PARA Weekly Update December 1 2017 Grayscale Version

Date

PARA WEEKLY

UPDATE For Users

Improving T he Businessof HealthCare Since 1985 December 1, 2017 NEWS FOR HEALTHCARE DECISION MAKERS IN THIS ISSUE QUESTIONS & ANSWERS

- Coding Cutaneous Mastocytosis

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- Senile Systemic Amyloidosis (SSA) - Billing For Insulin Pump Training - Consultation Services Payment Policies AND AN UPDATED AND EXPANDED LIST OF CMS UPDATES FOR 2018 2018 CODING UPDATE DOCUMENTS

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Repri nted by Request CLARIFICATION APPROPRIATE USE CRITERIA REPORTING

PARA COMPANY NEWS ABOUT PARA SERVICES CONTACT US

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.

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

Administration: Pages 1-31 HIM/Coding Staff: Pages 2-8,11,13 Providers: Page 22,27 Finance Dept: Pages 24,27-29 Imaging Dept: Page 25

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Hospice: Page 29 Rural Health Clinics: Pages 19,21 FQHCs: Page 21 Rehabilitation Providers: Page 23 Telehealth: Page 27

© 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: December 1, 2017

CODING CUTANEOUS MASTOCYTOSIS

Question: What is the appropriate ICD-10 CM code(s) to report diffuse cutaneous mastocystosis?

Answer: Report ICD-10 CM code D47.01, Cutaneous Mastocystosis.There are two forms of mastocytosis:cutaneous and systemic. Cutaneous mastocytosis is diagnosed by the presence of typical skin lesions and a positive skin biopsy demonstrating characteristic clusters of mast cells.

Effective October 1, 2017, ICD-10 code D47.0 (Mast Cell Neoplasms of uncertain behavior) has been expanded to further specify the type of mastocystosis which is identified in the additional fifth character.

The expansion includes D47.01, Cutaneous mastocytosis, D47.02, Systemic mastocytosis, and D47.09, Other mast cell neoplasms of uncertain behavior. This advice is supported by Coding Clinic for ICD-10 CM 4thQtr 2017 provided below.The ICD-10 CM tabular index for ICD-10 CM code D47.01 has an instructional note that includes terms such as Diffuse cutaneous mastocystosis. ?Includes notes and terminology? in ICD-10 CM indicate the terminology following the main term in the tabular index aresynonyms with the main condition description. 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, 11 located in the PARA Data Editor calculator.

ICD-10-CM New/Revised Codes: Mastocytosis and Certain Other Mast Cell Disorders Coding Clinic for ICD-10-CM/PCS, Fourth Quarter 2017: Page 5 The title of subcategory D47.0 was revised to "Mast cell neoplasms of uncertain behavior."

New codes were created for cutaneous mastocytosis (D47.01), systemic mastocytosis (D47.02), and other mast cell neoplasms of uncertain behavior (D47.09).Mastocytosis comprises a set of disorders involving abnormal proliferation and accumulation of clonal mast cells in one or multiple organ systems. Symptoms can be due to release of substances such as histamine, and can include headaches, dizziness, flushing, tachycardia, hypotension, syncope, nausea, vomiting, abdominal pain, and diarrhea.This category includes urticarial pigmentosa (UP)/maculopapular cutaneous mastocytosis (MPCM), telangiectasia macularis eruptiva perstans (TMEP), diffuse cutaneous mastocytosis (DCM), and solitary mastocytoma. Systemic mastocytosis is a disorder where mast cells are abnormally increased in multiple organs including the bone marrow.

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PARA Weekly Update: December 1, 2017

CODING CUTANEOUS MASTOCYTOSIS

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 besynonymsof 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.

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PARA Weekly Update: December 1, 2017

SENILE SYSTEMIC AMYLOIDOSIS (SSA)

Question: What is the appropriate ICD-10 CM code(s) to report Senile Systemic Amyloidosis (SSA)?

Answer: Report ICD-10 CM code E85.82, Wild-type Transthyretin-related (ATTR) amyloidosis.

Effective October 1, 2017, ICD-10 code E85.8 (Other Amyloidosis) has been expanded to further specify the type of amyloidosis which is identified in the additional fifth character. The expansion includes Light chain (AL) (E85.81), Wild-type transthyretin-related (ATTR) (E85.82), and Other amyloidosis (E85.89). This advice is supported by Coding Clinic for ICD-10 CM 4thQtr 2017 provided below.

ATTR involves an abnormal transthyretin (TTR) protein. Wild-type ATTR is also known as Senile Systemic Amyloidosis (SSA). It is a common aging-related phenomenon that typically involves a slowly progressive cardiomyopathy leading to cardiac manifestations including congestive heart failure, atrial fibrillation and intractable arrhythmia. The ICD-10 CM tabular index for ICD-10 CM code E85.82 has an instructional note that includes SSA. ?Includes notes and terminology? in ICD-10 CM indicate the terminology following the main term in the tabular index aresynonyms with the main condition description.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, 11 located in the PARA Data Editor calculator.

ICD-10-CM New/Revised Codes: Amyloidosis Coding Clinic for ICD-10-CM/PCS, Fourth Quarter 2017: Page 7 CodesE85.81, Light chain (AL) amyloidosis,E85.82, Wild-type transthyretin-related (ATTR) amyloidosis,andE85.89, Other amyloidosis, have been created to employ the most recent terminology and classification for amyloidosis. Amyloidosis involves deposits of proteins that have become misfolded, going from a normal soluble state to an insoluble structure. There are three major systemic types of amyloidosis. The three most common types are light chain amyloidosis (AL), transthyretin-related amyloidosis (ATTR), and serum amyloid A (AA) amyloidosis.

Transthyretin-related amyloidosis (ATTR) involves an abnormal transthyretin (TTR) protein. There are a number of different variants that may be inherited. In ATTR familial amyloid cardiomyopathy, the TTR is deposited in the heart. In ATTR familial amyloid polyneuropathy, the nerves are affected.

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PARA Weekly Update: December 1, 2017

SENILE SYSTEMIC AMYLOIDOSIS (SSA)

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 besynonymsof 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.

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PARA Weekly Update: December 1, 2017

INSULIN PUMP TRAINING

Question: Our Diabetic Education RNs are currently getting referrals for doctors to meet with patients about insulin pump issues. I have attached 3 examples of medical records for this type of patient encounter. Currently the RN is not charging anything for this visit. Do you feel the documentation meets the criteria to bill a G0463 HCPC? The RN is employed by the hospital not by the physician office.

Answer: We do not recommend reporting this service with G0463, because training in the correct use of an insulin pump is covered under Medicare?s Diabetes Self-Management Training benefit as an Individual Training session.Here?s an excerpt from the MedicareBenefits Policy Manual, Chapter 15: https:/ / www.cms.gov/ Regulations-and-Guidance / Guidance/ Manuals / Downloads/ bp102c15.pdf 300.4 - Coverage Requirements for Individual Training Medicare covers training on an individual basis for a Medicare beneficiary under any of the following conditions: - No group session is available within 2 months of the date the training is ordered; - The beneficiary?s physician (or qualified non-physician practitioner) documents in the beneficiary?s medical record that the beneficiary has special needs resulting from conditions, such as severe vision, hearing or language limitations or other such special conditions as identified by the treating physician or non-physician practitioner, that will hinder effective participation in a group training session; or - The physician orders additional insulin training.

- The need for individual training must be identified by the physician or non-physician practitioner in the referral.

Therefore, this service is most accurately reported as G0108 - Diabetes outpatient self-management training services, individual, per 30 minutes.If the patient has exhausted the DSMT annual benefit, it will be necessary to obtain an ABN in order to be able to pursue patient liability if Medicare denies coverage.

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PARA Weekly Update: December 1, 2017

INSULIN PUMP TRAINING

In response to your larger question asking it is appropriate to report G0463 (Hospital outpatient clinic visit for assessment and management of a patient), we offer our opinion that the service must meet the following criteria: - Performed in licensed acute care space; - Performed by a healthcare professional within the state scope of practice laws applicable to his/ her licensure or certification; - Medically necessary; - On the referral of (or performed by) a physician/ non-physician healthcare practitioner; - Not duplicative of a service which should be provided through an alternative available care process (such as a pharmacist?s assistance with medication, or a DME supplier?s patient education responsibilities.)In this case, the service is not duplicative of a an alternative care process. (While DME companies may offer training on how to use the pump, DME companies are not required to hold expertise in the management of diabetes. A pharmacist may assist with questions regarding the medication insulin, but a pharmacist is not in a position to coach the use of the equipment.Therefore, we do not find this to be a duplicative service.)

- Not integral to another procedure billed during the same encounter; - Consumes at least 10 minutes of caregiver time for face-to-face patient interaction (in other words, is not such a minimal service that it should not be billed at all); - Is not more accurately described by an alternative HCPCS, whether covered or non-covered.

Since this service is best described by HCPCT G0108, PARA cannot recommend reporting G0463 for this service.

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PARA Weekly Update: December 1, 2017

CONSULTATION SERVICES PAYMENT POLICY

Question: The transmittal, ?Revisions to Consultation Services Payment Policy? (Transmittal # R1875CP, also referred to as CR 6740), indicates that the CPT® consultation codes are ?not valid for Medicare.?It also states Medicare uses a different code to report the service. However, the MLN Matters® article directed to providers states the consult codes are ?non-covered.?When it comes to reporting services, there is a definite difference in these two terms. Please clarify.

Answer: The question refers to the following passage in the original MLN Matters® article: Physicians who bill a consultation after January 1, 2010 will have the claim returned with a message indicating that Medicare uses another code for the service. The physician must bill another code for the service and may not bill the patient for a non-covered service.

The MLN Matters® article is being reissued to clarify this passage, consistent with the answer to the question that follows.

The provider may not bill the patient in lieu of billing Medicare and may not have the patient sign an ABN to hold the patient personally responsible for the payment. CMS did not intend for this passage to suggest that E/ M services that could be described by CPT consultation codes are ?non-covered.?

Rather, CMS intended to indicate that providers may not bill the patient for the E/ M service that could be described by a CPT® consultation code as though the E/ M service was non-covered, as is now clarified in the reissued article. However, some people have interpreted the passage to suggest that providers cannot bill for an E/ M service that could be described by a CPT® consultation code because it is a non-covered service.

The following language may clarify what CMS was trying to say in the cited passage: Providers who bill an E/M service after January 1, 2010 using one of the CPT® consultation codes (ranges 99241-99245, and 99251-99255) will have the claim returned with a message indicating that Medicare uses another code for reporting and payment of the service. To receive payment for the E/M service, the claim should be resubmitted using the appropriate E/M code as described in this article.

Although CMS has eliminated the use of the CPT® consultation codes for payment of E/M services furnished to Medicare fee-for-service patients, those E/M services themselves continue to be covered services if they are medically reasonable and necessary and, therefore, an ABN is not applicable. Furthermore, the patient may not be billed for the E/M service instead of Medicare.

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PARA Weekly Update: December 1, 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 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 profadoptersessionals 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

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PARA Weekly Update: December 1, 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.

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PARA Weekly Update: December 1, 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

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PARA Weekly Update: December 1, 2017

For PD E Users 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.

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PARA Weekly Update: December 1, 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.

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PARA Weekly Update: December 1, 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.

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PARA Weekly Update: December 1, 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

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PARA Weekly Update: December 1, 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

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PARA Weekly Update: December 1, 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

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PARA Weekly Update: December 1, 2017

There were SEVEN 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.

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PARA Weekly Update: December 1, 2017

The link to this Med Learn: MM10350

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PARA Weekly Update: December 1, 2017

The link to this Med Learn: MM10318

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PARA Weekly Update: December 1, 2017

The link to this Med Learn: MM10334

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PARA Weekly Update: December 1, 2017

The link to this Med Learn: MM10220

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PARA Weekly Update: December 1, 2017

The link to this Med Learn: MM10303

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PARA Weekly Update: December 1, 2017

The link to this Med Learn: MM10343

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PARA Weekly Update: December 1, 2017

The link to this Med Learn: MM10188

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PARA Weekly Update: December 1, 2017

There were FIVE 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.

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PARA Weekly Update: December 1, 2017

The link to this Transmittal #R3929CP

The link to this Transmittal #R1980OTN

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PARA Weekly Update: December 1, 2017

The link to this Transmittal #R1982OTN

The link to this Transmittal #R1981OTN

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PARA Weekly Update: December 1, 2017

The link to this Transmittal #R3930CP

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PARA Weekly Update: December 1, 2017

The PDE Editor Bulletin Board Tablet lists all articles added to the Bulletin Board

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PARA Weekly Update: December 1, 2017

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