PARA Weekly Update For Users October 24, 2018

PARA WEEKLY

UPDATE For Users

I mproving T he Business of H ealthCare Since 1985 O ctober 24, 2018 NEWS FOR HEALTHCARE DECISION MAKERS

IN THIS ISSUE QUESTIONS & ANSWERS - Lymphatic & Lymphatic Nodes Imaging - Drug Screen Charges - Medicare Drug Testing Codes - Field 72 ECI INFORMATIVE ARTICLES

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2019 MEDICARE PREMIUMS AND DEDUCTIBLES UPDATES

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

DOWNLOADABLE ACUTE CARE HOSPITAL IPPS BOOKLET TARGETED PROBE J9310 RITUXIMAB REVIEW OF UNITS AND ADMINISTRATION 2019 CODING UPDATE DOCUMENTS--NEW DOCS ADDED TO PDE 2019 CPT® CODE SET RELEASE I.T. UPDATES : NEW FEATURE!

PARA COMPANY NEWS

SERVICES

ABOUT PARA

CONTACT US

FAST LINKS

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

Administration: Pages 1-32 HIM /Coding Staff: Pages 1-32 Oncology Services: Page 2 Providers: Pages 2,7,9,11,12,25 Drug Testing: Pages 3-5 Cardiology Services: Pages 7,21 Finance: Pages 9-10,20

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Business Devel: Pages 9-10,20 Pharmacy Svcs: Page 11 Rural Healthcare: Page 19 PDE Users: Pages 12,17,22 Compliance: Page 21 DM E Servcies: Page 24 Imaging Svcs: Pages 29-30

© 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: October 24, 2018

LYMPHATIC AND LYMPHATIC NODES IMAGING (78195 AND 38792)

We are getting billing edits from CCI that indicate codes 78105 and 38792 are not able to be performed together. How can we charge and code for these procedures and obtain successful reimbursement?

Answer: Lymphoscintigraphy, which is composed of two HCPCS codes (78195 and 38792) is the core of confusion for billers. Each code is assigned in distinct and clearly defined circumstances however, they cannot be reported together by the same physician. The CCI edit clearly indicates the codes are mutually exclusive. Sentinel node biopsies are becoming increasingly common to determine the staging and progression of cancer in oncology patients. In many instances lymphoscintigraphy, a nuclear medicine imaging and localization procedure, often accompanies sentinel node biopsies.

For coders and billers, this creates confusion which is exacerbated when coders realize that the nuclear radiologist also performed an injection of radioisotope, but does NO imaging. In this scenario, the surgeon most likely read the progression of the radioactive material through the lymphatic system in the operating room using a special Geiger counter-type instrument. The surgeon can also report the injection code, if a he/she injected special dyes to help visualize the targeted node.

Recommendation: 1. If the physician performs the injection procedure and does not perform scintigraphy, the correct code to be reported at the claim level is 38792 2. 78195 is used to report at the claim level both the Lymphatics and Lymph Gland Imaging.

Article reference: https://apps.para-hcfs.com/PDE/CDMEditor.aspx

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PARA Weekly Update: October 24, 2018

DRUG SCREEN CHARGES

Our Lab charges 80307 and 80306 when two separate drug screens are done. For instance, patient comes in the Emergency Department and has testing done at 00:43 and then another testing done on the same urine at 00:52.

The Lab charges 80306 for one and then 80307 for the second. Since 80306 is a component of 80307, shouldn't they just be charging 80307? There is no modifier applicable to bypass this type of edit.

An sw er : You are correct, when two or more drug screens are performed in the code range 80305-80307, report only one unit of the highest code performed.

Therefore, if drug testing was performed using the process described in 80306, and additional testing was performed using the process described in 80307, report only 80307. While the CPTÂŽ code book does not communicate this limitation, Medicare CCI edits allow billing only one unit of the 80305-80307 range per date of service:

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PARA Weekly Update: October 24, 2018

MEDICARE DRUG TESTING CODES

During a recent CDM review, we changed drug screens to the appropriate 80305 ?

80307 or G0480. What is the difference in these codes?

Answer: Thank you for this excellent question. Please check with your laboratory manager to verify the testing technique appropriate to the drug testing HCPCS codes.

Codes which may have previously been coded with 80322 through 80377 are typically candidates for the G048X series under Medicare OPPS. The information available in the chargemaster description is often insufficient to verify the correct code to report, therefore PARA requests clients review and approve recommended changes.

There are two types of drug testing codes recognized by Medicare, presumptive and definitive. Very generally speaking, presumptive testing is often performed by immunoassay and does not necessarily report how much of a drug or the specific drug that is in the patient?s system ? it?s a quick ?yes/no? result.

Definitive drug testing HCPCS reported to Medicare (G0480-G0483) uses more complex methods that specifically exclude immunoassay ? definitive tests report which drug and how much of it is detected.

Here?s more specific information: Presumptive drug screening is reported with the CPTÂŽ codes 80305-80307 by ?any number of devices or procedures? ? these codes do not report a count of the drugs or classes of drugs tested, they only the testing type utilized.

- Presumptive testing reports whether a drug within a drug class was detected (yes or no), and may or may not report how much of the drug was detected (semi-quantitative or quantitative.)

- Presumptive testing reports ?any number of devices or procedures? ? therefore only one unit of either 80305, 80306, or 80307 may be reported to Medicare per day; when two or more test methods are used, report the test within 80305-80307 with the highest ranking.

- The three presumptive testing codes represent three test types: - a test kit reporting results by direct optical result (i.e. a dipstick that turns color or produces a dot) - by direct optical measurement using a test kit reader (i.e. insert the sample into a reusable reader to determine the result) or - a full laboratory chemistry analyzer instrument.

- Presumptive testing utilizes procedures that include immunosassay alone (80305, 80306) or includes immunoassay, chromatography, and mass spectrometry with or without chromatography 80307.) (For more details on the specific test procedures, please review the full CPTÂŽ code descriptions.)

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PARA Weekly Update: October 24, 2018

MEDICARE DRUG TESTING CODES

Definitive Drug Testing can be performed either following presumptive drug screening or alone without a presumptive test. The code selected reports the total number of drug classes tested per day.

- Definitive drug testing identifies the individual drugs and how much of that drug was detected - Medicare OPPS requires one of four special HCPCS G-codes, G0480-G0483, to be reported in lieu of the established CPTÂŽ codes 80320-80377, which are not reimbursed under Medicare OPPS. (Critical Access Hospitals may use either the CPTsÂŽ or the G048X codes.)

- Only one definitive testing code G0480-G0483 code may be reported per day.

- The four HCPCS G048X codes report only the total number of drug classes tested, not the number of individual drugs.

- Medicare?s definitive drug testing HCPCS excludes immunoassay but includes gas chromatography/mass spectroscopy and/or liquid chromatography/mass spectroscopy and enzymatic methods. Each code repeats the same language as G0480, but the total count of drug classes is different: G0480 ? Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed G0481 ? Drug test(s), definitive, ? per day; 8-14 drug class(es), including metabolite(s) if performed G0482 ? Drug test(s), definitive, ? per day; 15-21 drug class(es), including metabolite(s) if performed G0483 ? Drug test(s), definitive, ? per day; 22 or more drug class(es), including metabolite(s) if performed - For most community hospitals, emergency department patients are rarely tested for more than seven drug classes, therefore, G0480 is the ?go to? code for definitive testing. When the lab charges for more than one test reporting G0480, hospital billers combine the dollars on the G0480 charge line and revise the units to report only one unit of G0480 ? G0483.

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PARA Weekly Update: October 24, 2018

MEDICARE DRUG TESTING CODES

The drug classes counted for the correct assignment of G0480-G0483 are:

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PARA Weekly Update: October 24, 2018

FIELD 72 ECI

We have an observation patient that had a cath lab procedure done, but ended up with an accidental puncture ICD 10 codes I97.51 and Y65.8. Indiana Medicaid is secondary and the Biller does not think the Y65.8 should go in box 72 on the UB claim form. She thinks it should be going out with our regular ICD 10 dx codes in box 66. Can you confirm this?

This is an external cause of injury code that happened after admission, not before admission. Please let me know if you need more information.

Answer: We find no guidance from Medicare or the UB manual on reporting hospital-acquired conditions on an outpatient claim, and since the patient was discharged in observation status, the claim type will be outpatient.

However, we agree that the codes you provided should be reported in the regular ICD10 fields on the claim, not field 72, because the Medicare Claims Processing Manual, chapter 25 (Completing the CMS 1450 Data Set) indicates that field 72 is not in use: https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c25.pdf

As for non-Medicare payers, the UB manual is our best resource ? it advises that ?? no ECI from ICD-10 CM, chapter 20 is needed if the external cause and intent are included in a code from another chapter (e.g., T36.0X1 Poisoning by penicillin accidental (unintentional))?.

Since the ICD10s you indicated include the external cause of injury and intent, it is unnecessary to report a code in field 72. Here are the definitions of the codes you referred to:

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PARA Weekly Update: October 24, 2018

FIELD 72 ECI

Incidentally, even if the patient had been admitted to inpatient status following the outpatient surgical procedure, the ?Present on Admission? indicator on these diagnosis codes would be set to Y, as described in the following Medicare publication: https://www.cms.gov/Outreach-and-Education/ Medicare-Learning-Network-MLN/ MLNProducts/Downloads/wPOA-Fact-Sheet.pdf

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PARA Weekly Update: October 24, 2018

2019 MEDICARE PREMIUMS AND DEDUCTIBLES UPDATES

CMS has announced the new updates for the CY2019 premiums and deductibles for Part A and Part B fee for service providers.

Medicare Part B covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered under Part A. The standard monthly premium for Medicare Part B enrollees will be $135.50 for CY 2019. This is a slight increase over CY2018, which was $134.00.

The annual deducible for Part B enrollees for CY2019 is $185.00. As with the increase in premiums, this is also a slight increase over CY2018, which was $183.00.

Medicare Part A covers inpatient hospital, skilled nursing facility, and some home health care services.

Currently, CMS records show about 99% (percent) of Medicare beneficiaries do not have a Part A premium since they have at least 40 quarters of Medicare-covered employment.

For CY2019, the Medicare Part A inpatient deductible is $1364.00. This is an increase of $24.00 from the CY2018 deductible amount of $1340.00.

Medicare Advantage Premiums: In CY2019 Medicare Advantage premiums will decline while plan choices and new benefits increase. On average, Medicare Advantage premiums are estimated to decrease by 6% (percent) to $28.00, from the CY2018 average of $29.81.

For more detailed information, click here: https://www.cms.gov/newsroom/fact-sheets/2019-medicare-parts-b-premiums-and-deductibles

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PARA Weekly Update: October 24, 2018

DOWNLOADBLE ACUTE CARE IPPS BOOKLET

CMS has published a new, easy-to-read booklet on the Acute Care Hospital Prospective Payment System. It's a desktop reference every Medicare fee-for-service provider should have.

Get it here: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/ downloads/acutepaymtsysfctsht.pdf

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PARA Weekly Update: October 24, 2018

TARGETED PROBE J9310 RITUXIMAB REVIEW OF UNITS & ADMINISTRATION

WPS Jurisdiction 15 would like to make providers aware they have begun a targeted probe into claims that are reporting HCPCS J9310: Rituximab 100mg/unit: Review of units billed and administration.

Providers should pull patient claims and medical records in anticipation of this probe. The following criteria should be reviewed: Documentation of a covered condition that includes physician notes, historical medical records 1.Signed and legible physician orders 2.Drug administration records, specific to medication administration records, nursing treatment notes 3.Documentation must demonstrate and support the units billed and the units wasted (if applicable) 4.If the provider who ordered the Rituximab is not the same provider supervising the administration of the drug, include an attestation statement from the billing provider or documentation that the billing provider supervised the administration https://www.cms.gov/Outreach-andEducation/Medicare-Learning-NetworkMLN/MLNMattersArticles/downloads /SE1316.pdf

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PARA Weekly Update: October 24, 2018

2019 CODING UPDATE DOCUMENTS -- NEW DOCS ADDED TO PDE

In pr epar at ion f or t h e year -en d CPT® / HCPCS u pdat e, PARA h as pr epar ed a n u m ber of sh or t , on e t o t w o- page ?2019 Codin g Updat e? docu m en t s list in g delet ed codes an d added codes w it h in a par t icu lar clin ical ar ea or pr ocedu r e gr ou p. M or e paper s h ave been added du r in g t h e m on t h of Oct ober , 2018.

The coding topics addressed do not encompass all CPT® updates, only those which are most likely to be ?hard-coded? to a line item in a facility chargemaster. Topics are divided into immediately related areas, and more than one paper may contain information useful to a service line manager.

Due to CPT® licensing restrictions, these documents cannot be published within the PARA Weekly Update. PARA Data Editor users may access the information on the Advisor tab; search ?Coding Update? in the type field, and/or 2019 in the subject field, as illustrated below:

Documents may be updated as we learn more information about the new codes; updates will be announced in the PARA Weekly.

It is important to note that we do not have Medicare coverage information on the new codes at this time.

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.

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PARA Weekly Update: October 24, 2018

UPDATED: 2019 MPFS PROPOSED RULE - E/M PAYMENT POLICY CHANGES

Significant changes for professional fee reimbursement are proposed by Medicare for 2019. The full text of the 2019 Medicare Physician Fee Schedule Proposed rule is available on the PARA Data Editor Advisor tab using the search phrase ?2019?:

For 2019, CMS estimates that the RVU conversion factor (CF) national rate will be $36.0463, a slight increase over the $35.9996 CF for 2018.

Changes to Evaluation and Management payments, documentation standards, and coding.

Although physicians will continue to report E/M levels using the 992XX codes, CMS proposes significant changes to payment methods in 2019. Under the proposal, Medicare will simplify payment to only one rate for 99202-99205 (new patient) and one rate for 99212-99215 (established patient). It will also provide new add-on codes for additional reimbursement for certain specialists, primary care, and prolonged E/M services.

Additionally, Medicare is proposing a multiple procedure payment adjustment that would reduce the EM payment when an E/M visit is furnished in combination with a procedure on the same day. CMS also proposes to eliminate the restriction that prohibits payment of two different physicians of the same specialty practicing in the same group billing for E/M services on the same DOS. Page 370 of the Proposed Rule offers the following example to summarize the new methodology: ?As an example, in CY 2018, a physician would bill a level 4 E/M visit and document using the existing documentation framework for a level 4 E/M visit. Their payment rate would be approximately $109 in the office setting. If these proposals are finalized, the physician would bill the same visit code for a level 4 E/M visit, documenting the visit according to the minimum documentation requirements for a level 2 E/M visit and/or based on their choice of using time, MDM, or the 1995 or 1997 guidelines, plus either of the proposed add-on codes (HCPCS codes GPC1X or GCG0X) depending on the type of patient care furnished, and could bill one unit of the proposed prolonged services code (HCPCS code GPRO1) if they meet the time threshold for this code.

The combined payment rate for the generic E/M code and HCPCS code GPRO1 would be approximately $165 with HCPCS code GPC1X and approximately $177 with HCPCS code GCG0X.?

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PARA Weekly Update: October 24, 2018

UPDATED: 2019 MPFS PROPOSED RULE - E/M PAYMENT POLICY CHANGES

In an open letter to physicians dated July 17, 2018, CMS Administrator Seema Verma summed it up this way: ?The current system of codes includes 5 levels for office visits ? level 1 is primarily used by nonphysician practitioners, while physicians and other practitioners use levels 2-5. The differences between levels 2-5 can be difficult to discern, as each level has unique documentation requirements that are time-consuming and confusing. ?We?ve proposed to move from a system with separate documentation requirements for each of the 4 levels that physicians use to a system with just one set of requirements, and one payment level each for new and established patients. Most specialties would see changes in their overall Medicare payments in the range of 1-2 percent up or down from this policy, but we believe that any small negative payment adjustments would be outweighed by the significant reduction in documentation burden. ? ? https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/ 2018-08-22-PFS-Presentation.pdf

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PARA Weekly Update: October 24, 2018

UPDATED: 2019 MPFS PROPOSED RULE - E/M PAYMENT POLICY CHANGES

Physicians and qualified non-physician practitioners would continue to report the eight most common E/M codes 99202-99205 (new patient) and 99212-99215 (established patient), but Medicare?s payment and documentation rules would be simplified as follows: - Medicare payment would be at one uniform rate regardless of level for new patients, and one uniform rate regardless of level for established patients; - A new add-on G-code worth approximately $14.00 would be reported by certain specialists to facilitate additional reimbursement when reported with an E/M code billed without another procedure (available for specialists in endocrinology, rheumatology, hematology/oncology, urology, neurology, obstetrics/gynecology, allergy/immunology, otolaryngology, cardiology, or interventional pain management-centered care) - A new add-on G-code worth approximately $5.00 in reimbursement would be reported by primary care providers to earn additional reimbursement when the office visit includes primary care services - A new add-on G-code worth approximately $67.00 would be reported by providers to indicate each 30 minutes spent in face-to-face time required beyond the ?typical? time standard currently described in the CPTÂŽ code descriptions 99202-99205 and 99212-99215 - Medicare would establish two new G-codes for podiatrist visits (one for new patients, the other for established patients) which Medicare deems would overpaid if reimbursed under the uniform same new or established patient E/M payments designed for non-podiatrist providers. Payment for the two new G-codes is proposed at $22.53 for new patients, and $17.07 for HCPCS code for established patients. These values are based on the average rate for the level 2 and 3 E/M codes (CPTÂŽ codes 99201-99203 and CPTÂŽ codes 99211-99212, respectively) - Required documentation to support the uniform payment for E/M services will be streamlined to meet only one low-level E/M (99212) using either the 1995 or 1997 CMS documentation guidelines. Visits that consist predominately of counseling and/or coordination of care will use time as the key or controlling factor to qualify for a particular level of E/M services - A new multiple procedure payment adjustment would reduce the payment of the E/M code by 50% when an E/M visit is furnished in combination with a procedure on the same day (reported with modifier 25.) The multiple procedure reductions for non-E/M procedures would not change from the current policy

Physicians and qualified non-physician practitioners would continue to report the eight most common E/M codes 99202-99205 (new patient) and 99212-99215 (established patient)

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PARA Weekly Update: October 24, 2018

UPDATED: 2019 MPFS PROPOSED RULE - E/M PAYMENT POLICY CHANGES

Additionally, Medicare proposes to eliminate the Group Practice E/M rule under which Medicare will deny payment of two E/Ms for same patient, same date of service when provided by two separate physicians of the same specialty working in the same medical group. This policy has caused many physician groups to require patients to schedule visits on two separate days in order that both visits can be paid. For instance, two ophthalmologists cannot both be paid for an E/M on the same patient on the same DOS, even though one ophthalmologist may super-specialize in cornea disease, and the other may specialize in retina. ?We believe that eliminating this policy may better recognize the changing practice of medicine while reducing administrative burden. The impact of this proposal on program expenditures and beneficiary cost sharing is unclear. To the extent that many of these services are currently merely scheduled and furnished on different days in response to the instruction, eliminating this manual provision may not significantly increase utilization, Medicare spending and beneficiary cost sharing.?

The 2019 Medicare Physician Fee Schedule Proposed Rule is available at the following link: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/ PFS-Federal-Regulation-Notices-Items/CMS-1693-P.html

This year, Medicare offers a slide deck presentation with highlights of their proposal: https://www.cms.gov/About-CMS/Story-Page/2019-Medicare-PFS-proposed-rule-slides.pdf

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PARA Weekly Update: October 24, 2018

2019 CPT® CODE SET RELEASE

PARA is in receipt of the pre-production 2019 CPT® Code Update release. In the coming weeks, our staff will begin preparing the mapping files for the January 1, 2019 coding update. The CPT® update consists of the following: - 212 Added Codes - 73 Deleted Codes - 50 Revised Codes The 2019 Appendix B (Summary of Additions, Deletions, and Revisions) is available within the PDE Calculator tab and the data is in several formats.

To view the Additions, Changes, or Deletions by type, there are separate radio buttons:

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PARA Weekly Update: October 24, 2018

2019 CPTÂŽ CODE SET RELEASE

An electronic copy of the Appendix B is available by clicking the ?Changes? hyperlink:

And updates to Coding Guidelines are available at the ?Guidelines? hyperlink:

When the HCPCS code update is released in November, those changes will be incorporated into the mapping files created for our clients to prepare for the January 1 implementation of new codes. If you have any questions or require assistance with the Calculator, please contact your PARA Account Executive or your Technical Support person, listed on the Select tab of the PDE. 18

PARA Weekly Update: October 24, 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 Start: Eliminating Disparities In Prenatal Health - Provides up to $950,000 for each of five years for programs that improve access to quality healthcare and services for women, infants, children, and families through outreach, care coordination, health education, and linkage to health insurance - Strengthen the health workforce, specifically those individuals responsible for providing direct services - Application Deadline: November 27,2018

HRSA Remote Pregnancy Monitoring Challenge Grant - Provides up to $150,000 to support technological solutions to help prenatal care providers remotely monitor the health and well being of pregnant women - Priority is given to benefit women in rural and medically underserved areas.

- Application Deadline: November 27, 2018

Small Rural Hospitals Improvement Program (SHIP) - Provides $12,000 for each of four years to help hospitals with 49 or fewer beds to purchase hardware, software and training - To join or become accountable care organizations and/or create shared savings programs - Purchase health information technology, equipment or training to comply with quality improvement activities.

- Application Deadline: January 3, 2019 19

PARA Weekly Update: October 24, 2018

MLN CONNECTS

SPECIAL EDITION Im por t an t New M edicar e Car d M ailin g Updat e: Wave 7 Begin s, Wave 5 En ds CMS has started mailing new Medicare cards to people with Medicare who live in Wave 7 states and territories including: Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Puerto Rico, Tennessee, and the Virgin Islands.

Providers can download the CMS bulletin and share it with their Medicare member patients.

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PARA Weekly Update: October 24, 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 for the PDF!

Thursday, October 18, 2018 New s & An n ou n cem en t s

· Hand in Hand: A Training Series for Nursing Homes · MIPS Quality Data Submitted via Claims: 2018 Performance Feedback · Quality Payment Program: 2018 CME Modules, Infographics, and Scoring Guide · 2019 QRDA III Implementation Guide, Schematron, and Sample Files · Medicare Diabetes Prevention Program: Become a Medicare Enrolled Supplier Pr ovider Com plian ce

· Cardiac Device Credits: Medicare Billing ? Reminder Claim s, Pr icer s & Codes

· 2019 MS-DRG Definitions Manual and Software Upcom in g Even t s

· Hospital Reporting: Successful eCQM Submission for CY 2018 Webinar ? October 24 · Physician Compare: Preview Period and Public Reporting Webcast ? October 30 M edicar e Lear n in g Net w or k ® Pu blicat ion s & M u lt im edia

· Systematic Validation Edits for OPPS Providers MLN Matters® Article ? New · IPPS and LTCH PPS: FY 2019 Changes MLN Matters Article ? New · Home Health Star Ratings Call: Audio Recording and Transcript ? New · Annual Wellness Visit Booklet ? Revised · Initial Preventive Physical Examination Educational Tool ? Revised View this edition as a PDF [PDF, 295KB]

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PARA Weekly Update: October 24, 2018

IT WEEKLY UPDATE

PARA HealthCare Analytics has provided a list of enhancements and updates that our Information Technology (IT) team has made to the PARA Data Editor this past week.

This is a NEW Weekly Feature.

The following table includes which version of the PDE was updated, the location within the PDE, and a description of the enhancement.

Week ly IT Updat e

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PARA Weekly Update: October 24, 2018

There were TWO new or revised Med Learn (MLN Matters) articles released this week.

To go to the full Med Learn document simply click on the screen shot or the link.

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

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PARA Weekly Update: October 24, 2018

The link to this Med Learn MM10984

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PARA Weekly Update: October 24, 2018

The link to this Med Learn MM10970

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PARA Weekly Update: October 24, 2018

There were FIVE 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: October 24, 2018

The link to this Transmittal R184SOMA

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PARA Weekly Update: October 24, 2018

The link to this Transmittal R15P240

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PARA Weekly Update: October 24, 2018

The link to this Transmittal R4147CP

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PARA Weekly Update: October 24, 2018

The link to this Transmittal R208NCD

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PARA Weekly Update: October 24, 2018

The link to this Transmittal R836PI

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PARA Weekly Update: October 24, 2018

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