Date
PARA WEEKLY
UPDATE For Users
Improving T he Businessof HealthCare Since 1985 November 24, 2017 NEWS FOR HEALTHCARE DECISION MAKERS IN THIS ISSUE QUESTIONS & ANSWERS
- Gingival Recession - Charging For Oxygen In The E.D. - Physical Therapy: Caloric Vestibular Testing - Intestinal Adhesions
3
AND AN UPDATED AND EXPANDED LIST OF CMS UPDATES FOR 2018 2018 CODING UPDATE DOCUMENTS
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.
-------------------------------------------------------
Speci al Arti cle CLARIFICATION APPROPRIATE USE CRITERIA REPORTING
PARA COMPANY NEWS ABOUT PARA SERVICES CONTACT US
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.
8
FAST LINKS: Click on the link for special areas of interest: Page
Administration: Pages 1-28 HIM/Coding Staff: Pages 2,5,8,10,14 Providers: Pages 2,5,8,22,24-25 Finance Dept: Pages 8,10,14,22-26 Imaging Dept: Pages 19,23
-
Laboratory Services: Pages 19,23 Emergency Departments: Page 3 PDE Users: Page 11 Skilled Nursing: Pages 20,22,26 Physical Therapy: Page 4
© PARA Healt h Car e Fin an cial Ser vices 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: November 24, 2017
GINGIVAL RECESSION
Question: What is the appropriate ICD-10 CM code(s) for severe localized Gingival Recession? Answer: Report ICD-10 CM code K06.013, Localized Gingival Recession, severe.The code description includes the type and severity of the recession. Gingival recession is a dental condition in which the gums recede exposing root surface. There are two types of Gingival recession. Effective October 1, 2017, ICD-10 CM hasexpanded ICD-10 category K06..0- to specify the type of gingival recession as localized (K06.010?K06.013) or generalized (K06.020?K06.023) in the fifth character of the ICD-10 CM code. Localized recession is limited to individual teeth in an area of the mouth. Generalized recession involves multiple teeth in an area of the mouth.Generalized gingival recession tends to be less sensitive than single or multiple sites of localized recession. This is because the root dentine in the former has been irritated by the disease process over a considerable time.This advice is supported by Coding Clinic for ICD-10 CM 4th Qtr 2017 provided below.The severity of the recession is also defined in the code description as minimal, moderate or severe.The severity of the recession is identified in the sixth character of ICD-10 CM category K06.0-.Please refer to the PARA Data Editor code descriptions and Coding Clinic for ICD-10 CM 4th Qtr, 2017 provided below:
ICD-10-CM New/Revised Codes: Gingival Recession Coding Clinic for ICD-10-CM/PCS, Fourth Quarter 2017: Page 16 Gingival recession involves the margins of the gum tissue surrounding the teeth wearing away or receding back, potentially exposing the roots of the teeth.The recession can be either localized, limited to individual teeth in an area of the mouth (subcategory K06.01), or generalized, involving multiple teeth in an area of the mouth (subcategory K06.02).Within each sub-subcategory are specific codes to indicate the degree of recession: minimal, moderate, or severe. Gums may recede due to different reasons, such as periodontal disease; genes; aggressive tooth brushing; inadequate dental care; tobacco products; hormonal changes. Treatment depends upon the degree of recession. 2
PARA Weekly Update: November 24, 2017
CHARGING FOR OXYGEN IN THE EMERGENCY DEPARTMENT
Question: Can we charge for oxygen in the Emergency Department? Answer: Oxygen can be charged in the Emergency Room as a non sterile supply using revenue code 0271 if documentation supports both medical necessity for the oxygen and there is a record of a physician?s order for oxygen therapy. Oxygen may be charged on an hourly, per shift or per day basis. It is important to remember that routine supplies such as oxygen masks, tubing and nasal cannulas should not be separately charged for. These items should be included within the oxygen supply charge. Attached is an excerpt of detailed paper published by PARA outlining billing for both oxygen and pulse oximetry monitoring, as well as a link to the document itself. Oxygen -- Delivery of oxygen to a patient in a bed (inpatient or outpatient) may be charged as a non- sterile supply using revenue code 0271 provided that the documentation supports both the medical necessity and the record of the physician?s order for oxygen therapy. Oxygen may be charged hourly, per shift, or per day. PARA does not recommend that facilities charge: - Inexpensive oxygen masks, tubing, or nasal cannulas separately; - The cost of these supplies should be included within the oxygen supply charge. - Humidifier supplies when used for higher-flow oxygen administration; the use and supplies should be considered integral to the charge for oxygen
https://apps.para-hcfs.com/para/Documents/ Oxygen_and_Pulse_Oximetry_January_2017_Update_edited.pdf 3
Download the FREE paper from the PDE
PARA Weekly Update: November 24, 2017
PHYSICAL THERAPY: CALORIC VESTIBULAR TESTING
Question: We have a physical therapy department that currently asked for CPTÂŽ codes 92537--Caloric vestibular test with recording, bilateral; bithermal (i.e., one warm and one cool irrigation in each ear for a total of four irrigations) & 92540-- to be added into the charge master. We had entered them into the charge master with revenue code 0420 but they are stating this is incorrect. Can you please advise what is the appropriate revenue code for these two CPTÂŽ codes? Answer: The appropriate revenue codes for 92537 and 92540 are 0471, 0920 and 0929 per the UB Editor. The UB Editor explains that its recommendations are commonly used rev codes, but not the only codes that may be accepted. It would be acceptable to use 0420; if not 0420, PARA recommends 0920. Please see the data below from the PARA Data Editor:
4
PARA Weekly Update: November 24, 2017
INTESTINAL ADHESIONS
Question: What is the appropriate ICD-10 CM code(s) for intestinal bands with incomplete obstruction? Answer: Report ICD-10 CM code K56.51,Intestinal adhesions with partial obstruction. ICD-10 CM code K56.51 includes the term ?bands? as a non-essential modifier for adhesions which indicates it is included in the code description as an alternative term.Post-infection is also included as a non-essential modifier in the code series.Please refer to the 2017/ 18 Official Coding Guidelines Section I.A.7 which defines nonessential modifiers and how they are identified in the code set. Effective October 1, 2017, ICD-10 CM hasexpanded ICD-10 category K56.5- to provide further specification of partial versus complete obstruction.The same descriptions were also applied to other and unspecified intestinal obstruction (K56.600?K56.609) and post-procedural intestinal obstruction (K91.30?K91.32). This advice is supported by Coding Clinic for ICD-10 CM 4th Qtr 2017 provided below. The ICD-10 CM tabular index for ICD-10 CM code K56.51 has an instructional note that includes intestinal adhesions with incomplete obstruction as acceptable documentation to report partial obstruction.Please refer to the 2017/ 18 Official Coding Guidelines Section I.A.10 and 11 which defines includes notes and inclusion terms and how to identify they them in the code set.Please refer to the PARA Data Editor code descriptions and Coding Clinic for ICD-10 CM 4th Qtr, 2017 provided below. Please refer to the 2017/ 18 Official Coding Guidelines Section I.A.7,10 and 11 located in the PARA Data Editor calculator.
5
PARA Weekly Update: November 24, 2017
INTESTINAL ADHESIONS
ICD-10-CM New/Revised Codes: Intestinal Obstruction Coding Clinic for ICD-10-CM/PCS, Fourth Quarter 2017: Page 16 New codes at subcategoriesK56.5, Intestinal adhesions [bands] with obstruction, K56.6, Other and unspecified intestinal obstruction, and K91.3, Postprocedural intestinal obstruction, will now identify the severity of the obstruction. The obstruction may be classified as partial (K56.51, K56.600, K56.690, K91.31) versus complete (K56.52, K56.601, K56.691, K91.32), or unspecified as to partial versus complete (K56.50, K56.609, K56.699, K91.30). Intestinal obstruction varies in severity, from partial or intermittent obstruction to complete obstruction. 2017/18 ICD-10 CM Official Coding Guidelines:Section I.A.7 - Conventions, general coding guidelines and chapter specific guidelines:Nonessential Modifiers Parentheses ( ) are used in both the Alphabetic Index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it is assigned. The terms within the parentheses are referred to as nonessential modifiers. The nonessential modifiers in the Alphabetic Index to Diseases apply to subterms following a main term except when a nonessential modifier and a subentry are mutually exclusive, the subentry takes precedence. For example, in the ICD-10-CM Alphabetic Index under the main term Enteritis, ?acute? is a nonessential modifier and ?chronic? is a subentry. In this case, the nonessential modifier ?acute? does not apply to the subentry ?chronic?. 2017/18 ICD-10 CM Official Coding Guidelines:Section I.A.10. - Conventions, general coding guidelines and chapter specific guidelines:Includes Notes and terms This note appears immediately under a three character code title to further define, or give examples of, the content of the category. 2017/18 ICD-10 CM Official Coding Guidelines:Section I.A.11. - Conventions, general coding guidelines and chapter specific guidelines:Inclusion terms List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of ?other specified? codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
6
PARA Weekly Update: November 24, 2017
INTESTINAL ADHESIONS
7
PARA Weekly Update: November 24, 2017
CMS DELAYS, CLARIFICATION APPROPRIATE USE CRITERIA In the Medicare Physician Fee Schedule Final Rule for 2018, CMS has delayed the requirement that physicians report their use of Appropriate Use Criteria when ordering advanced diagnostic imaging tests for an additional year, until January 1, 2020, and CMS has also backed away from the notion of using G-codes with modifiers to convey the information. Following is a link and excerpts from the 2018 Medicare Physician Fee Schedule Final Rule: https:/ / www.gpo.gov/ fdsys/ pkg/ FR-2017-11-15/ html/ 2017-23953.htm In response to public comments we are further delaying the effective date for the AUC consultation and reporting requirements for this program from January 1, 2019 as proposed to January 1, 2020. We are also finalizing a voluntary period during which early adopters can begin reporting limited consultation information on Medicare claims from July 2018 through December 2019. During the voluntary period there is no requirement for ordering professionals to consult AUC or furnishing professionals to report information related to the consultation. On January 1, 2020, the program will begin with an educational and operations testing period and during this time we will continue to pay claims whether or not they correctly include such information. Ordering professionals must consult specified applicable AUC through qualified CDSMs for applicable imaging services furnished in an applicable setting, paid for under an applicable payment system and ordered on or after January 1, 2020, and furnishing professionals must report the AUC consultation information on the Medicare claim for these services ordered on or after January 1, 2020. ? In response to the public comments, we are not moving forward with requiring reporting of AUC consultation information on Medicare claims using a combination of G-codes and modifiers. Rather, we will evaluate a simplified method of reporting during the voluntary reporting period using a single modifier while we work with stakeholders to explore using a standardized unique AUC consultation identifier.
Download the entire paper. Click the document
8
PARA Weekly Update: November 24, 2017
CMS DELAYS, CLARIFICATION APPROPRIATE USE CRITERIA Elsewhere in the rule, Medicare clarified that the AUC reporting requirements would not apply to testing performed in a Critical Access Hospital: Any advanced imaging service furnished within a CAH wouldnot be furnished in an applicable setting. Applicable settingscurrently include physician offices, hospital outpatient departments and ambulatory surgical centers. CAH patients who are furnished an advanced diagnostic imaging service in an applicable setting but the claim for that imaging service is not paid under one of the applicable payment systems would not require consultation and reporting of the AUC consultation. This may apply in situations when a CAH has elected Method II billing. Earlier this year, CMS had proposed that hospitals (without an exception for Critical Access Hospitals) and interpreting radiologists to report new G-codes on certain claims for advanced diagnostic imaging services ordered after 1/ 1/ 2019.That reporting requirement would have conveyed the ordering physicians?consultation of Clinical Decision Support Mechanisms (CDSM) for advanced diagnostic imaging services within eight high-priority clinical areas.Claims for applicable services without the AUC data were to be rejected. As new reporting mechanisms are announced, PARA will continue to keep clients and readers of the PARA Weekly Update apprised.
9
PARA Weekly Update: November 24, 2017
2018 CODING UPDATE DOCUMENTS
Reprinted!
In preparation for the year-end CPTÂŽ / HCPCS update, PARA is preparing a number of short, one to two- page ?coding update? documents listing deleted codes and added codes within a particular clinical area or procedure group.The coding topics addressed are those which are most likely to be ?hard-coded? to a line item in a facility chargemaster.Users are advised that topics are divided into immediately related areas, and more than one paper may contain information useful to a service line manager. Due to CPTÂŽ licensing restrictions, these documents cannot be published within the PARA Weekly Update, however, PARA Data Editor users may access the information on the Advisor tab; search ?Coding Update? in the type field, and 2018 in the subject field, as illustrated below:
Following the release of the OPPS Final Rule in November, coding update papers may be revised to indicate whether Medicare will accept/ cover new HCPCS.PARA Data Editor Users can identify updated papers by the word ?Revised? in the title and the date issued will be updated. Download these FREE papers from the PDE
10
PARA Weekly Update: November 24, 2017
PARA YEAR-END HCPCS UPDATE PROCESS
In keeping our commitment to outstanding customer service, PARA clients will be fully supported with information and assistance on the annual CPTÂŽ HCPCS coding updates. The PARA Data Editor (PDE) contains a copy of each client chargemaster; we use the powerful features of the PDE to identify any line item in the chargemaster which has a HCPCS code assigned that will be deleted as of January 1, 2018. For this reason, it is important that clients check to ensure that a recent copy of the chargemaster has been supplied to PARA for use in the year-end update. PARA will produce excel spreadsheets of each CDM line item, as well as our recommendation for alternate codes, in three waves as information is released from the following sources: 1. The American Medical Association?s publication of new, changed, and deleted CPTÂŽ codes; this information is released in September of each year.PARA will produce the first spreadsheet of CPT updates for client review in October, 2017. 2. Medicare?s 2018 OPPS Final Rule, typically published the first week of November; PARA will perform analysis and produce the second spreadsheet to include both the CPT information previously supplied, as well as alpha-numeric HCPCS updates (J-codes, G-codes, C-codes, etc.) from the Final Rule. 3. Medicare?s 2018 Clinical Lab Fee Schedule (CLFS) ? typically published in late November, the CLFS will reveal whether Medicare will accept new CPT?s generated by the AMA, or whether Medicare will require another reporting method (i.e. G0480 ? G0483 for definitive drug testing in 2016 and 2017.)
Clients will be notified by email as spreadsheets are produced and recorded on the PARA Data Editor ?Admin? tab, under the ?Docs? subtab.
In addition, PARA consultants will publish concise papers on coding update topics in order to ensure that topical information is available in a manner that is organized and easy to understand. PARA clients may rest assured that they will have full support for year-end HCPCS coding updates to the chargemaster.
11
PARA Weekly Update: November 24, 2017
Reprinted
JANUARY 1, 2018 CMS UPDATES
The following Transmittals have been published for the January 1 update. This list will continue to expand in the coming weeks, and links to all documents can be found in the PDE Advisor tab. Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2018
January 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing
Files and Revisions to Prior Quarterly Pricing Files
Quarterly Influenza Virus Vaccine Code Update - January 2018
Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.0, Effective January 1, 2018
To go to the full Transmittal document simply click on the screen shot.
12
PARA Weekly Update: November 24, 2017
JANUARY 1,2018 CMS UPDATES
Instructions for Downloading the Medicare ZIP Code File for January 2018
Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2018
Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 January 2018 Updates
Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for January 2018 This link leads to a ZIP file containing several files with several documents.
To go to the full Transmittal document simply click on the screen shot.
13
PARA Weekly Update: November 24, 2017
Updated!
JANUARY 1, 2018 CMS UPDATES
The COMPLETE List! Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3872CP.pdf January 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3878CP.pdf Quarterly Influenza Virus Vaccine Code Update - January 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3827CP.pdf Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.0, Effective January 1, 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3869CP.pdf Instructions for Downloading the Medicare ZIP Code File for January 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3860CP.pdf Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3861CP.pdf Fiscal Year (FY) 2018 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3885CP.pdf Clinical Laboratory Fee Schedule Not Otherwise Classified, Not Otherwise Specified, or Unlisted Service or Procedure Code Data Collection https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3881CP.pdf Payment for Services Furnished by Qualified Nonphysician Anesthetists https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3883CP.pdf Place of Service Codes https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3873CP.pdf 2018 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3870CP.pdf Accepting Hospice Notices of Election via Electronic Data Interchange https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3866CP.pdf Instructions for Retrieving the 2018 Pricing and HCPCS Data Files through CMS' Mainframe Telecommunications Systems https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3865CP.pdf Medicare Payment Rates for routine SNF-type services by swing-bed hospitals during calendar year 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R475PR1.pdf
14
PARA Weekly Update: November 24, 2017
Updated!
JANUARY 1,2018 CMS UPDATES
More of The COMPLETE List! Annual Clotting Factor Furnishing Fee Update 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3862CP.pdf Updated Editing of Always Therapy Services ? MCS https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3863CP.pdf Correcting Payment of Inpatient Prospective Payment System (IPPS) Transfer Claims Assigned to Medicare Severity-Diagnosis Related Group (MS DRG) 385 and Allowing Part A Deductible on Medicare Secondary Payer (MSP) Same Day Transfer Inpatient Claims Https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1918OTN.pdf 2018 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3857CP.pdf Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3849CP.pdf Healthcare Provider Taxonomy Codes (HPTCs) October 2017 Code Set Update https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3842CP.pdf Influenza Vaccine Payment Allowances - Annual Update for 2017-2018 Season https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3837CP.pdf Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3828CP.pdf Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Fiscal Year (FY) 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3826CP.pdf Implementation of the Transitional Drug Add-On Payment Adjustment https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1889OTN.pdf ICD-10 Coding Revisions to National Coverage Determinations (NCDs) https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1875OTN.pdf Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as valid Provider Number https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1877OTN.pdf New Specialty Code for Pharmacy https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R290FM.pdf Screening for Hepatitis B Virus (HBV) Infection https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R198NCD.pdf Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3796CP.pdf
15
PARA Weekly Update: November 24, 2017
Updated!
JANUARY 1,2018 CMS UPDATES
More of The COMPLETE List! 2017-2018 Influenza (Flu) Resources for Health Care Professionals https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/ MLNMattersArticles/Downloads/SE17026.pdf New Waived Tests https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3902CP.pdf Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R237BP.pdf Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation and Medicare Physician Fee Schedule Database (MPFSDB) 2018 File Layout Manual https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3903CP.pdf Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3909CP.pdf Off-Cycle Update to the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Fiscal Year (FY) 2018 Pricer https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3912CP.pdf Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment Limit for Calendar Year (CY) 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3919CP.pdf Therapy Cap Values for Calendar Year (CY) 2018 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3918CP.pdf Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as valid Provider Number https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1976OTN.pdf Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2018 - Recurring File Update https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3922CP.pdf 2018 Annual Update to the Therapy Code List https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3924CP.pdf Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services, and Addition of Anesthesia and Prolonged Preventive Services https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3844CP.pdf
16
PARA Weekly Update: November 24, 2017
There were THREE 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 Data Editor (see example below.) To go to the full Med Learn document simply click on the screen shot or the link.
17
PARA Weekly Update: November 24, 2017
The link to this Med Learn: MM10309
18
PARA Weekly Update: November 24, 2017
The link to this Med Learn: MM10181
19
PARA Weekly Update: November 24, 2017
The link to this Med Learn: MM10377
20
PARA Weekly Update: November 24, 2017
There were EIGHT 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 Data Editor. To go to the full Transmittal document simply click on the screen shot or the link.
21
PARA Weekly Update: November 24, 2017
The link to this Transmittal #R173SOMA
The link to this Transmittal #R3925CP
22
PARA Weekly Update: November 24, 2017
The link to this Transmittal #R3844CP
23
PARA Weekly Update: November 24, 2017
The link to this Transmittal #R187DEMO
24
PARA Weekly Update: November 24, 2017
The link to this Transmittal #R186DEMO
The link to this Transmittal #R110GI
25
PARA Weekly Update: November 24, 2017
The link to this Transmittal #R3928CP
The link to this Transmittal #R3927CP
26
PARA Weekly Update: November 24, 2017
The PDE Editor Bulletin Board Tablet lists all articles added to the Bulletin Board
27
PARA Weekly Update: November 24, 2017
28