PARA Weekly Update For Users April 18 2018 by CorroHealth

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PARA WEEKLY CODING FOR HPV SCREENING

UPDATE For Users

Improving T he Businessof HealthCare Since 1985 April 18, 2018 NEWS FOR HEALTHCARE DECISION MAKERS

IN THIS ISSUE QUESTIONS & ANSWERS - Platelet Gel Services - Excision Of Resurfacing Hip - Lasix And Benadryl With Blood Transfusion - 93792 And 93793 Coagulation Clinic - Taxonomy PRESS RELEASE: DFWHC TEAMS UP WITH PARA ANALYTICS RURAL HOSPITAL PROGRAM GRANTS AVAILABLE

The number of new or revised Med Learn (MLN Matters) articles released this week. All new and previous Med Learn articles can be viewed under the type "Med Learn", in the Advisor tab of the PARA Dat a Edit or . Click here.

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MEDICARE DIABETES PREVENTION PROGRAM (MDPP) LOG IN TO THE PDE USING GOOGLE CHROME

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The number of new or revised Transmittals released this week. All new and previous Transmittals can be viewed under the type "Transmittals" in the Advisor tab of the PARA Dat a Edit or . Click here.

FAST LINKS: Click on the link for special areas of interest:

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Administration: Pages 1-38 HIM/Coding Staff: Pages 1-38 Providers: Pages 2-3,6,12,27,29-35 Orthopedic Services: Page 3 Pharmacy Services: Page 4 Blood Services: Pages 4-5

Behavioral Health: Page 6 Finance Depts: Pages 10,24,26 Rural Healthcare Facilities: Page 11 Diabetes Care: Page 12 Business Development: Page 11 Skill Nursing Facilities: Pages 25,32

CPT is a r egist er ed t r adem ar k of t h e Am er ican M edical Associat ion

PARA Weekly Update: April 18 2018

PLATELET GEL SERVICES

Question: We are trying to decide if we want to keep Platelet Gel services. Would you please let us know if there is a way we as a facility we can get reimbursement? Here are issues we are currently facing: 1. We have a few surgeons that call on an outside rep, Advanced Healing Solutions, to come to BCH during a surgery to do Platelet Rich Plasma injections. BCH has no direct involvement with PRP other than getting a monthly bill from AHS. 2. The service is not billed to patient, the cost is absorbed by BCH because most insurance companies will not reimburse (at least in the past, new research has not been done on reimbursement). 3. BCH had 158 cases in 2017 that had PRP therapy which is $66,360 billed to BCH. 4. We are looking into discontinuing paying AHS for their service, and having the surgeons who utilize this service either absorb the cost themselves or bill the patient, removing BCH from responsibility. 5. This is also a problem for surgery billing as we have OR staff not documenting platelet gel on the OR record, surgeons not consistent in documenting it in the procedure, and billing spending more time reconciling AHS bill with surgeries that do not reflect Platelet Gel usage. Answer: The issue is that Medicare will package that code to the surgical for Status S and T procedures. The hospital should add a supply charge to the account to cover the services from AHS (plus a markup.) However, that will not change the hospital?s reimbursement for inpatient cases paid on a DRG or for Medicare outpatient APC reimbursement. For outpatient surgeries, the hospital can (and should) report 0232T ? although 0232T is a status Q1 HCPCS ? payment would be packaged to the reimbursement for the surgical procedure when billed together on the same DOS.

We tested a few orthopedic surgical HCPCS to see if there is a CCI edit ? these are clear: Demonstration Hospital

PARA Weekly Update: April 18, 2018

EXCISION OF RESURFACING HIP

Question: What is the appropriate CPT® code(s) to report resurfacing of left hip? Procedure: The physician makes an incision along the posterior aspect of the hip with the patient in a lateral decubitus position. The short external rotator muscles are released by incision from their insertion on the femur, exposing the joint capsule. The physician incises the capsule. The hip is dislocated posteriorly. The physician removes the femoral head with a reciprocating saw. The physician removes any osteophytes around the rim of the acetabulum with an osteotome. The acetabulum is reamed out with a power reamer, exposing both subchondral and cancellous bone. The acetabular component is inserted. The femoral canal is prepared using a hand or power reamer. The physician prepares the femoral shaft by enlarging the canal with a rasp. The stem is secured into the femoral shaft. The stem is inserted and pounded into place with an impactor. The physician repositions the femoral stem prosthesis. The physician augmented the area with an autograft allograft. The graft was a donor bone. The physician placed the bone graft into the canal and acetabulum. The hip is repositioned. The external rotator muscles are reattached. The incision is repaired in layers with suction drains. Answer: Report CPT® code 27130, Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft. The operative note states autograft was utilized. An additional code is not needed since the full CPT® Code description includes ?with or without autograft or allograft?. As stated in the AMA CPT® Assistant December 2011, resurfacing is a variant of a total hip arthroplasty and should be coded to CPT® code 27130. Please refer to the PARA Data Editor code description and PARA Data Editor reference AMA CPT® Assistant December 2011.

PARA Weekly Update: April 18 2018

LASIX AND BENADRYL WITH BLOOD TRANSFUSION

Question: We have a question about whether or not it is appropriate to charge 96374 and 96375 for the administration of IV Lasix and Benadryl that are given prior to a blood transfusion. This is given to most of our blood transfusion patients as that is the way it is ordered. We do not have a reason documented for medical necessity other than the diagnosis reason for the blood transfusion. Would it be appropriate to charge for the administration of these drugs with the correct modifier along with 36430 for the blood transfusion? Or, should we only bill for the blood transfusion and the pharmacy charges of the medications given? Answer: The question is a judgment as to whether the infusion of benedryl and Lasix are ?integral to? the blood transfusion. Attached is a link to PARA?s paper on ?integral to? concepts. Within that paper, we offer the following test:

Using this guidance, if the infusion of Benadryl and Lasix is not always performed with a blood transfusion, and the blood transfusion can be properly performed without the infusion of Benadryl and Lasix, then the hospital may report these services separately. A number of providers routinely administer Benadryl with blood transfusions to reduce some unpleasant sensitivity for the patient. If the Lasix is provided to treat another condition, and was not necessarily administered only because the patient received a transfusion, it may be reported. However, both of these medications have oral alternatives ? in other words, it begs the question as to whether administration by IV is truly medically necessary. Medicare does not pay for IV administration of a self-administered drug unless it is medically necessary to use that route of administration. 4

PARA Weekly Update: April 18, 2018

93792 AND 93793 COAGULATION CLINIC

Question: Do you have a document summarizing when CPTsÂŽ 93792 & 93793 can be billed and criteria for who can perform the service? We have a RN based coagulation clinic currently and would like to understand better if these are CPTsÂŽ we should be utilizing. Answer: The HCPCS 93792 and 93793 are not billable by a hospital to Medicare, they are physician fee schedule services only. Therefore, only an enrolled provider acting within the scope of his/ her licensure may bill for these services ? i.e. MD, DO, ARNP, PA. If the provider billing for these services is in a non-hospital clinic setting, the ?incident to? rules could be used to allow another person on the physician?s care team to provide the service under the physician?s direction, but bill it as though the enrolled provider performed it. The individual performing the service under supervision must be acting within state scope of practice laws applicable to his/ her licensure or certification. Demonstration Hospital

To the right is a link to PARA's paper on billing ?Incident to?. ?Incident to? billing is not an option in the facility setting, including provider-based clinics.

PARA Weekly Update: April 18 2018

TAXONOMY

Question: On the 1500, Box 33 - Billing Taxonomy - POS 51, we have two units (Behavioral Health and Geriatric Psych) within the hospital walls for which we bill under the same PTAN numbers. What would the taxonomy code be? Right now it is going out as acute taxonomy 273R00000X. After reviewing some of our billing taxonomy set up, I believe we are sending some improper billing taxonomies on claims. I'm trying to redesign the set up, but we are all really unclear on what service lines should have separate billing taxonomies from the general acute taxonomy, and what would be the most appropriate taxonomy. I'm very new to healthcare billing, and am more familiar with information technology, and need to correct long-standing bad set up, so any guidance would be appreciated. Answer: We are happy to share our experience with you, but the best source of advice would be from your clearinghouse. They won?t tell you which taxonomy to use, but they can tell you if it is a required field. On facility claims, we are not sure that the taxonomy code of the facility is a required field. If it is not required, we don't recommend reporting it, and I certainly would not try to be more granular in reporting than necessary. More on that below. Unless the psychiatric unit qualifies as ?Distinct Part Unit? under Medicare, the acute taxonomy code for facility claims for all hospital services, including behavioral health and geriatric psych units, should serve all purposes well enough. Here?s an excerpt from the taxonomy code set from WPI: http://nucc.org/index.php/code-sets-mainmenu-41/provider-taxonomy-mainmenu-40/ code-lookup-mainmenu-50

PARA Weekly Update: April 18, 2018

TAXONOMY

On professional fee claims, commercial payers may want the taxonomy code of the rendering provider, but according to our research and experience, Medicare does not rely on the rendering provider?s taxonomy code in processing claims. Medicare uses the provider's enrollment data to determine whether, for instance, two providers of the same specialty group are billing for the same patient on the same DOS. It is possible that commercial payers want taxonomy codes on professional fee claims ? but only to the extent that it applies to the physician/ mid-level, not necessarily the facility taxonomy. For example, United Health will not pay certain radiology interpretation codes unless the billing provider is a radiologist ? which information they likely obtain by the professional providers?taxonomy code. In terms of reporting POS 51 on a professional fee claim, there will be no difference in reimbursement whether this POS is reported or whether POS 21 Inpatient Hospital is reported. POS 51 is appropriate if the psychiatric unit is a Distinct Part Unit. If your psychiatric unit qualifies as a distinct part unit, then POS 51 is probably accurate. - POS 51 is Inpatient Psychiatric Facility -- A facility that provides inpatient psychiatric services for the diagnosis and treatment of mental illness on a 24-hour basis, by or under the supervision of a physician. - POS 21 Inpatient Hospital -- A facility, other than psychiatric, which primarily provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services by, or under, the supervision of physicians to patients admitted for a variety of medical conditions. For the record, Medicare is by law required to be the keeper of taxonomy code sets, so you?ll see them announce taxonomy codes here and there ? with a little explanation about how it?s their duty under law to do so. Here?s a link to Med Learn publication describing the last time CMS updated the code set: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/ MLNMattersArticles/downloads/MM10141.pdf

The Medicare Claims Processing Manual indicates that taxonomy is generally not reported in box 33b on the HCFA 1500/ 837i:

PARA Weekly Update: April 18 2018

TAXONOMY

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c26.pdf

Here?s an excerpt from another chapter of the Medicare Claims Processing Manual that confirms my prior billing experience ? if the taxonomy code is reported, it has to be a valid code ? the MACs verify that the code is a valid code: https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c24.pdf Medicare Claims Processing Manual Chapter 24 ? General EDI and EDI Support Requirements, Electronic Claims, and Mandatory Electronic Filing of Medicare Claims

PARA Weekly Update: April 18, 2018

TAXONOMY

Here?s an excerpt from a CMS ?Companion Guide? that mentions taxonomy codes: https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/COBA-Trading-Partners /Downloads/COBA-Companion-Guide-Version-52-Revised-September-26-2014-.pdf

Please confer with your clearinghouse for advice on what taxonomy code fields are required on electronic claims. 9

PARA Weekly Update: April 18 2018

DFWHC TEAMS WITH PARA FOR HEALTHCARE ANALYTICS

Pr ess Release IM M EDIATE RELEASE ? April 13, 2018 CONTACTS: Chris Wilson, DFWHC chrisw@dfwhc.org 972.719.4900 Faye Openshaw, PARA Healthcare Analytics fopenshaw@para-hcfs.com 843.323.9206 IRVING, TX ? The Dallas-Fort Worth Hospital Council (DFWHC) and PARA HealthCare Analytics are pleased to announce a strategic partnership effective immediately. The teaming is expected to benefit North Texas hospitals by enhancing the value DFWHC offers its members through the wide range of revenue cycle management solutions provided by PARA HealthCare Analytics. The partnership continues a long-standing DFWHC trend to team with select companies that provide valuable services to its healthcare members. W. Stephen Love, president/CEO of DFWHC said, ?We are pleased to have PARA HealthCare Analytics partner with DFWHC. Their team of experts provide reimbursement, pricing, coding and contract management services to hospitals encompassing all aspects of the healthcare revenue cycle.? PARA HealthCare Analytics was founded in 1985 to provide reimbursement, pricing, coding and contract management services to hospitals. During the past 32 years, PARA services have resulted in significant financial improvement for healthcare providers across the U.S. ?PARA HealthCare Analytics is honored to be selected to partner with the DFW Hospital Council. We appreciate the opportunity to work with providers and help them perform at their best,? said Peter A. Ripper, president and founder of PARA HealthCare Analytics. ?We are looking forward to providing support and cost savings to the hospitals of North Texas.? PARA HealthCare Analytics (https://www.para-hcfs.com/) is a comprehensive single source for Revenue Cycle Management solutions and is comprised of individuals with extensive experience to support the revenue cycle process. You can access their weekly newsletter detailing timely healthcare updates at https://www.para-hcfs.com/newsletter. DFWHC is an 85 hospital and 85 associate member trade organization with more than 48 years of service to North Texas healthcare. Governed by a board of trustees made up of hospital executive officers, the hospital trade association is committed to the continuous improvement of patient care.

PARA Weekly Update: April 18, 2018

RURAL HOSPITAL PROGRAM GRANTS AVAILABLE

Rural hospitals and clinics face their own set of unique and burdensome challenges when it comes to program development, cash management and maintaining volume. That's why it's great when they can get some great assistance from external funding sources. At PARA, we've found an excellent source of funding opportunities for rural healthcare facilities. Here are some examples.

Distance Learning and Telemedicine - Provides up to $500,000 in capital funding to encourage and improve telemedicine and distance learning services in rural areas. - Application Deadline: June 4, 2018 Here's the link:

Relatives As Parents Program - Provides up to $10,000 in funding to support the creation or expansion of healthcare, mental health services, and other supportive services for grandparents and other relatives who have taken on the responsibility of surrogate parenting due to the absence of the parents. - Application Deadline: June 13, 2018 Here's the link 11

PARA Weekly Update: April 18 2018

MEDICARE DIABETES PREVENTION PROGRAM (MDPP) The Centers for Medicare and Medicaid created The Medicare Diabetes Prevention Program, or MDPP which took effect April 1, 2018. This expansion model allows Medicare beneficiaries to access evidence-based diabetes prevention services. This program model has a goal to lower the rate of progression to type 2 diabetes, improve the health of the Medicare beneficiary and reduce spending for diabetic services. This model program is rendered on a structured intervention process to assist Medicare beneficiaries diagnosed with ?pre-diabetes? from progressing to type 2 diabetes. Beneficiaries already having an established diabetes diagnosis are NOT eligible for this program. Details on the CMS website can be found using the link below, however PARA staff has created this article to explain some of the details of this new program: https://innovation.cms.gov/initiatives/medicare-diabetes-prevention-program/

Effective dates for provider participation: In the publishing of the CY2018 PFS final rule MDPP services may begin on April 01, 2018. Prospective MDPP suppliers began the enrolling process on January 01, 2018 and continue on a rolling basis. Once MDPP suppliers complete the application and are approved, billing privileges will begin as of April 01, 2018. For all others, as the approval dates issued by CMS, billing privileges will begin on the date the application was submitted. 12

PARA Weekly Update: April 18, 2018

MEDICARE DIABETES PREVENTION PROGRAM (MDPP) What is covered under the MDPP? There are structured sessions with a ?coach?, using Centers for Disease Control and Prevention (CDC) approved curriculum to provide training in dietary changes, as well as ways to increase physical activity and weight-loss targets. Within the structured sessions, there are 12 months of core sessions for participating beneficiaries with the indications of pre-diabetes. There is also an additional 12 months of on-going maintenance sessions for beneficiaries that meet weight-loss and attendance goals. Eligible Medicare Beneficiaries are designated as: 1. Beneficiaries enrolled in Medicare Part B 2. Have a body mass index (BMI) of at least 25, or at least 23 if self-identified as Asian. 3. Beneficiaries must meet one (1) of the following three (3) blood test requirements within the 12 months of the first core session: - hemoglobin A1c test with a value between 5.7 and 6.4%, or - A fasting plasma glucose of 110-125mg/ dL, or - A 2-hour plasma glucose of 140-199mg/ dL (oral glucose tolerance test) 4. Have NO previous diagnosis of type 1 or type 2 diabetes (exception is gestational diabetes) 5. Do NOT have end-stage renal disease (ESRD) At this stage of the MDPP implementation, a referral from a physician is NOT required for beneficiaries to participate in this program. How does the MDPP model reimburse for services? All participating MDPP suppliers are paid performance-based payments through the CMS claims system. Medicare payments to suppliers will range and can be up to $670.00 per beneficiary over a two-year period. This payment is based on the beneficiary meeting goals of weight-loss and attendance, as demonstrated in the table below:

PARA Weekly Update: April 18 2018

MEDICARE DIABETES PREVENTION PROGRAM (MDPP)

Table Keys: *= The required minimum weight loss from baseline assessments must be achieved or maintained during the core maintenance session 3-month interval or maintained during the on-going maintenance session 3-month interval. **= The beneficiary must attend at least 1 core session during the core services period to initiate the MDPP services period; must attend at least 1 session during the final core maintenance session 3-month interval; and must achieve or maintain the required minimum weight loss at least once during the final core maintenance session 3-month interval to have coverage at the first on-going maintenance session interval. Then, the beneficiary must attend at least 2 sessions and maintain the required minimum weight loss at least once during an on-going maintenance session 3-month interval to have coverage of the next on-going maintenance session interval. ?Bridge Payments? In case scenarios where a beneficiary may choose to transfer to another MDPP supplier during the period of MDPP services, CMS will provide a one (1) time reimbursement for furnishing MDPP services. In providing this reimbursement benefit, in this case scenario, CMS is ensuring the freedom of choice on suppliers for eligible Medicare beneficiaries. CMS is recommending in this case scenario, MDPP suppliers request all documentation from the previous MDPP supplier to assist in documenting the attendance and weight loss, to enable the new MDPP supplier to know if performance goal(s) were achieved.

PARA Weekly Update: April 18, 2018

MEDICARE DIABETES PREVENTION PROGRAM (MDPP) How do MDPP suppliers get reimbursed? Reimbursement under the MDPP is tied to performance goal(s) based on session attendance and/ or weight loss. In the table provided on pages 2 and 3 of this article, providers can see the final payment for the beneficiaries?participation in the program is valued more significantly on the weight-loss. This is the key indicator to the success of this program. The table on the on the next few pages are the HCPCS that are to be reported by MDPP providers at the claim level.

PARA Weekly Update: April 18 2018

MEDICARE DIABETES PREVENTION PROGRAM (MDPP)

PARA Weekly Update: April 18, 2018

MEDICARE DIABETES PREVENTION PROGRAM (MDPP)

MDPP Supplier requirements: Eligible organizations may begin to enroll as a MDPP supplier beginning in January 2018, however, there are established criteria requirements and applicable Medicare enrollment requirements. Supplier Organizational Requirements: 1. Have and maintain full or preliminary CDC Diabetes Prevention Recognition Program (DPRP) recognition 2. Maintain at least one administrative location and report all other administrative locations and community settings on its enrollment application 3. Maintain a primary business telephone, listed with the name of the business in public view 4. Not currently have billing privileges terminated for cause or be excluded by a state Medicaid agency 5. Not knowingly sell or allow other individuals or entities to use its supplier billing number 6. Allow CMS to conduct on-site inspections or recording keeping reviews 7. Report on applications any changes in ownership, changes to coach rosters, and final adverse legal action (ALA) history within 30 days. All other changes must be reported within 90 days. 17

PARA Weekly Update: April 18 2018

MEDICARE DIABETES PREVENTION PROGRAM (MDPP) Furthermore, MDPP suppliers must comply with the following guidelines for beneficiary minimum coverage: 1. Not deny MDPP beneficiaries access to MDPP services on the basis of weight, height, health status or achievement of performance goals with certain exceptions listed in 42CFR section 424.205(d)(8) 2. Offer an MDPP beneficiary all services for which they are eligible 3. Not coerce an MDPP beneficiary?s decision to change or not change to a different MDPP provider 4. Provide MDPP beneficiaries, before the first MDPP session, with disclosure information including eligibility requirements, the once-per-lifetime limit, minimum coverage requirements and MDPP supplier standards 5. Answer MDPP beneficiaries?questions about MDPP services and respond to MDPP related complaints within a reasonable time frame 6. Implement a complaint resolution protocol and maintain documentation of all beneficiary contact regarding such complaints, including the name and Medicare Beneficiary Identifier (MBI) of the beneficiary, a summary of the complaint, notes and action taken, and the names and/ or National Provider Identifiers (NPIs) of individuals involved in the complaint and action taken on behalf of the MDPP supplier. Coach Eligibility and Requirements under the MDPP program: Suppliers must: 1. Submit a roster of eligible coaches on its enrollment application. The data expected to be reported on the roster for each coach is: - First and last names of each coach - Date of Birth - Social Security Number - National Provider Identifier (NPI) 2. Not permit MDPP services to be furnished by ineligible coaches or include ineligible coaches on the enrollment rosters. Failure to comply with this requirement will result in the MDPP organization enrollment to be denied or revoked. Coach eligibility requirements: 3. Obtain and maintain NPI numbers 4. Not currently have their Medicare billing privileges revoked and be currently subject to the re-enrollment bar 5. Not currently have Medicaid billing privileges terminated for causes or be excluded from any state Medicaid agency 6. Not currently be excluded from any other federal health care program 7. Not be currently debarred, suspended, or excluded from participating in any other federal procurement or non-procurement program 18

PARA Weekly Update: April 18, 2018

MEDICARE DIABETES PREVENTION PROGRAM (MDPP) 8. Not have one of the following convictions, guilty pleas, or adjudicated pretrial diversions in the previous 10 years: - Crimes against persons, such as murder, rape, assault, and other similar crimes - Financial crimes such as extortion, embezzlement, insurance fraud, and other similar crimes - Any felony that placed Medicare or its beneficiaries at immediate risk, such as malpractice conviction - Any other felonies that result in mandatory exclusion Data Reporting, Documentation Requirements and Recordkeeping: For data reporting requirements, MDPP suppliers are required to: 1. Maintain a crosswalk file relating beneficiary identifiers used for claims with those used for CDC data and submit this file to CMS six (6) months after they start delivering MDPP services and quarterly thereafter. 2. Submit performance data for on-going maintenance sessions with data elements consistent with CDC DPRP standards. During sessions MDPP suppliers are required to: 3. Maintain and handle any beneficiary Personally Identifiable Information (PII) and Protected Health Information (PHI) in compliance with HIPAA, as well as all state and federal privacy laws and standards 4. Suppliers must keep beneficiary records using an electronic health record (EHR) or paper system 5. Upon first session, suppliers must record the following data: - MDPP supplier name, CDC DPRP number, and NPI - Beneficiary information including but not limited to: beneficiary name, HICN or MBI number and age - Evidence of eligibility criteria requirements for the program have been met 6. Following the initial session, each additional session, suppliers must record - Session type (core, core maintenance, or on-going maintenance); regularly scheduled or make-up (if a make-up is it virtual or in-person); NPI of coach furnishing session; date and place of service for the session; curriculum topic; and each beneficiary?s weight (only required for regularly scheduled sessions) 7. When applicable, MDPP supplier records must indicate when an MDPP beneficiary - · Has attended core sessions - · Has achieved 5% weight loss - · Has attended core maintenance sessions, has achieved or maintained minimum weight loss, or both - · Has attended two on-going maintenance sessions and maintained required minimum weight loss - · Has achieved at least 9% weight loss 19

PARA Weekly Update: April 18 2018

MEDICARE DIABETES PREVENTION PROGRAM (MDPP) 8. Record keeping for MDPP suppliers is required to comply with the MDPP program. MDPP suppliers are required to maintain records for 10 years following the last day of the Medicare beneficiary?s participation in an MDPP session. The following reference links are inserted below for further information on this program: https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS20134.pdf

https://nccd.cdc.gov/DDT_DPRP/Registry.aspx

PARA Weekly Update: April 18, 2018

MEDICARE DIABETES PREVENTION PROGRAM (MDPP) https://www.gpo.gov/fdsys/pkg/FR-2016-11-15/pdf/2016-26668.pdf

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2018Downloads/R765PI.pdf

PARA Weekly Update: April 18 2018

The PARA Data Editor is now compatible with multiple web browsers so that everyone can have options when it comes to which browser to use, depending on resources or preferences. Our PARA Data Editor Multiple Web Browser (Beta) Version to available to everyone with a proper PARA Data Editor Login. The Web Browsers available include a version in both Internet Explorer and Google Chrome. To all users who wish to use the Multiple Web Browser (Beta) Version, please be aware that this is a PRELIMINARY version meant to work out any errors and issues that it might exhibit. It is in the process of being updated to mirror the current production version of the PARA Data Editor. With your help, we will be able to narrow in on fixes throughout the PARA Data Editor Multiple Web Browser (Beta) Version to then ensure full functionality and to further expand to more Web Browsers. The PARA Data Editor Multiple Web Browser (Beta) Version can be accessed via the following link and using the appropriate login when prompted by the browser: https://www.para-hcfs.com/projects/pde_upgrade/ pde_MultBrowser Once logged in, we would like for you to please be aware of a few key features to help us improve the PDE Multiple Browser (Beta) Version. First, please be aware of the change in look for the Multiple Browser (Beta) Version. We are attempting to update the look and feel of the PDE to be cleaner and user-friendly. Second, if you may have any questions, need help, would like to report an error or issue with the PDE Multiple Web Browser (Beta) Version, or anything else you may think of, click on the ?Contact Support? Link in the upper-right hand corner of the PDE.

PARA Weekly Update: April 18, 2018

There were FOUR new or revised Med Learn (MLN Matters) article released this week. To go to the full Med Learn document simply click on the screen shot or the link.

FIND ALL THESE MED LEARNS IN THE ADVISOR TAB OF THE PDE

PARA Weekly Update: April 18 2018

The link to this Med Learn: MM10593

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The link to this Med Learn: MM10550

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The link to this Med Learn: MM10607

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The link to this Med Learn: MM10295

PARA Weekly Update: April 18 2018

There were NINE new or revised Transmittals released this week. To go to the full Transmittal document simply click on the screen shot or the link.

FIND ALL THESE TRANSMITTALS IN THE ADVISOR TAB OF THE PDE

PARA Weekly Update: April 18, 2018

The link to this Transmittal R303FM

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The link to this Transmittal R195DEMO

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The link to this Transmittal: R4022CP

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The link to this Transmittal: R243BP

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The link to this Transmittal: R4021CP

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The link to this Transmittal: R2054OTN

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The link to this Transmittal: R178SOMA

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The link to this Transmittal: R3P243

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The link to this Transmittal: R786PI

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