vital and Health Statistics (NCVHS), an advisory body to HHS, recommended that HHS rectify in rulemaking that all covered entities (health plans, healthcare providers and clearinghouses, and their business associates) not use the HPID in the HIPAA transactions. This enforcement discretion will allow HHS to review the NCVHS’s recommendation and consider any appropriate next steps.

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