Grayscale Version PARA Weekly Update For Users March 7 2018

Date

PARA WEEKLY CODING FOR HPV SCREENING

UPDATE For Users

Improving T he Businessof HealthCare Since 1985 March 7, 2018 NEWS FOR HEALTHCARE DECISION MAKERS

IN THIS ISSUE QUESTIONS & ANSWERS - Radiology 73501 Exams - Modifier 52 On Psychiatric Evaluations - Emergency Department Point Of Care - Home INR Testing - Rehab Department Home Visit Assessments

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PDE CALCULATOR UPDATES: National Coverage Determinations, Local Coverage Determination, Medicare Part B ASP Drug Payments, and NDC to J Code Crosswalk

PDE UPDATE: RAC TAB Q2 OP DATA

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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CY 2018 THERAPY CAP EXPIRATION UPDATE CLIA WAIVED TESTS & QW MODIFIER -- APRIL 2018 UPDATE

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.

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

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Administration: Pages 1-41 HIM/Coding Staff: Pages 1-41 Providers: Pages 3,26,33,34 PDE Users: Pages 9-14,23 Imaging Services: Pages 2,28,40 Finance: Pages 36,39

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Psychiatry: Page 3 Emergency Services: Page 6 Laboratory Services: Pages 16,26,33 Outpatient Services: Pages 27,29,32 Rehab Services: Pages 8,15

© 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: March 7, 2018

RADIOLOGY 73501 EXAMS

Question #1: 73501 Radiologic examination, hip, unilateral, with pelvis when performed; 1 view 73502 2-3 views 73503 minimum of 4 views 72170 Radiologic examination, pelvis; 1 or 2 views: Does 73501, 73502, and 73503 require a pelvis view to be performed?

Answer: CPT速 codes 73501, 73502 and 73503 can be reported without a pelvis view. The code descriptions state, Radiologic examination, hip, unilateral, with pelvis when performed. Pelvis is included when performed but not required. Please refer to the PARA Data Editor code descriptions.

Question#2: There was a fluoroscopic procedure completed in cathlab under Fluoroscopy Area Localization. Fluoroscopy Area Localization has CPT速 76000 attached to it. No ?actual coiling? was performed during this case, but a coil was used for localization. Coil is typically billed with the following CPT速 : 61624 75894 45898. Would we still be able to bill for the coil if no ?actual coiling/ emoblization? was performed? The coil was used as a marker. Please let me know if you need more details.

Answer: CPT速 codes 61624 and 75894 include permanent Occlusion or embolization. It would not be appropriate to report these codes if the documentation does not support the full description of the code selection. Clients can submit an operative note for review, PARA can provide confirmation of code selection. Please refer to the PARA Data Editor code description.

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PARA Weekly Update: March 7, 2018

MODIFIER 52 ON PSYCHIATRIC EVALUATIONS

Question: Is it permissible to report modifier 52 on codes in the ?Medicine? section of the CPT® code book, which includes psych diagnostic evaluation codes 90791-90792?

Answer: Yes. We have verified that it is permissible to report modifier 52 on codes in the ?Medicine? section of the CPT® code book, which includes the psych diagnostic eval codes 90791-90792.

Medicare has published a MedLearn on the use of modifiers for discontinued procedures ? here is a link and an excerpt: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/ downloads/MM3507.pdf

Although it is inappropriate to append modifier 52 to an evaluation and management code, such as 99201-99215 (etc.), CPT® s 90791 and 90792 for psychiatric diagnostic evaluations are not listed in the ?Evaluation and Management? section of the CPT® book. They are located in the ?Medicine? section.

Modifier 52 is specifically addressed by the AMA publication ?CPT® Assistant? in reference to other codes in the ?Medicine? section of the CPT® book as follows: CPT® Assistant, March 2009 ?

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PARA Weekly Update: March 7, 2018

MODIFIER 52 ON PSYCHIATRIC EVALUATIONS

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PARA Weekly Update: March 7, 2018

MODIFIER 52 ON PSYCHIATRIC EVALUATIONS

Note that WPS has a general policy to reduce reimbursement by 50% when modifier 52 is appended: https://www.wpsic.com/providers/files/reimbursement-policies.pdf

Here is a Q&A of interest on a website published by the Medicare Administrative Contractor for California and many NW states, Noridian. Note that it offers providers an alternative to billing modifier 52, but it does not prohibit the use of modifier 52 with CPTÂŽ 96101 or 96102 for psychological testing ? which codes appear in the same ?Medicine? section of the CPTÂŽ code book as 90791 and 90792. They suggest that the provider collect the partial service documentation that may be spread over more than one day, and then bill the code on the day that the work is complete: https://med.noridianmedicare.com/web/ jeb/education/event-materials/mental-health-qa

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PARA Weekly Update: March 7, 2018

EMERGENCY DEPARTMENT POINT OF CARE

Question: If we save or store images from a Point of Care U/ S in the Emergency Department can we bill for a technical fee? Is there any requirements that need to be met so that we can bill for this?

In addition, if we bill for POCUS for cath lab services for the use of ultrasound during the procedure, is the US part of a bundled payment or can it be billed separately? Is there requirements for POCUS in the cath lab?

Answer: PARA does not recommend billing a technical component for point-of-care imaging which will not have a corresponding written interpretation or report. We recommend incorporating the use of the POC US resource into the point system that contributes to the E/ M level assignment for the emergency visit.

In response on the cath lab question, Medicare?s National Correct Coding Manual (2018) offers the following instruction:

The CCI edits for the US codes in the paragraph above (76942, 76998) with several of the most frequently charged would require a modifier to override (which would likely be inappropriate unless the US was for some unrelated purpose.)

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PARA Weekly Update: March 7, 2018

EMERGENCY DEPARTMENT POINT OF CARE

To test, PARA entered the query as follows:

And the following report was returned.

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PARA Weekly Update: March 7, 2018

HOME INR TESTING

Question: We are getting results for home INR testing. We know we can only bill every 28 days for weekly tests. My question is when we bill G0250 for the four tests are we billing a quantity of one or a quantity of four?

Answer: The professional fee for G0250 represents 4 tests:

G0250 is not reportable as a facility fee.

REHAB DEPARTMENT HOME VISIT ASSESSMENTS

Question: It came to my attention that our Rehab Department has been getting orders from our employed clinic physicians to do home visits to assess the home so that patients at risk have what they need. They are billing for an OT evaluation. There is nothing on a UB04 that tells Medicare that this service is being provided in the home vs here at the hospital. Apparently these people don't qualify for home health services, this is a one-time visit periodically to check on them (examples are people with Parkinson's, etc.) One opinion is that we need to discontinue this and am wondering if this should be a free community benefit or if we should charge a self-pay fee or if there is anything we need to know when it comes to being able to bill for this.

One idea we had and our physician is supportive, is that he would go to the home with the therapist and do a visit with a place of service of home and the therapist would bill under his provider number.

Is that allowed?

Answer: Since the service is not performed in licensed hospital space, it is inappropriate to report this care on a UB/ 837i claim form, whether performed by a physician or a physical therapist or both together. A physician and/ or physical therapist may add house call service to his/ her Medicare enrollment application (855I, section 4 ? practice locations), and bill the service on a professional fee form CMS1500/ 837p with POS 12 (home).

Alternately, a home health agency may provide this evaluation as a non-covered service if an ABN is first obtained.

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PARA Weekly Update: March 7, 2018

PDE CALCULATOR UPDATES: COVERAGE DETERMINATIONS/ASP/NDC

The Calculator is a robust web-based research tool that allows the User unlimited access to search and report against a number of disparate data sources. Users have numeric and alpha query capabilities; the returned information can be exported to PDF, Excel or copied to the desktop clipboard for email applications. Users can save their preferences which are specific to their geographic and provider types; all codes, reimbursement, and claim edits are always the most current available.

National Coverage Determination The query checks against the CMS Coverage data tables.

The query format is comma separated codes, or a HCPCS code in the top box and an ICD9 diagnosis code in the bottom, wildcard and text arenotsupported due to the great number of returns.

The value returns are as follows: 1.

2.

3.

4.

5.

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National Coverage Decision CPTÂŽ / HCPCS ? Code and description ICD-10 ? Code and description Resolution Code Effective Date Termination Date

Single code query:

Clicking the NCD in the first column of results will link the user to CMS.gov and additional information for the chosen NCD.

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PARA Weekly Update: March 7, 2018

PDE CALCULATOR UPDATES: COVERAGE DETERMINATIONS/ASP/NDC

National Coverage Determination - Articles The query checks against the CMS Coverage data tables.

The query accepts comma separated NCD ID?s and text key words The value returns are as follows: 1.

2.

3.

4.

5.

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National Coverage Decision and supporting documentation Manual Section Title Version Number Effective Date of this Version Implementation Date Item/ Service Description

The first column of results are links to additional information. The NCD ID directs the user to CMS.gov. The supporting Document link provides and Excel spreadsheet of NCD details.

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PARA Weekly Update: March 7, 2018

PDE CALCULATOR UPDATES: COVERAGE DETERMINATIONS/ASP/NDC

Local Coverage Determination The query checks against the CMS Local Coverage data tables as defined by the Contractor chosen in the report selection tab. When using the ?Select Contractor? drop-down be sure to save your default selections. If there are no hits in the selected contractor, a message will appear in the contractor name box and the query will search the entire state for LCDs. The query will also display any relevant NCDs for the codes queried.

The query format is comma separated codes, or a HCPCS code in the top box and an ICD10 diagnosis code in the bottom for a focused query, wildcard and text are not supported.

The value returns are as follows: 1.

2.

3.

4.

5.

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1.LocalCoverage Decision ID Number 2.CPTÂŽ / HCPCS ? Code and description 3.ICD10 ? Code and description 4.Title / Status ? (i.e., covered) 5.Contractor Type / Name ? (FI, MAC, Carrier) 6.Date Information

Single code query:

In addition to the CMS.gov links, the first column includes lists of associated ICD10 codes.

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PARA Weekly Update: March 7, 2018

PDE CALCULATOR UPDATES: COVERAGE DETERMINATIONS/ASP/NDC

Medicare Part B ASP Drug Payments The query is conducted against the CMS Part B Average Sales Price data table.

The query format is comma separated code, wildcard and text.

The returned values are as follows.

1.

2.

3.

4.

5.

6.

7.

8.

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CPT® / HCPCS Code and Description Dosage Payment Limit ESRD Limit Vaccine Average Wholesale Price Percent and Limit Infusion Average Wholesale Price Percent DME Infusion Limit Blood Average Wholesale Price Percent and Limit Notes

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PARA Weekly Update: March 7, 2018

PDE CALCULATOR UPDATES: COVERAGE DETERMINATIONS/ASP/NDC

NDC To J Code Crosswalk The National Drug Code to CMS HCPCS J code crosswalk is based on the Food and Drug Administration NDC table tied to the CMS J code reference table and the National Drug Data File.

The code query format is comma separated code, wildcard and text.

The values returned are as follows: 1. HCPCS J code 2. HCPCS Description 3. HCPCS Status 4. Drug Labeler 5. NDC Code 6. NDC Description 7. Drug Name 8. HCPCS Dosage 9. Package Size Quantity 10. Bill Units ? Code unit multiplier 11. Route of Administration 12. Wholesale Acquisition Cost Unit 13. WAC Package 14. Suggested Wholesale Price Unit 15. SWP Package

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PARA Weekly Update: March 7, 2018

PDE UPDATE -- RAC TAB -- QUARTER 2, 2017 OP DATA

PDE Update ? RAC Tab ? Quarter 2 2017 OP Data Quarter 2 2017 Outpatient Standard Analytical File data has been received by PARA and is now being made available within the PDE. It is currently available within the RAC tab:

The data will soon be available within the Pricing Data tab as well all other areas that display Outpatient Peer Market information.Separate notices will be published within the PARA Weekly Update when the processing is completed.

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PARA Weekly Update: March 7, 2018

ALERT: CY 2018 THERAPY CAP EXPIRATION -- UPDATED

This article is a special alert to Rehabilitation service providers. In accordance with Section 5107 of the Deficit Reduction Act of 2005, the provisions require an exceptions process to the therapy caps for reasonable and medically necessary services.

Services above the established therapy caps are identified at the claim levels using the KX modifier.

This exceptions process has been previously extended though legislations steps. The provision expired as of December 31, 2017.

Update status as of February 11, 2018: 1. The Therapy Cap has been repealed through the Legislation process 2. The CY2018 Therapy Cap is $2010.00 for Physical and Occupational Therapy, Speech Therapy is $2010.00. Therapy services can be rendered above this established threshold and bill be processed and paid by Medicare if the KX modifier is reported. The KX modifier must be supported by clinical documentation.

3. The manual medical review threshold has been lowered for CY2018 from $3700.00 to $3000.00.

Claims presented to CMS for payment above this manual medical review threshold may trigger a manual medical review, especially if the provider is already flagged for meeting certain indicators such as denial rates.

CMS has not been able to publish any updates in writing to date for this latest update. This information was obtained from the AOTA website. https://www.aota.org/Advocacy-Policy/ Congressional-Affairs/Legislative-Issues-Update/ 2018/Victory-in-Sight-Permanent-Repeal-TherapyCap-House-Budget-Bill-Vote.aspx PARA will be following this and will update clients as information is released:

https://www.cms.gov/Center/Provider-Type/All-Fee-For-Service-Providers-Center.html

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PARA Weekly Update: March 7, 2018

CLIA WAIVED TESTS & THE QW MODIFIER -- APRIL 1 2018 UPDATE

A new test kit available from Sysmex America has been approved by CMS as the first Clinical Laboratory Improvement Amendments (CLIA)-waived, complete blood count (CBC) system.Several other tests will be added to the CMS list of waived tests as well.

The transmittal from Medicare is effective April 1, 2018, and is available at the following link: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/ MLNMattersArticles/Downloads/MM10418.pdf

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PARA Weekly Update: March 7, 2018

CLIA WAIVED TESTS & THE QW MODIFIER -- APRIL 1 2018 UPDATE

The Clinical Laboratory Improvement Amendments (CLIA) Act requires all laboratories that examine materials derived from the human body for diagnosis, prevention, or treatment purposes to be certified by the Secretary of Health and Human Services.The certification is evidence that the laboratory is regularly inspected and complies with quality assurance standards required for more complex laboratory tests.

Providers which perform limited testing and cannot meet full CLIA certificate standards may apply for a CLIA Certificate of Waiver (CoW.)The CoW enables providers to offer basic lab services using prepared test kits which are so simple that there is little risk of error.These tests are limited to those listed by CMS, and are reported on claims with the QW modifier.

The use of modifier QW (CLIA Waived Lab Test) notifies Medicare that the location of testing is operating under a CLIA Certificate of Waiver, and the test itself is one of the manufactured test kits that are authorized under the CoW.Medicare publishes a list of lab tests which are eligible for CoW provider billing, including test HCPCS that require the QW modifier.Some CLIA waived tests do not require the QW modifier, and if the modifier is appended in error, the service will be rejected from claim processing.

The list of HCPCS codes which are eligible for the QW modifier can be validated on the PARA Data Editor by selecting the Calculator tab, Clinical Lab Reimbursement report ? as illustrated below:

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PARA Weekly Update: March 7, 2018

CLIA WAIVED TESTS & THE QW MODIFIER -- APRIL 1 2018 UPDATE

Medicare reimbursement for clinical lab tests, including those with the QW modifier, is available within the PARA DATA Calculator HCPCS report:

The following CPTÂŽ codes are billable by a CoW provider, and do not require a QW modifier to be recognized as a waived test: 81002, 81025, 82270, 82272, 82962, 83026, 84830, 85013, and 85651.

Best Practice Charge Process ?Practice locations that are unsure of their CLIA certificate status should contact the Laboratory Manager to determine if the clinic is covered under a hospital CLIA certificate, which is typically not a certificate of waiver.In general, if a hospital CLIA certificate includes lab tests performed at the clinic location, the QW modifier is not required when reporting lab tests on claims.

For provider locations operating under a CLIA certificate of waiver, PARA recommends the following process to ensure compliance with QW modifier reporting: 1. Identify the test kit manufacturer and name of the test; 2. Determine if the test is listed on Medicare?s website ?Tests Granted Waived Status under CLIA?, which also lists whether QW Modifier is necessary for that specific test (https://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/downloads/waivetbl.pdf); 3. Ensure the test corresponds to a chargemaster line with the QW modifier hard-coded to the HCPCS.The CDM line description should identify the Test Kit name, to facilitate future CDM maintenance.

4. Review the CMS QW modifier website for quarterly updates.

A link and excerpts to the current list of tests granted waived status is provided on the following page.Presently, the list at the link below is current through 2017, it has not yet been updated for the new tests eligible effective April 1, 2018.

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PARA Weekly Update: March 7, 2018

CLIA WAIVED TESTS & THE QW MODIFIER -- APRIL 1 2018 UPDATE

https://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/downloads/waivetbl.pdf

Medicare publishes updates the list of ?Tests Granted Waived Status under CLIA? quarterly; refer to Medicare?s MedLearn Matters publications for current information: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/ downloads/MM10198.pdf

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PARA Weekly Update: March 7, 2018

CLIA WAIVED TESTS & THE QW MODIFIER -- APRIL 1 2018 UPDATE

The following pages provide a link and excerpts from the Medicare Claims Processing Manual (Chapter 16 ? Laboratory Services) regarding CLIA requirements and billing. https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c16.pdf 70 - Clinical Laboratory Improvement Amendments (CLIA) Requirements (Rev. 1, 10-01-03) A3-3628.2, RHC-640, ESRD 322, HO-306, HHA-465, SNF 541, HO-437.2, PM B-97-3 70.1 - Background (Rev. 3014, Issued: 08-06-14, Effective: ICD- 10: Upon Implementation of ICD-10 ASC-X12: 01-01-12, Implementation: ICD-10: Upon Implementation of ICD-10 ASC X12: 09-08-14) The Clinical Laboratory Improvements Amendments of 1988 (CLIA), Public Law 100-578, amended ยง353 of the Public Health Service Act (PHSA) to extend jurisdiction of the Department of Health and Human Services to regulate all laboratories that examine human specimens to provide information to assess, diagnose, prevent, or treat any disease or impairment. The purpose of the CLIA program is to assure that laboratories testing specimens in interstate commerce consistently provide accurate procedures and services. As a result of CLIA, any laboratory soliciting or accepting specimens in interstate commerce for laboratory testing is required to hold a valid license or letter of exemption from licensure issued by the Secretary of HHS. The term ?interstate commerce? means trade, traffic, commerce, transportation, or communication between any state, possession of the United States, the Commonwealth of Puerto Rico, or the District of Columbia, and any place outside thereof, or within the District of Columbia.

The CLIA mandates that virtually all laboratories, including physician office laboratories (POLs), meet applicable Federal requirements and have a CLIA certificate in order to receive reimbursement from Federal programs. CLIA also lists requirements for laboratories performing only certain tests to be eligible for a certificate of waiver or a certificate for Physician Performed Microscopy Procedures (PPMP). Since 1992, A/B MACs (B) have been instructed to deny clinical laboratory services billed by independent laboratories which did not meet the CLIA requirements. POLs were excluded from the 1992 instruction but included in 1997.

The CLIA number must be included on each claim billed on the ASC X12 837 professional format or Form CMS-1500 claim for laboratory services by any laboratory performing tests covered by CLIA. See ยง70.2 and 70.10 for more information.

70.2 - Billing (Rev. 3014, Issued: 08-06-14, Effective: ICD- 10: Upon Implementation of ICD-10 ASC-X12: 01-01-12, Implementation: ICD-10: Upon Implementation of ICD-10 ASC X12: 09-08-14) See ยง70.10 for instructions for reporting the CLIA number.

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PARA Weekly Update: March 7, 2018

CLIA WAIVED TESTS & THE QW MODIFIER -- APRIL 1 2018 UPDATE

Medicare Claims Processing Manual - continued 70.3 - Verifying CLIA Certification (Rev. 865, Issued: 02-17-06; Effective: 01-01-06; Implementation: 07-03-06) CWF edits A/ B MAC (B) claims to ascertain that the laboratory identified by the CLIA number is certified to perform the test. (CWF uses data supplied from the certification process.) See Chapter 27 for related specifications.

Providers that bill A/ B MACs (A) are responsible for verifying CLIA certification prior to ordering laboratory services under arrangement. The survey process validates that these providers have procedures in place to insure that laboratory services are provided by CLIA approved laboratories.

Refer to the Medicare State Operations Manual for information about CLIA license or the CLIA licensure exemptions.

70.4 - CLIA Numbers (Rev. 1, 10-01-03) A3-3628.2.D The structure of the CLIA number follows: Positions 1 and 2 contain the State code (based on the laboratory?s physical location at time of registration); Position 3 contains the letter ?D"; and Positions 4-10 contain the unique CLIA system assigned number that identifies the laboratory. (No other laboratory in the country has this number.)

Initially, providers are issued a CLIA number when they apply to the CLIA program.

Independent dialysis facilities must obtain a CLIA certificate in order to perform clotting time tests.

70.5 - CLIA Categories and Subcategories (Rev. 1, 10-01-03) A laboratory may be licensed or exempted from licensure in several major categories of procedures.

These major categories are:

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PARA Weekly Update: March 7, 2018

CLIA WAIVED TESTS & THE QW MODIFIER -- APRIL 1 2018 UPDATE

Medicare Claims Processing Manual - continued Category Number 10 100 110 115 120 130 140 150 200 210 220 300 310 320 330 340 350 400 500 510 520 530 540 550 560 600 610 620 630 800 900

Category/Subcategory Name Histocompatibility Microbiology Bacteriology Mycobacteriology Mycology Parasitology Virology Other Microbiology Diagnostic Immunology Syphilis Serology General Immunology Chemistry Routine Urinalysis Endocrinology Toxicology Other Hematology Immuno-hematology ABO Group and RH Type Antibody Detection (Transfusion) Antibody Detection (Non Transfusion) Antibody Identification Compatability Testing Other Pathology Histopathology Oral Pathology Cytology Radioassay Clinical Cytogenics 22

PARA Weekly Update: March 7, 2018

NEW CHROME VERSION OF PDE AND OTHER BROWSER FORMATS

We have been working on making the PARA Data Editor compatible with multiple web browsers so that everyone can have options when it comes to which browser to use, depending on resources or preferences.

As of today, we are making available our PARA Data Editor Multiple Web Browser (Beta) Version to everyone with a proper PARA Data Editor Login.

The Web Browsers that we are rolling out first with this version are 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

Note new interface with options.

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PARA Weekly Update: March 7, 2018

NEW CHROME VERSION OF PDE AND OTHER BROWSER FORMATS

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:

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PARA Weekly Update: March 7, 2018

There were FIVE 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: March 7, 2018

The link to this Med Learn: MM10474

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PARA Weekly Update: March 7, 2018

The link to this Med Learn: MM10514

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PARA Weekly Update: March 7, 2018

The link to this Med Learn: MM10481

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PARA Weekly Update: March 7, 2018

The link to this Med Learn: MM10473

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PARA Weekly Update: March 7, 2018

The link to this Med Learn: MM10480

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PARA Weekly Update: March 7, 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

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PARA Weekly Update: March 7, 2018

The link to this Transmittal R2039OTN

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PARA Weekly Update: March 7, 2018

The link to this Transmittal R3990CP

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PARA Weekly Update: March 7, 2018

The link to this Transmittal: R3992CP

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PARA Weekly Update: March 7, 2018

The link to this Transmittal: R205NCD

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PARA Weekly Update: March 7, 2018

The link to this Transmittal: R3987CP

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PARA Weekly Update: March 7, 2018

The link to this Transmittal: R3988CP

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PARA Weekly Update: March 7, 2018

The link to this Transmittal: R3989CP

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PARA Weekly Update: March 7, 2018

The link to this Transmittal: R3985CP

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PARA Weekly Update: March 7, 2018

The link to this Transmittal: R2040OTN

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PARA Weekly Update: March 7, 2018

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