Reminder – Physician Compare Preview Period Open until November 16, 2015

Physician Compare Preview Period Open until November 16, 2015 The Physician Compare preview period has been extended until November 16, 2015 to give you more time to preview your measures. You can access the secured measures preview site now through the PQRS portal—Provider Quality Information Portal (PQIP). To learn more about which measures will be publicly reported andhow to preview your measures, visit the Physician Compare Initiative page. If you have any questions about Physician Compare, public reporting, or the 2014 quality measure preview period, please contact us at PhysicianCompare@Westat.com. Centers for Medicare & Medicaid Services (CMS) has sent this Medicare.gov- Physician Compare Update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.

Revised MLN Articles on Ordering/Referring and Part D Prescribing

The MLN Connects® Provider eNews contains important news, announcements, and updates for health care professionals. Thursday, October 29, 2015 Editor's Note:  If you order or refer items or services for Medicare beneficiaries and do not have a Medicare enrollment record, you need to submit an enrollment application to Medicare. See the revised MLN Matters® Special Edition Article #SE1305.  Also, see the revised MLN Matters Special Edition Article #SE1434 on provider enrollment requirements for writing prescriptions for Medicare Part D drugs. Learn how to enroll to order/refer or prescribe Part D drugs using the 855O and more. Can't view the image? Read the eNews! View this edition as a PDF New Feature: Click to View Articles! ICD-10 Qualifiers for ICD-10 Diagnosis Codes on Electronic Claims Get ICD-10 Answers in One Place MLN Connects® National Provider Calls and Events Clinical Diagnostic Laboratory Test Payment System Proposed Rule Call — Register Now National Partnership to Improve Dementia Care and QAPI Call — Registration Now Open New MLN Connects National Provider Call Audio Recording and Transcript Other CMS Events Webinar for Comparative Billing Report on Optometry Services Long-Term Care Hospital Quality Reporting Program Provider Training Announcements October is National Breast Cancer Awareness Month Protect Your Patients against Influenza and Pneumonia Hospital Value-Based Purchasing Program: FY 2016 Results DMEPOS Fee Schedule DME and PEN Text File Formats — Revised Antipsychotic Drug use in Nursing Homes: Trend Update EHR Incentive Programs: New Public Health Reporting FAQ Claims, Pricers, and Codes Claims Processing Issue for non-Pneumococcal and Influenza Vaccines Correction of Mammography Claims October 2015 OPPS Pricer File Update Medicare Learning Network® Educational Products “Provider Enrollment Requirements for Writing Prescriptions for Medicare Part D Drugs” MLN Matters Article — Revised “Full Implementation of Edits on the Ordering/Referring Providers in Medicare Part B, DME, and Part A HHA Claims” MLN Matters Article — Revised New Medicare Learning Network Educational Web Guides Fast Fact Like the eNews? Have suggestions? Please let us know! The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered trademarks of the U.S. Department of Health and Human Services (HHS).

Physician Compare Preview Period – Extended until November 16, 2015

Physician Compare Preview Period Extended Until November 16, 2015 The Physician Compare preview period has been extended to allow more time for individuals and group practices to preview their measures. You can now preview your 2014 quality measures until Monday, November 16, 2015. You can access the secured measures preview site now through the PQRS portal—Provider Quality Information Portal (PQIP). To learn more about which measures will be publicly reported andhow to preview your measures, visit the Physician Compare Initiative page. If you have any questions about Physician Compare, public reporting, or the 2014 quality measure preview period, please contact us at PhysicianCompare@Westat.com.

Centers for Medicare & Medicaid Services (CMS) has sent this Medicare.gov- Physician Compare Update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page

ICD-10 News: Qualifiers for ICD-10 Diagnosis Codes on Electronic Claims

News Updates | October 28, 2015
Qualifiers for ICD-10 Diagnosis Codes on Electronic Claims As you submit electronic claims for services, remember that: Claims with ICD-10 diagnosis codes must use ICD-10 qualifiers; all claims for services on or after October 1, 2015, must use ICD-10 Claims with ICD-9 diagnosis codes must use ICD-9 qualifiers; only claims for services before October 1, 2015, can use ICD-9 How to Use ICD-10 Qualifiers Use ICD-10 qualifiers as follows (FAQ 12889): For X12 837P 5010A1 claims, the HI01-1 field for the Code List Qualifier Code must contain the code “ABK” to indicate the principal ICD-10 diagnosis code being sent. When sending more than one diagnosis code, use the qualifier code “ABF” for the Code List Qualifier Code to indicate up to 11 additional ICD-10 diagnosis codes that are sent. For X12 837I 5010A1 claims, the HI01-1 field for the Principal Diagnosis Code List Qualifier Code must contain the code “ABK” to indicate the principal ICD-10 diagnosis code being sent. When sending more than one diagnosis code, use the qualifier code “ABF” for each Other Diagnosis Code to indicate up to 24 additional ICD-10 diagnosis codes that are sent. For NCPDP D.0 claims, in the 492.WE field for the Diagnosis Code Qualifier, use the code “02” to indicate an ICD-10 diagnosis code is being sent. Keep Up to Date on ICD-10 Visit the CMS ICD-10 website and Roadto10.org for the latest news and and official resources, including the ICD-10 Quick Start Guide and a contact list for provider Medicare and Medicaid questions. Sign up for CMS ICD-10 Email Updates and follow us on Twitter.

New Feature in This Week’s eNews

The MLN Connects® Provider eNews contains important news, announcements, and updates for health care professionals. Thursday, October 22, 2015 Editor's Note: New feature! Accessing content that interests you is even easier. Click on any title in the Table of Contents and jump directly to that article in the posted eNews. Take a minute to let us know how you like this new feature. Can't view the image? Read the eNews! View this edition as a PDF New Feature: Click to View Articles! ICD-10 Learn How to Assign an ICD-10-CM Diagnosis Code with MLN Connects Videos Video Slideshow from August 27 MLN Connects Call Available 5 Ways to Check Your Claim Status Contact List for ICD-10 Questions MLN Connects® National Provider Calls and Events Clinical Diagnostic Laboratory Test Payment System Proposed Rule Call — Registration Now Open New MLN Connects National Provider Call Audio Recording and Transcript Other CMS Events EHR Incentive Programs: Recording from Final Rule Webinar Available Announcements HHS Awards more than $240 Million to Expand the Primary Care Workforce HHS Awards up to $22.9 Million in Planning Grants for Certified Community Behavioral Health Clinics 2016 Value Modifier: Informal Review Request Period Open through November 9 2016 PQRS Payment Adjustment: Informal Review Request Period Open through November 9 IRF Quality Reporting Program Data Submission Deadline: November 15 LTCH Quality Reporting Program Data Submission Deadline: November 15 MACRA Request for Information: Comments Accepted through November 17 Dialysis Facility Compare: Submit your Comments through December 4 New Survey Process for Duodenoscopes/ Endoscopes/ Reusable Medical Devices Hospice Quality Reporting Program: New Training Modules Available Claims, Pricers, and Codes Mass Adjustments of IRF PPS Claims that Require a Special Wage Index Medicare Learning Network® Educational Products "Infection Control: Environmental Safety” Web-Based Training Course — Released "Infection Control: Injection Safety” Web-Based Training Course — Released “PECOS for Provider and Supplier Organizations” Fact Sheet — Revised Like the eNews? Have suggestions? Please let us know! The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered trademarks of the U.S. Department of Health and Human Services (HHS).

ICD-10 News: Checking Your Medicare FFS Claim Status

News Updates | October 20, 2015
Checking Your Medicare FFS Claim Status With the recent transition to ICD-10, you may wonder how soon you will know whether your Medicare fee-for-service (FFS) claim was paid. Generally speaking, Medicare FFS claims take several days to be processed and must also – by law – wait two weeks before payment is issued. You can check your Medicare FFS claim status by: Interactive Voice Response (IVR): IVR gives providers access to Medicare claims information through a toll-free telephone number. Visit your Medicare Administrative Contractor (MAC) website for information on the Provider Contact Center and IVR user guide. Customer Service Representative (CSR): Visit your MAC website for information on the Provider Contact Center only if you are unable to access claims information via IVR. MAC portal: Visit your MAC website for portal features and access. Direct Data Entry (DDE): Providers that bill institutional claims are also permitted to submit claims electronically via DDE screens. Visit yourMAC website for more information. ASC X12: The ASC X12 Health Care Claim Status Request and Response (276/277) is a pair of electronic transactions you can use to request the status of claims (via the 276) and receive a response (via the 277). Visit yourMAC website for more information. Keep Up to Date on ICD-10 Visit the CMS ICD-10 website and Roadto10.org for the latest news and resources, including the ICD-10 Quick Start Guide. Sign up for CMS ICD-10 Email Updates andfollow us on Twitter.