Industry News

Jurisdiction B News: Fourth National Medicare FFS Education Call on HIPAA

Rescheduled: Fourth National Medicare Fee-For-Service (FFS) Education Call on HIPAA Version 5010 (201003-26)   The Centers for Medicare & Medicaid Services (CMS) will be hosting its fourth national provider call regarding the implementation of HIPAA Version 5010. There will be a brief presentation given by CMS followed by a Q&A session with CMS subject matter experts. Please note that... Read More..


Jurisdiction B News: New From The Medicare Learning Network

OF SPECIAL NOTE!   The Centers for Medicare & Medicaid Services (CMS) continues to break new ground to enhance our Medicare Fee-For-Service outreach efforts. CMS is now using the following social media outlets to get information out to our audience as fast as possible.   LinkedIn:   Join the CMS group at www.LinkedIn.com/in/CMSGov      YouTube :  Log... Read More..


Medicare Ends Contract with Fox Insurance Company Drug Plan

March 16, 2010 Members Will Be Provided Access to Drugs While Transitioning to New Plans The Centers for Medicare & Medicaid Services (CMS) today terminated its contract with Fox Insurance Company. After an onsite review of the plan and its services, CMS determined that the plan's significant deficiencies – not meeting Medicare's requirements to provide enrollees with prescription... Read More..


Jurisdiction B News: Soliciting Phone Calls to Medicare Beneficiaries

The National Government Services Jurisdiction B Clinical Education department has received many referrals regarding suppliers soliciting beneficiaries via telephone for Medicare covered item(s).  It is very important for suppliers to be aware that they are prohibited under section 1834 (a) (17) (a) of the Social Security Act against unsolicited telephone contacts by suppliers.   S... Read More..


Jurisdiction B News: Five-Star Quality Rating System – March News

1. The Five-Star provider preview reports will be available beginning Monday, March 15, 2010.  Providers can access the report from the Minimum Data Set (MDS) State Welcome pages available at the State servers for submission of Minimum Data Set data. Provider Preview access information: Visit the MDS State Welcome page available on the State servers where you submit MDS ... Read More..


Attention All Express Plus Users: Reminder - Express Plus Transitioning to PC-ACE Pro32

The Common Electronic Data Interchange (CEDI) currently supports both Express Plus and PC-ACE Pro32 for billing durable medical equipment (DME) electronic claims. After careful consideration, CEDI has decided to transition support to one free software; PC-ACE Pro32. As of April 1, 2010, the CEDI Help Desk will no longer support the Express Plus software. CEDI feels this will best meet the needs o... Read More..


Jurisdiction B News: Knee Orthoses Lunch & Learn Registration Information

The Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (DME MAC), Provider Outreach and Clinical Education Department is offering a free one hour teleconference on the Knee Orthoses local coverage determination. We will not be able to conduct the usual Question and Answer session at the end of this teleconference, so we ask that any questions you may have be sent to the ... Read More..


Jurisdiction B News: Proposed Rule for Establishment of Certification Programs

Proposed Rule for the Establishment of Certification Programs for Health Information Technology (201003-07) A Message from Dr. David Blumenthal, National Coordinator for Health Information Technology March 2, 2010 Today the Secretary of the Department of Health and Human Services (HHS) released a notice of proposed rulemaking (NPRM) outlining the proposed approach for establish... Read More..


Important Training Opportunity from National Government Services: Consultation Code Seminars

Consultation Code Seminars Medicare no longer pays for the CPT consultation codes (ranges 99241-99245 and 99251-99255), as of Jan. 1, 2010. National Government Services is offering four seminars in March to help providers understand the changes in Medicare coding and payment for consultation services. Providers of all specialties should plan on attending one of these sessions.   ... Read More..


Jurisdiction B News: Knee Orthoses Lunch & Learn Registration Now Available

Registration Now Available – Knee Orthoses Lunch and Learn   The Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (DME MAC) Provider Outreach and Clinical Education Department offers a variety of free one-hour teleconferences titled “Lunch and Learns” that will provide an overview of a specific DME medical policy.   A “Lunch and Learn” teleconfer... Read More..