PARA Weekly Update For Users Grayscale Version June 13 2018

Date

PARA WEEKLY

UPDATE For Users

I mproving T he Business of H ealthCare Since 1985 June 13, 2018

NEWS FOR HEALTHCARE DECISION MAKERS

IN THIS ISSUE QUESTIONS & ANSWERS - Anesthesiology: Directed vs Supervised CRNA Services - Cardioversion 92960 Correct Billing And Coding - Correct Reporting Of TC Modifier On UB04 - Infusion Reimbursement - Toxicology Lab Tests - Updated G0444 Depression Screening

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OPPS & HCPCS UPDATE FOR JULY 1, 2018 CRITICAL ACCESS HOSPITAL PRESENTATION MANAGED CARE REMIT ASSESSMENT RURAL HOSPITAL PROGRAM GRANTS AVAILABLE: - Healthy Eating Research - Service Area Funding For Clinics NEW FEATURE! MLNCONNECTS

PARA COMPANY NEWS

SERVICES

ABOUT PARA

CONTACT US

FAST LINKS

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

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.

- Administration: Pages 1-46 - HIM /Coding Staff: Pages 1-46 - Providers: Pages: 2,4,7,10,12,14,20,26 - Pharmacy: Pages 10,15,18 - Behavioral Health: Page 12 - CAHs: Page 17

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- Ambulatory Surgery: Page 32 - Finance Departments: Pages 14,17,20,26,27,29,31 - Rural Healthcare: Page 26 - Clinic Operations: Page 26 - DM E: Pages 30,38,42,44 - Hospice: Page 35

© PARA Healt h Car e An alyt ics 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: June 13, 2018

ANESTHESIOLOGY: DIRECTED VERSUS SUPERVISED CRNA SERVICES

What are the different requirements that must be met for an MD anesthesiologist (MDA) to claim reimbursement for medical direction modifier (QK) or supervision modifier (AD) when cases are performed by CRNAs? Answer: First, we will explore the difference between medical direction and medical supervision. Under Medicare rules, anesthesiologists may be reimbursed at one of three rates for anesthesia procedures: 1. when personally performed by the MDA, 2. when performed by a CRNA under the medical direction of an MDA, and 3. when performed under the medical supervision of an MDA.

To be entitled to reimbursement for providing Medical Direction of a CRNA at the rate 50% of the payment for a personally performed anesthesia procedure (limited to a maximum of four concurrent procedures), the MDA documentation must support all of the seven requirements of Medical Direction per chapter 12 of the Medicare Claims Processing Manual: https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/ Downloads/clm104c12.pdf 50 - Payment for Anesthesiology Services Medical direction occurs if the physician medically directs qualified individuals in two, three, or four concurrent cases and the physician performs the following activities.

- Performs a pre-anesthetic examination and evaluation; - Prescribes the anesthesia plan; - Personally participates in the most demanding procedures in the anesthesia plan, including induction and emergence; - Ensures that any procedures in the anesthesia plan that he or she does not perform are performed by a qualified anesthetist; 2

PARA Weekly Update: June 13, 2018

ANESTHESIOLOGY: DIRECTED VERSUS SUPERVISED CRNA SERVICES

- Monitors the course of anesthesia administration at frequent intervals; - Remains physically present and available for immediate diagnosis and treatment of emergencies; and - Provides indicated-post-anesthesia care In addition, to qualify for medical direction reimbursement, the MDA may not leave the immediate area of the operating suite for other than short durations or devotes extensive time to an emergency case or is otherwise not available to respond to the immediate needs of the surgical patients, the physician?s services to the surgical patients are supervisory in nature. To receive reimbursement at the ?medially directed? rate, the anesthesiology procedures reported by the MDA should be billed with modifier QK. ?Medical Supervision? is indicated by modifier AD; it may be billed if the physician fails to achieve all requirements to receive the full 50% reimbursement for a particular case. An MDA may append modifier AD if s/he medically directs anesthesia services (expecting payment for personal services), but either; - fails to meet all seven ?medical direction? requirements or - performs a task that is not permitted while medically directing, or - exceeds the limit of four concurrent rooms Medicare reimburses ?supervised? procedures at a reduced rate under the Medical Supervision benefit (modifier AD.) According to the Medicare Claims Processing Manual: D. Payment at Medically Supervised Rate The A/B MAC (B) may allow only three base units per procedure when the anesthesiologist is involved in furnishing more than four procedures concurrently or is performing other services while directing the concurrent procedures. An additional time unit may be recognized if the physician can document he or she was present at induction.

Anesthesia Modifiers may be researched on the PARA Data Editor Calculator tab as displayed below:

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PARA Weekly Update: June 13, 2018

CARDIOVERSION 92960 CORRECT BILLING AND CODING

Is elective cardioversion code 92960 billable in the ED? For example, a patient presents in the ED with heart palpitations and dizziness. The physician, after speaking with the patient, decides to cardiovert the patient to return the heart to a stable rhythm. What about other areas of the hospital? Are there any modifiers required if the procedure is performed more than once per day?

Answer: ?Elective? is the key word in this code description because the patient is being presented in an emergent situation which the ED clinical staff are treating.

According to CPT® Assistant: ?CPT® codes 92960 and 92961 are used to report cardioversion. Code 92960 specifically describes elective (nonemergency) external electrical cardioversion [emphasis added]. Elective cardioversion is most often used to treat atrial fibrillation and atrial flutter if anti-arrhythmic drugs fail to convert the heart back to normal sinus rhythm, or if the patient is hemodynamically unstable. The electric shock given in cardioversion is synchronized (i.e., timed to occur during the R wave of the electrocardiogram). The patient will have his/her heart rhythm monitored for several hours after the procedure to ensure the rhythm remains stable.?

If the ED physician determines that the cardioversion can?t wait until appropriate anti-arrhythmic medications are administered to the patient, then the procedure is NOT elective.

With a cardioversion procedure, there are no separate codes or modifiers for using paddles or hands-free.

In addition, there are no special codes or modifiers for bi-phasic cardioversion.

CPT® code 92960 is for ?elective cardioversion ? NOT defibrillation. There is no separate code for defibrillation. Defibrillation is a component of CPR, which is assigned its own code (92950).

Therefore, it is important for providers to use the correct terminology in the beneficiary medical record charting to demonstrate the procedure was actually a cardioversion, NOT a defibrillation.

Procedure code 92960 can be reported multiple times for the same patient, however the code also has an MUE assignment of ?2? which indicates the procedure has been assigned a ?date of service? claim edit

by CMS. These are edits that are ?per day edits based on policy?.

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PARA Weekly Update: June 13, 2018

CARDIOVERSION 92960 CORRECT BILLING AND CODING

In this scenario, a modifier would be inappropriate to report for multiple cardioversions.

For code 92961, there is an MUE of ?1? which indicates the MUE will be adjudicated as a ?claim line edits?, unlike the MUE of 2 and 3, which are date of service edits.

With an MUE of ?1? it is appropriate to report the appropriate CPTÂŽ code with the appropriate modifiers (59, 76, 77, 91) on separate claim lines. On processing, each claim line reporting the appropriate HCPCS/CPTÂŽ and modifier will adjudicated against the assigned MUE value.

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PARA Weekly Update: June 13, 2018

CARDIOVERSION 92960 CORRECT BILLING AND CODING

In summary for the above outlined information, when reporting multiple cardioversions, a provider claim would reflect:

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PARA Weekly Update: June 13, 2018

CORRECT REPORTING OF TC MODIFIER ON THE UB04

We are wondering if you can help us with something. We know that the TC modifier is not required on hospital bills because it's assumed if being billed out on a UB that it's a "technical" charge. However, we just spent an hour looking and cannot find CMS documentation to support that thought. Would you be able to pull something up to support that theory???

Answer: That is not correct, we should always remember that unless there are parenthetical notes or guidelines spelling it out, nothing is ever "understood" or "assumed" when it comes to coding and billing. If a procedure that has both a professional and technical component is billed without a modifier, it is considered global. The DRG can't pay only technical because the fact that something was done on an inpatient basis doesn't necessarily mean that the radiology isn't outsourced somehow. Many hospitals have an outside radiology company doing the interpretation and report, so regardless of the status of the patient (in or out), the hospital can only bill technical.

Definition of modifier TC: Technical component refers to certain procedures that are a combination of a physician component and a technical component.

The appropriate use of reporting the TC modifier is: 1. To bill only the technical portion of the test 2. Procedures that have a ?1? in the PC/TC field on the Medicare Physician Fee-Schedule (MPFS) 3. Procedures falling into the following types of service: -

1 = Medical care/Injections 2 = Surgery 4 = Radiology 5 = Laboratory 6 = Radiation therapy 8 = Assistant Surgeon

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PARA Weekly Update: June 13, 2018

CORRECT REPORTING OF TC MODIFIER ON THE UB04

The inappropriate use of reporting the TC modifier is: 1. When the same provider performs both the technical and professional, unless the same provider reports both components and the technical portion is purchased ?

2. Appending it to: - Professional component only procedure codes identified on the MPFS by a ?2? in the PC/TC column - Global test only procedure codes identified on the MPFS by a ?4? in the PC/TC column - Technical component only procedure codes identified on the MPFS by a ?3? in the PC/TC procedure code Modifiers 26 and TC are considered to be payment modifiers and they are both reported at the claim level in the first modifier field.

When a provider is reporting a global service, it should be coded without modifiers. A procedure should never be reported at the claim level with both modifiers 26 and TC. A payment for the technical component portion of a test includes the practice expense and the malpractice expense.

Technical component procedures are institutional and should not be billed separately by the physician in an outpatient or inpatient location.

It is never appropriate for providers to ?unbundle? technical and professional components and report separately under the same TIN number (whether on separate claim lines or separate claims) In determining if the technical and professional components were performed by the ?same provider? or by different providers, if both components will be billed under the same ?tax ID number? (TIN) then both components were performed by the same provider and are not eligible to be reported as separate components. Instead, providers bill a ?global service? which is without modifiers TC or 26.

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PARA Weekly Update: June 13, 2018

CORRECT REPORTING OF TC MODIFIER ON THE UB04

Link to the Medicare Physician Fee Schedule Lookup Tool: https://www.cms.gov/apps/physician-fee-schedule/search/search-results.aspx?Y=0&T=4&HT=0&CT =3&H1=76705&M=5

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PARA Weekly Update: June 13, 2018

INFUSION REIMBURSEMENT

I ran into some concerns when working on some accounts where our reimbursement was less than 10% of the billed charges. There were some drugs, per our reimbursement software, that showed as packaged into other charges(only other charges were administration/infusion).

I wanted to get your expertise on billing for packaged drugs per CMS. Can you help me with this?

Answer: The claim reporting and the reimbursement are correct. Not all drugs are separately reimbursed by Medicare; Zometa is OPPS status N, payment is packaged to other lines on the claim. Medicare?s OPPS reimbursement methodology is an average payment for like services; some services in the same APC category will be more profitable than others. In this case, the hospital likely loses money on the encounter.

The claim listed 96365, 80053, 85025, and the drug Zometa as J3489; the only payable code on this claim is 96365:

Our ?Quick Claim? adjudication report concurs that 96365 is the only payable HCPCS on the claim. The allowable for that DOS (2017) was $156.95; the patient liability $34.40 and sequestration discount of $2.51 make up the remainder that Medicare did not pay.

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PARA Weekly Update: June 13, 2018

TOXICOLOGY LAB TESTS

We are now performing toxicology confirmation in-house. Previously, we used HCPCS G0480 when we were sending out to Labcorp, but we set up a panel of 52 drugs and metabolites via LC/MS, can we use HCPCS G0483? Please confirm.

Answer: The G0480-G0483 codes count the number of drug classes, not the number of drugs. Therefore, we would need to examine a list of each of the 52 drugs and metabolites to determine which G-code would be appropriate to report to Medicare. Here are the descriptions of the codes in question:

Here are the various drug classes ? two or more drugs may share the same class.

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PARA Weekly Update: June 13, 2018

UPDATED G0444 DEPRESSION SCREENING

We would most often bill G0444 with a 9939x code. My question is not specific to Medicare. We get an edit stating a modifier is required. I think it is a CCI edit. Example: 99396 25 G0444 Edit stating modifier is required to bill this code combo. Are you saying we should not need a modifier? The 25 is already on the E&M in my scenario.

Answer: The edit is a warning that the depression screening (G0444) must be documented as separate and distinct from the preventive visit. The start and stop time of the screening must be recorded in order to report G0444 with the 99396 or 99397 codes (although those codes are not payable under Medicare benefits.) If the documentation supports a separate and distinct depression screening which supports the 15 minute code, then modifier 59 may be reported on G0444. (This is one of the exceptional instances in which modifier 59 appears to be more appropriate that the X{EPSU} modifiers.)

If, during a preventive visit, the patient is screened for depression, the addition of modifier 59 to the G0444 indicates that the documentation will support a separately identifiable service.

Incidentally, G0444 may not be reported at the same encounter as the Annual Wellness Visit for Medicare beneficiaries, G0438. Depression Screening is already a component of the Medicare AWV, therefore it cannot be separately reported with that service.

The following excerpt from Chapter 12 of Medicare?s NCCI Manual offers pertinent information: https://apps.para-hcfs.com/para/documents/CHAP12-HCPCScodesA0000-V9999_final110917.pdf 16. HCPCS codes G0396 and G0397 describe alcohol and/or substance (other than tobacco) abuse structured assessment and intervention services. These codes shall not be reported separately with an evaluation and management (E&M), psychiatric diagnostic, or psychotherapy service code for the same work/time. If the E&M, psychiatric diagnostic, or psychotherapy service would normally include assessment and/or intervention of alcohol or substance abuse based on the patient?s clinical presentation, HCPCS G0396 or G0397 shall not be additionally reported. If a physician reports either of these G codes with an E&M, psychiatric diagnostic, or psychotherapy code utilizing an NCCI-associated modifier, the physician is certifying that the G code service is a distinct and separate service performed during a separate time period (not necessarily a separate 12

PARA Weekly Update: June 13, 2018

UPDATED G0444 DEPRESSION SCREENING

performed during a separate time period (not necessarily a separate patient encounter) than the E&M, psychiatric diagnostic, or psychotherapy service and is a service that is not included in the E&M, psychiatric diagnostic, or psychotherapy service based on the clinical reason for the E&M, psychiatric diagnostic, or psychotherapy service.

CPTÂŽ codes 99408 and 99409 describe services which are similar to those described by HCPCS codes G0396 and G0397, but are ?screening? services which are not covered under the Medicare program.

Where CPTÂŽ codes 99408 and 99409 are covered by State Medicaid programs, the policies explained in the previous paragraph for G0396/G0397 also apply to 99408/99409.

The same principles apply to separate reporting of E&M services with other screening, intervention, or counseling service HCPCS codes (e.g., G0442 (annual alcohol misuse screening, 15 minutes), G0443 (brief face-to-face behavioral counseling for alcohol misuse, 15 minutes), and G0444 (annual depression screening, 15 minutes). If an E&M, psychiatric diagnostic, or psychotherapy service is related to a problem which would normally require evaluation and management duplicative of the HCPCS code, the HCPCS code is not separately reportable. For example, if a patient presents with symptoms suggestive of depression, the provider shall not report G0444 in addition to the E&M, psychiatric diagnostic, or psychotherapy service code. The time and work effort devoted to the HCPCS code screening, intervention, or counseling service must be distinct and separate from the time and work of the E&M, psychiatric diagnostic, or psychotherapy service. Both services may occur at the same patient encounter.

Additionally, one of the Quarterly Medicare Compliance Newsletters from 2014 explains the documentation requirements for G0444; a link and an excerpt are below.

https://www.cms.gov/Outreach-and-Education/ Medicare-Learning-Network -MLN/MLNProducts/downloads/medqtrlycomp -newsletter-icn909006.pdf

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PARA Weekly Update: June 13, 2018

OPPS AND HCPCS UPDATE FOR JULY 1, 2018

M edicare has released the HCPCS update effective for dates of service on or after July 1, 2018.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/ Downloads/MM10781.pdf The changes, which are detailed in the body of this document, are summarized below: - Four new Category III CPTÂŽs for surgical procedures - A HCPCS and payment rate change for one pass-through drug, C9469 (to Q9993) - A HepB vaccine was added with payable status F following approval by the FDA - Six new drugs granted pass-through status - Two new lab codes for Multianalyte Assays with Algorithmic Analyses (MAAA) - Ten new proprietary lab codes were added - Clarifications and OCE edits on existing codes including Q4178 ? Floweramniopatch, Q4116 ? Alloderm, C9749 (Repair of nasal vestibular lateral wall stenosis with implant(s)), and 01402 (anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty.)

Four new Category III CPTÂŽ Codes are added to OPPS Effective July 1, 2018 as follow s:

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PARA Weekly Update: June 13, 2018

OPPS AND HCPCS UPDATE FOR JULY 1, 2018

Six drugs w ere granted pass-through status effective 7/1/18:

The HCPCS and APC for one pass-through drug changed effective 7/1/18:

A new HepB vaccine w as added to OPPS status F (paid at reasonable cost) follow ing approval by the FDA:

Tw o new lab codes for M ultianalyte Assays w ith Algorithmic Analyses (M AAA):

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PARA Weekly Update: June 13, 2018

OPPS AND HCPCS UPDATE FOR JULY 1, 2018

Ten new proprietary lab codes w ere added:

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PARA Weekly Update: June 13, 2018

OPPS AND HCPCS UPDATE FOR JULY 1, 2018

M iscellaneous Coding Clarification on Existing Codes - Q4178 - Floweramniopatch, per sq cm was reclassified as a high-cost skin substitute; - Q4116 - Alloderm, per square centimeter, may be reported in either revenue code 0278 or 0636 since it is used both as an applied skin substitute and as an implanted biologic used in breast reconstruction; - C9749 (Repair of nasal vestibular lateral wall stenosis with implant(s)) effective April 1, 2018, was clarified to describes an inherently bilateral procedure. For unilateral procedures, hospital outpatient departments need to report either modifier 73 or 74; - The Outpatient Code Editor will reject claims reporting anesthesia codes 01402 (anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty) on outpatient claims unless reported with CPTÂŽ code 27447, Arthroplasty, knee, condyle and plateau; medical and lateral compartments with or without patella resurfacing (total knee arthroplasty). If the code is not reported with CPTÂŽ code 27447, the code is treated as an inpatient procedure that is not paid for under the OPPS. This change is retroactive to January 1, 2018.

CRITICAL ACCESS HOSPITALS: PRESENTATION OF ISSUES Find out how PARA can help with the unique problems and opportunities faced by Critical Access Hospitals. We've got programs specially-designed for CAH facilities. Click on the video below for a quick 5-minute look at how PARA can identify problems in the revenue stream process and what we can offer to improve cash flow and the accuracy of billing and coding.

Contact Sandra LaPlace , Violet Archuleta-Chiu at 800-999-3332 for details and a complete presentation.

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PARA Weekly Update: June 13, 2018

OPPS AND HCPCS UPDATES: CLINLAB AND DRUGS

M edicare has added new HCPCS to the Clinical Lab Fee Schedule and new Drug HCPCS to the M edicare Physician Fee Schedule.

The new Proprietary Laboratory Analyses (PLA) codes are covered under the ClinLab fee schedule have each been assigned a retroactive date ? claims can be processed as of July 2, 2018. All the new test codes are ?contractor priced? until pricing decisions are finalized in July of 2018.

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PARA Weekly Update: June 13, 2018

OPPS AND HCPCS UPDATES: CLINLAB AND DRUGS

The following new drug HCPCS were announced; all of which are Medicare Physician Fee Schedule Status E ? "Excluded from physician fee schedule by regulation.

These codes are for items and/or services that CMS chose to exclude from the fee schedule payment by regulation. No RVUs or payment amounts are shown and no payment may be made under the fee schedule for these codes. Payment for them, when covered, continues under reasonable charge procedures.?

Additional information will be provided in the July, 2018 OPPS Update.

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PARA Weekly Update: June 13, 2018

MANAGED CARE REMIT ASSESSMENT

The goal of PARA?s Managed Care Remit Assessment is to provide a review of select managed care remits to ensure claims have been paid appropriately according to payer contracted terms.

The Managed Care Remit Assessment is a 3-phase process: 1. Process managed care 835 remits, 837 files and payer contract settlement terms using the PARA Data Editor (PDE) 2. Create actual versus expected reimbursement using PDE Claim/RA/835 Remit - Settlement tab 3. Presentation and review of Assessment findings The PARA Data Editor is utilized in each phase of the assessment.

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PARA Weekly Update: June 13, 2018

MANAGED CARE REMIT ASSESSMENT

Ph ase 1: Process Managed Care 835 Remits And Payer Contract Settlement Terms: PARA will process the managed care 835 remittance data, 837 files and payer contract settlement terms using the PDE Claim/RA/835 Remit - Settlement tab.

The client hospital simply uploads major managed care contracts, (e.g. Aetna, Blue Cross, Cigna, Humana, United Healthcare) along with two local payer managed care contracts and the following: - Five current electronic 837 files and 835 remittance data files per managed care contract - Pages from the agreement detailing the payment process - Fee schedules in Excel (if applicable) The hospital also uploads a sample of the 835. PARA will then confirm the file's accuracy and then request the remaining 835s.

Here's a sample 835:

The above data tables are submitted using the secured PARA File Transfer, a link to the instructions is available on the next page.

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PARA Weekly Update: June 13, 2018

MANAGED CARE REMIT ASSESSMENT

The PARA File Transfer Guide:

Ph ase 2: Create Actual Versus Expected Reimbursement Report: The process utilized for the review is driven by the Claim/RA/835 Remit ? Settlement tab within the PDE. PARA will analyze selected 837 and 835 remits, coupled with managed care contract settlement terms, to identify opportunities to improve cash flow and maximize managed care reimbursement.

The Claim/RA/835 Remit ? Settlement tab of the PDE allows users to filter and review claims by payer to identify trends that can be addressed to maximize reimbursement or improve the billing process.

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PARA Weekly Update: June 13, 2018

MANAGED CARE REMIT ASSESSMENT

Ph ase 3: Quantify Line Item Denials By Denial Code And HCPCS; Identify Most Common Denied HCPCS And Trends Month By Month: PARA analyzes the most common denied claims/line items by HCPCS and reason code to quantify the number of occurrences and the dollar value; similar denials can be tracked month by month to determine if a trend exists toward improvement or deterioration.

Denials by reason code are retrieved by payer:

Reason codes are color-coded to speed in determining the most actionable denial types:

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PARA Weekly Update: June 13, 2018

MANAGED CARE REMIT ASSESSMENT

Claim detail is downloaded to a spreadsheet to facilitate analysis ? identified denials quantified by HCPCS and DOS. The system offers bar, pie, or line charts for specified denials over time:

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PARA Weekly Update: June 13, 2018

MANAGED CARE REMIT ASSESSMENT

Ph ase 4: Present And Review Assessment Findings: PARA summarizes the finding into a worksheet for presentation and discussion with hospital staff.

As a result of this initial assessment, the organization can identify, at the payer contract level, where there are shortfalls and where reimbursement can be improved.

The comprehensive report package includes the following tabs: -

Inpatient claims Hospital All Other - all OP claims that are non-reconciled Professional fees - non-reconciled professional fee claims Negative - reversed payments or takebacks Zero Paid - denied claims with no payment Secondary Claims - claims where the payer is secondary, the primary payer paid the bulk Reconciled - claims paid as expected per the contract terms loaded in the PDE Reconciled Professional fees - professional fee claims paid as expected per contract terms

The report looks like this and the information is used by the hospital's managed care and billing staff to rebill, if necessary, and to improve billing processes or charge master pricing:

So, why conduct a Managed Care Remit Assessment?

- Uncover potential missing reimbursements owed to your Contact a PARA Account Executive today, hospital - Recover as much cash from and get on the path for maximum earned payments that can be used for operations or capital reimbursement tomorrow. improvements - Discover coding, contractual or billing issues that could be preventing your hospital from being paid all that is earned - Identify operational areas that could be streamlined or improved in order to achieve maximum efficiency.

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PARA Weekly Update: June 13, 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 assistance from external funding sources.

At PARA, we've found an excellent source of funding opportunities for rural healthcare facilities.

Here are some examples.

Healthy Eating Research: Building Evidence To Promote Health And Well-Being Among Children - Provides approximately 8 small scale grants of up to $200,000 and 2 large scale grants of up to $500,000 to fund research on policy, systems and environmental strategies to promote the health and well-being of children.

- Letter of Intent, July 18, 2018; Application Deadline: September 26, 2018

Here's the link:

Service Area Funding For Health Center Programs - Provides grants to health centers that offer comprehensive primary healthcare services to an underserved area or population.

- Estimated funding is $409,300,000 for 86 awards.

- Project period is up to three years

- Application Deadline: August 6, 2018

Here's the link: 26

PARA Weekly Update: June 13, 2018

MLN CONNECTS

PARA invites you to check out the mlnconnects page available from the Centers For Medicare and Medicaid (CMS). It's chock full of news and information, training opportunities, events and more! Each week PARA will bring you the latest news and links to available resources. Click each link or the PDF!

Th u r sday, Ju n e 7, 2018 News & Announcements - New Medicare Card: MBI Look-up Tool Available through your MAC - Declines in Hospital-Acquired Conditions Save 8,000 Lives and $2.9 Billion - 2017 Quality Payment Program Year 1 Submission Results - DMEPOS Prior Authorization List Additions - Draft QRDA III Implementation Guide: Submit Comments by June 20 - IRF and LTCH Provider Preview Reports: Review Your Data by June 30 - SNF Provider Preview Report: Review Your Data by June 30 - Hospice Provider Preview Reports: Review Your Data by June 30 - Eligible Hospitals: Submit a Hardship Exception Application by July 1 - PEPPER for Short-term Acute Care Hospitals - View Your MIPS Preliminary Performance Feedback Data - Physician Compare Downloadable Database: 2016 Performance Scores Provider Compliance - Bill Correctly for Device Replacement Procedures ? Reminder Claims, Pricers & Codes - July 2018 Average Sales Price Files Upcoming Events - MIPS Promoting Interoperability Performance Category Webinar ? June 12 - CMS Quality Measures: Development, Implementation, and You Webinar ? June 13 or 14 - Medicare Diabetes Prevention Program: Supplier Enrollment Call ? June 20 - IMPACT Act: Frequently Asked Questions Call ? June 21 - Home Health Agencies: Quality of Patient Care Star Ratings Algorithm Call ? June 27 - Ground Ambulance Providers and Suppliers: Data Collection System Listening Session ? June 28 - Comparative Billing Report on Knee Orthoses Referring Providers Webinar ? July 11 Medicare Learning NetworkÂŽ Publications & Multimedia - New Q Code for In-Line Cartridge Containing Digestive Enzyme(s) MLN Matters Article ? New - July 2018 Update of the Ambulatory Surgical Center Payment System MLN Matters Article ?

New - Claim Status Category and Claim Status Codes Update MLN Matters Article ? New - Settlement Conference Facilitation Call: Audio Recording and Transcript ? New 27

PARA Weekly Update: June 13, 2018

There were TEN 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

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PARA Weekly Update: June 13, 2018

The link to this Med Learn: MM10735

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PARA Weekly Update: June 13, 2018

The link to this Med Learn: MM10802

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PARA Weekly Update: June 13, 2018

The link to this Med Learn: MM10777

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PARA Weekly Update: June 13, 2018

The link to this Med Learn: MM10788

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PARA Weekly Update: June 13, 2018

The link to this Med Learn: MM10781

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PARA Weekly Update: June 13, 2018

The link to this Med Learn: MM10699

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PARA Weekly Update: June 13, 2018

The link to this Med Learn: SE18007

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PARA Weekly Update: June 13, 2018

The link to this Med Learn: MM10558

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PARA Weekly Update: June 13, 2018

The link to this Med Learn: SE18008

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PARA Weekly Update: June 13, 2018

The link to this Med Learn: MM10707

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PARA Weekly Update: June 13, 2018

There were SIX 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

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PARA Weekly Update: June 13, 2018

The link to this Transmittal R2093OTN

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PARA Weekly Update: June 13, 2018

The link to this Transmittal R2092OTN

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PARA Weekly Update: June 13, 2018

The link to this Transmittal R4072CP

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PARA Weekly Update: June 13, 2018

The link to this Transmittal R4071CP

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PARA Weekly Update: June 13, 2018

The link to this Transmittal R4070CP

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PARA Weekly Update: June 13, 2018

The link to this Transmittal R4069CP

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PARA Weekly Update: June 13, 2018

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