PARA Weekly Update For Users August 1 2018

Date

PARA WEEKLY

UPDATE For Users

I mproving T he Business of H ealthCare Since 1985 August 1, 2018

NEWS FOR HEALTHCARE DECISION MAKERS

IN THIS ISSUE QUESTIONS & ANSWERS - Lab Travel Allowance - Billing For Telemetry Services - Administration Of Thrombolytics - Arthroscopy Surgeon Reimbursement NEW! PARA'S SHARE OF COST ESTIMATOR: HOW IT WORKS

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REPRINT: CMS FACT SHEET: PROPOSED PHYSICIAN FEE SCHEDULE CHANGES

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PRESENTION: PARA SERVICES AT A GLANCE NEW! RURAL HEALTHCARE GRANTS MLNCONNECTS REPRINT: BILLING MEDICARE FOR DEVICE-DEPENDENT PROCEDURES PARA OUTMIGRATION REPORTS

PARA COMPANY NEWS

SERVICES

ABOUT PARA

CONTACT US

FAST LINKS

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The number of new or revised Med Learn (MLN Matters) articles released this week. All new and previous Med Learn articles can be viewed under the type "Med Learn", in the Advisor tab of the PARA Dat a Edit or . Click here

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

Administration: Pages 1-33 HIM /Coding Staff: Pages 1-33 Laboratory Services: Page 2 Providers: Pages 2,6,8,17,29 Telemetry: Page 5 Cardiology Services: Pages 5,6 Emergency Dept.: Page 6

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Orthopedics: Page 8 Finance: Pages 11,17,20,29,31 Rural HealthCare: Page 19 DM E: Pages 21,32 Business Development: Page 27 Hospice: Page 20 Behavioral Health: Page 19

© 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: August 1, 2018

LAB TRAVEL ALLOWANCE

What are the Medicare rules regarding reimbursement for travel when we send a lab tech to a nursing home to collect blood specimens?

Answer: The regulations pertaining to billing for travel reimbursement are found in Chapter 16 - Laboratory Services of the Medicare Claims Processing Manual.

Here is a link and an excerpt: https://www.cms.gov/Regulations-and-Guidance/Guidance/ Manuals/Downloads/clm104c16.pdf 60.2 - Travel Allowance (Rev. 3942; Issued: 12-22-17; Effective: 01- 01-18; Implementation: 01-22-18) In addition to a specimen collection fee allowed under ยง60.1, Medicare, under Part B, covers a specimen collection fee and travel allowance for a laboratory technician to draw a specimen from either a nursing home patient or homebound patient under ยง1833(h)(3) of the Act and payment is made based on the clinical laboratory fee schedule. The travel allowance is intended to cover the estimated travel costs of collecting a specimen and to reflect the technician?s salary and travel costs.

The additional allowance can be made only where a specimen collection fee is also payable, i.e., no travel allowance is made where the technician merely performs a messenger service to pick up a specimen drawn by a physician or nursing home personnel. The travel allowance may not be paid to a physician unless the trip to the home, or to the nursing home was solely for the purpose of drawing a specimen. Otherwise travel costs are considered to be associated with the other purposes of the trip.

The travel allowance is not distributed by CMS. Instead, the carrier must calculate the travel allowance for each claim using the following rules for the particular Code. The following HCPCS codes are used for travel allowances: Per Mile Travel Allowance (P9603) - The minimum ?per mile travel allowance? is $1.00. The per mile travel allowance is to be used in situations where the average trip to patients?homes is longer than 20 miles round trip, and is to be pro-rated in situations where specimens are drawn or picked up from non-Medicare patients in the same trip. - one way, in connection with medically necessary laboratory specimen collection drawn from homebound or nursing home bound patient; prorated miles actually traveled (carrier allowance on per mile basis); or

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PARA Weekly Update: August 1, 2018

LAB TRAVEL ALLOWANCE

- The per mile allowance was computed using the Federal mileage rate plus an additional 45 cents a mile to cover the technician?s time and travel costs. Contractors have the option of establishing a higher per mile rate in excess of the minimum ($1.00 a mile in CY 2018) if local conditions warrant it. The minimum mileage rate will be reviewed and updated in conjunction with the clinical lab fee schedule as needed. At no time will the laboratory be allowed to bill for more miles than are reasonable or for miles not actually traveled by the laboratory technician.

Example 1: In CY 2018, a laboratory technician travels 60 miles round trip from a lab in a city to a remote rural location, and back to the lab to draw a single Medicare patient?s blood. The total reimbursement would be $60.00 (60 miles x $1.00 a mile), plus the specimen collection fee.

Example 2: In CY 2018, a laboratory technician travels 40 miles from the lab to a Medicare patient?s home to draw blood, and then travels an additional 10 miles to a non-Medicare patient?s home and then travels 30 miles to return to the lab. The total miles traveled would be 80 miles. The claim submitted would be for one half of the miles traveled or $40.00 (40 x $1.00), plus the specimen collection fee.

Flat Rate (P9604): The CMS will pay a minimum of $10.00 (based on CY 2018) one way flat rate travel allowance. The flat rate travel allowance is to be used in areas where average trips are less than 20 miles round trip. The flat rate travel fee is to be pro-rated for more than one blood drawn at the same address, and for stops at the homes of Medicare and non-Medicare patients. The laboratory does the pro-ration when the claim is submitted based on the number of patients seen on that trip. The specimen collection fee will be paid for each patient encounter.

This rate is based on an assumption that a trip is an average of 15 minutes and up to 10 miles one way. It uses the Federal mileage rate and a laboratory technician?s time of $17.66 an hour, including overhead.

Contractors have the option of establishing a flat rate in excess of the minimum of $10.00, if local conditions warrant it. The minimum national flat rate will be reviewed and updated in conjunction with the clinical laboratory fee schedule, as necessitated by adjustments in the Federal travel allowance and salaries.

The claimant identifies round trip travel by use of the LR modifier: Example 3: A laboratory technician travels from the laboratory to a single Medicare patient?s home and returns to the laboratory without making any other stops. The flat rate would be calculated as follows: 2 x $10.00 for a total trip reimbursement of $20.00, plus the specimen collection fee.

Example 4: A laboratory technician travels from the laboratory to the homes of five patients to draw blood, four of the patients are Medicare patients and one is not. An additional flat rate would be charged to cover the 5 stops and the return trip to the lab (6 x $10.00 = $60.00). Each of the claims submitted would be for $12.00 ($60.00/5 = $12.00). Since one of the patients is non-Medicare, four claims would be submitted for $12.00 each, plus the specimen collection fee for each.

Example 5: A laboratory technician travels from a laboratory to a nursing home and draws blood from 5 patients and returns to the laboratory. Four of the patients are on Medicare and one is not. The $10.00 flat rate is multiplied by two to cover the return trip to the laboratory (2 x $10.00 = $20.00) and then divided by five (1/5 of $20.00 = $4.00). Since one of the patients is non-Medicare, four claims would be submitted for $4.00 each, plus the specimen collection fee.

If a carrier determines that it results in equitable payment, the carrier may extend the former payment allowances for additional travel (such as to a distant rural nursing home) to all circumstances where travel is required. This might be appropriate, for example, if the carrier?s former payment allowance was on a per mile basis. Otherwise, it should establish an appropriate allowance and inform the suppliers in its service area. If a carrier decides to establish a new allowance, one method is to consider developing a travel allowance consisting of: 3

PARA Weekly Update: August 1, 2018

LAB TRAVEL ALLOWANCE

The current Federal mileage allowance for operating personal automobiles, plus a personnel allowance per mile to cover personnel costs based upon an estimate of average hourly wages and average driving speed.

Carriers must prorate travel allowance amounts claimed by suppliers by the number of patients (including Medicare and non-Medicare patients) from whom specimens were drawn on a given trip.

The carrier may determine that payment in addition to the routine travel allowance determined under this section is appropriate if: - The patient from whom the specimen must be collected is in a nursing home or is homebound; and - The clinical laboratory tests are needed on an emergency basis outside the general business hours of the laboratory making the collection - Subsequent updated travel allowance amounts will be issued by CMS via Recurring Update Notification (RUN) on an annual basis

https://www.irs.gov/pub/irs-drop/n-18-03.pdf

In addition to a specimen collection fee allowed under ยง60.1, Medicare, under Part B, covers a specimen collection fee and travel allowance for a laboratory technician to draw a specimen from either a nursing home patient or homebound patient under ยง1833(h)(3) of the Act and payment is made based on the clinical laboratory fee schedule.

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PARA Weekly Update: August 1, 2018

BILLING FOR TELEMETRY SERVICES

We are trying to determine if we can bill telemetry along with hourly observation? In the past we have not billed for telemetry and we have recently added for inpatients but we are unsure with observation. Any assistance you can provide would be greatly appreciated.

Answer: Medicare considers Telemetry monitoring as a component of the room rate rather than a separately billable charge. Medicare guidelines specifically advise against reporting Telemetry with HCPCS/CPTÂŽ Codes 93799 in the facility setting as this is intended for use with a take home Cardiac Monitor. One Medicare Administrative Contractor which has authority for several Medicare A/B jurisdictions, Novitas, has published a Local Coverage Determination that asserts that Telemetry claims from hospitals will be denied.

PARA?s recommendation would be to increase your hourly observation charge to be inclusive of Telemetry monitoring. If your facility has an inpatient room rate for Telemetry that is higher than your Med/Surg room rate, it would be appropriate to use your Telemetry daily room rate divided by 24 hours in order to determine an hourly Telemetry Observation rate.

Attached is PARA's research paper on billing for Telemetry. https://apps.para-hcfs.com/para/Documents/Billing_for_ Telemetry_edited.pdf

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PARA Weekly Update: August 1, 2018

ADMINISTRATION OF THROMBOLYTICS

In the emergency department, the physician sometimes orders the administration of a thrombolytic medication (J3101 - injection, tenecteplase, 1 mg) for the treatment of acute myocardial infarction. Is it appropriate to report the administration of this drug with 92977 - thrombolysis, coronary; by intravenous infusion? The reimbursement for this code is higher than the other IV administration codes. TNKase is administered through IV bolus (injection).

Answer: No. According to the FDA package insert, TNKase is administered by a single bolus dose over 5 seconds based on patient weight. Therefore, an infusion code such as 92977 - thrombolysis, coronary; by intravenous infusion is inappropriate. Since TNKase is injected rather than infused, report 96374 - therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug.

When treating a cerebral occlusion, it is typical to administer a thrombolytic via IV infusion rather than injection; in that case, report 37195 - thrombolysis, cerebral, by intravenous infusion.

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PARA Weekly Update: August 1, 2018

ADMINISTRATION OF THROMBOLYTICS

PARA posed the question to the American Hospital Association, which serves as the Q&A resource for OPPS coding questions in partnership with CMS. HCPCS questions are submitted according to the instructions at https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCS_Coding_Questions.html Here is an excerpt from the response we received on June 25, 2018: ?This letter is in response to your request for coding assistance.

The Central Office on HCPCS appreciates your request for coding assistance. However, when requests are submitted without supporting documentation this creates a difficult task in providing a consistent and accurate response. Therefore, this response will be based on the limited information submitted in your request. An infusion is not an injection, therefore it would be inappropriate to report CPTÂŽ code 92977, Thrombolysis, coronary; by intravenous infusion, for the injection of Tenecteplase administered by IV injection for coronary thrombolysis. The code descriptor states by intravenous infusion.

Report CPTÂŽ code 96374, Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance/drug, for the injection of Tenecteplase administered by IV injection for coronary thrombolysis. If you desire to have this issue presented to the AHA's Editorial Advisory Board for HCPCS, please resubmit your request with supporting documentation.?

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PARA Weekly Update: August 1, 2018

ARTHROSCOPY SURGEON REIMBURSEMENT

This is in follow-up to requests for an explanation of Medicare?s professional fee payment for four arthroscopic surgical procedures on the same right shoulder -- 29827, 29823, 29824, and 29826. The DOS was late 2017. (Please note that the PARA system default shows 2018 rates, the user has to change the year to 2017 to get the rates in effect on that DOS.) Answer: Attached is PARA's paper that discusses multiple procedure discounts on professional fees for your reference.

The highest valued pro fee of the four procedures was 29827, per the Calculator HCPCS report:

An arthroscopy procedure uses an endoscope, so Medicare?s process for adjudicating claims falls under the special multiple endoscopic procedures section of the Medicare Claims Processing Manual, Chapter 12 ? note that the reference to field 21 refers to the multiple procedure indicator 3: https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/ Downloads/clm104c12.pdf ?If Field 21 contains an indicator of ?3,? and multiple endoscopies are billed, the special rules for multiple endoscopic procedures apply. Pay the full value of the highest valued endoscopy, plus the difference between the next highest and the base endoscopy. Access Field 31A of the MFSDB to determine the base endoscopy.?

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PARA Weekly Update: August 1, 2018

ARTHROSCOPY SURGEON REIMBURSEMENT

To find ?Field 21? and ?Field 31A?, we checked the PARA Data Editor ?Professional Fee? search on the Calculator tab. This offers both the multiple procedure indicator and the endoscopic base code. Only procedure 29826 has an indicator of 0, meaning that it is not discounted when combined with other procedures. For the other three procedures, 29823, 29824, and 29827, the multiple procedure indicator is 3, with a base endoscopic procedure code of 29805:

An arthroscopy procedure uses an endoscope, so Medicare?s process for adjudicating claims falls under the special multiple endoscopic procedures section of the Medicare Claims Processing Manual, Chapter 12 ? note that the reference to field 21 refers to the multiple procedure indicator 3.

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PARA Weekly Update: August 1, 2018

ARTHROSCOPY SURGEON REIMBURSEMENT

The rate of payment for the base code, 29805, was $446.55 in 2017:

Therefore, Medicare pays as follows: 29527 Full reimbursement @ MPFS 29823 $589.67 ? 446.55 = 29824 $635.50 ? 446.55 = 29826 Full reimbursement @ MPFS

$1,008.56 $ 143.12 $ 188.95 $ 168.07

These rates match the remittance (PHI redacted):

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PARA Weekly Update: August 1, 2018

PARA'S SHARE OF COST ESTIMATOR: HOW IT WORKS

The rise of high-deductible health plans, the emphasis on healthcare price transparency, and cost-sharing is driving more and more healthcare consumers to seek out price information. Both insured and uninsured consumers are concerned about affordability, and providers are under increased pressure to play a bigger role in helping patients financially plan for services.

That's why PARA developed solutions for hospitals to quote charge and out-of-pocket share of cost.

Here are some examples.

Charge Quote ? desktop application Outpatient - Share of cost - self-pay with a 40% discount = $3,059.30

For more information and a demonstration of these new calculators, please contact Violet Archuleta-Chiu, Senior Account Executive varchuleta@para-hcfs.com (800) 999-3332, ext. 219

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PARA Weekly Update: August 1, 2018

PARA'S SHARE OF COST ESTIMATOR: HOW IT WORKS

Charge Quote ? desktop application Outpatient - Share of cost ? high deductible managed care plan = $3,266.80

Charge Quote ? desktop application Outpatient - Share of cost ? Medicare (deductble and co-insurance) = $374.59

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PARA Weekly Update: August 1, 2018

PARA'S SHARE OF COST ESTIMATOR: HOW IT WORKS

Out-Of-Pocket ? Estimator ? Web page application

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PARA Weekly Update: August 1, 2018

PARA'S SHARE OF COST ESTIMATOR: HOW IT WORKS

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PARA Weekly Update: August 1, 2018

PARA'S SHARE OF COST ESTIMATOR: HOW IT WORKS

Outpatient - Share of cost ? high deductible managed care plan = $3,841.32

More on next page

For more information and a demonstration of these new calculators, please contact Sandra LaPlace, Account Executive slaplace@para-hcfs.com (800) 999-3332, ext. 225 15

PARA Weekly Update: August 1, 2018

PARA'S SHARE OF COST ESTIMATOR: HOW IT WORKS Outpatient - Share of cost - self-pay with a 40% discount = $2,882.64

Outpatient - Share of cost ? Medicare (deductible and co-insurance) = $374.59

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PARA Weekly Update: August 1, 2018

CMS FACT SHEET: PROPOSED PHYSICIAN FEE SCHEDULE CHANGES

n July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2019.

The calendar year (CY) 2019 PFS proposed rule is one of several proposed rules that reflect a broader Administration-wide strategy to create a healthcare system that results in better accessibility, quality, affordability, empowerment, and innovation.

Background on the Physician Fee Schedule Payment is made under the PFS for services furnished by physicians and other practitioners in all sites of service. These services include, but are not limited to, visits, surgical procedures, diagnostic tests, therapy services, and specified preventive services.

In addition to physicians, payment is made under the PFS to a variety of practitioners and entities, including nurse practitioners, physician assistants, and physical therapists, as well as radiation therapy centers and independent diagnostic testing facilities.

Payments are based on the relative resources typically used to furnish the service. Relative Value Units (RVUs) are applied to each service for physician work, practice expense, and malpractice. These RVUs become payment rates through the application of a conversion factor. Payment rates are calculated to include an overall payment update specified by statute.

Click on the link and icon here to read the Fact Sheet in its entirety. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2018-Fact-sheets-items/ 2018-07-12-2.html

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PARA Weekly Update: August 1, 2018

PARA SERVICES AT A GLANCE

Here is a simple, easy-to-follow presentation PARA experts recently made to the Idaho Hospital Association. We invite you to review the presentation by clicking either of the icons below.

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PARA Weekly Update: August 1, 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.

Rural Residency Planning And Development Program Technical Assistance - Provides $800,000 for three years to promote the process of rural residencies-to-rural pipeline by assisting with the development of new rural family medicine, internal medicine, or psychiatry residency programs.

- Application Deadline: August 22,2018

Montana Mental Health Trust Funding - Provide up to $500,000 of funding for programs, services, and resources for; - The prevention, treatment, and management of serious mental illness in Montana children and adults - Training and education for law enforcement personnel and more - Application Deadline: September 14, 2018

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

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

- Project period is up to three years - Application Deadline: August 6, 2018 19

PARA Weekly Update: August 1, 2018

MLN CONNECTS

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

Thursday, July 26, 2018 News & Announcements

· New Medicare Card: Using Your MAC?s MBI Look-Up Tool · E/M Coding Reform: Recording of Panel Discussion · Patients Over Paperwork July Newsletter · Hospice Quality Reporting Program Quick Reference Guide · HQRP Non-Compliance Letters: Request for Reconsideration by August 7 · IRF QRP Non-Compliance Letters: Request for Reconsideration by August 7 · LTCH QRP Non-Compliance Letters: Request for Reconsideration by August 7 · SNF QRP Non-Compliance Letters: Request for Reconsideration by August 7 · Emergency Preparedness: Information on Radiological Incidents, DME, and Blood · World Hepatitis Day: Medicare Coverage for Viral Hepatitis Provider Compliance

· Proper Coding for Specimen Validity Testing Billed in Combination with Urine Drug Testing Upcoming Events

· MIPS Improvement Activities Performance Category Year 2 Overview Webinar ? August 1 · MIPS Quality Performance Category Year 2 Overview Webinar ? August 6 · ESRD Quality Incentive Program: CY 2019 ESRD PPS Proposed Rule Call ? August 14 Medicare Learning Network® Publications & Multimedia

· IOM Update to Publication 100-02, Chapter 11 ? ESRD MLN Matters Article ? New · New Waived Tests MLN Matters Article ? New · HCPCS Codes Used for SNF CB Enforcement: Annual Update MLN Matters Article ? New · Changes to the Laboratory NCD Edit Software: October 2018 MLN Matters Article ? New · CLFS and Laboratory Services Payment: Quarterly Update MLN Matters Article ? New View this edition as a PDF [PDF, 212KB]

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PARA Weekly Update: August 1, 2018

BILLING MEDICARE FOR DEVICE-DEPENDENT PROCEDURES

edicare billers are occasionally stymied by the edit ?Claim lacks device code? when the device or implant does not have an assigned HCPCS code, and no other HCPCS is appropriate.

Until 2015, Medicare specified exactly which device HCPCS were required for the various procedure HCPCS. However, Medicare changed its policy to accept any device code to satisfy the ?missing device code? edit when reported on a claim with a device-intensive procedure. In addition, Medicare modified the list of procedures which require device reporting in 2017. The list may change annually.

To address procedures which require a device HCPCS, but the device has not yet been assigned a unique HCPCS, Medicare created HCPCS code C1889 ?Implantable/insertable device for device intensive procedure, not otherwise classified.? Reporting HCPCS code C1889 with a device-intensive procedure will satisfy the edit requiring a device code to be reported on a claim with a device-intensive procedure.

While Medicare no longer imposes specific procedure-to- device and device-to-procedure edits for any HCPCS, and any of the device codes will satisfy billing requirements, hospitals are still expected to report the most appropriate HCPCS for each procedure. Hospitals should continue reporting the appropriate device codes on claims APCs with a device offset of more than 40 percent as ``device-intensive'' APCs, and report C1889 if no other HCPCS is appropriate. The list of HCPCS which are considered ?device-intensive? is found in the OPPS Final Rule, Addendum P. The list for CY 2018 is provided here and on the following pages:

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PARA Weekly Update: August 1, 2018

BILLING MEDICARE FOR DEVICE-DEPENDENT PROCEDURES

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PARA Weekly Update: August 1, 2018

BILLING MEDICARE FOR DEVICE-DEPENDENT PROCEDURES

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PARA Weekly Update: August 1, 2018

BILLING MEDICARE FOR DEVICE-DEPENDENT PROCEDURES

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PARA Weekly Update: August 1, 2018

BILLING MEDICARE FOR DEVICE-DEPENDENT PROCEDURES

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PARA Weekly Update: August 1, 2018

BILLING MEDICARE FOR DEVICE-DEPENDENT PROCEDURES

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PARA Weekly Update: August 1, 2018

PARA INTRODUCES NEW OUTPATIENT OUTMIGRATION REPORTS In their continuing expansion of product lines critical to streamlining hospital data collection and improving decision support tools for Chief Executive Officers, Chief Financial Officers and Business Development executives, PARA Analytics introduces the new Outpatient Migration Report.

Among other items, PARA customers using this vital report will be able determine where patients in their primary and secondary service areas are going for outpatient services, total volumes of selected outpatient services and the value of these services.

The Outpatient Migration Report provides information on Medicare Outpatient Visits and the patient?s county of residence. The source of this information is the Medicare Outpatient Limited Data Set. For the selected hospital, the top ten counties are identified based on the number of outpatient visits from those counties of residence. These counties are listed horizontally across an easy-to-read report.

All facilities that had an outpatient visit from the selected hospital?s home county are listed vertically on the report and it then details how many outpatient visits to each facility originated from each of the ten corresponding counties.

The Outpatient Migration Report includes ten tabs with this same format. The first tab includes statistics on all outpatient visits. The subsequent nine tabs include the visit counts that have been identified as specific visit types.

These include: - Emergency, Mammography - CT - MRI - Therapy - GI - Diagnostic Radiology - Lab, and - Wound Care The final tab provides reference information on how outpatient visits are assigned to the preceding categories. If any of the listed codes appear on the claim, then the visit is assigned the corresponding label.

PARA Analytics is the first national healthcare financial firm to develop such valuable reports in a more timely manner than data typically available from public sources. Using PARA?s proprietary algorithms in the PARA Data Editor, PARA can rapidly produce relevant and functional reports.

For more information and a demonstration of these new reports, please contact PARA Account Executives: Violet Archuleta-Chiu, Senior Account Executive varchuleta@para-hcfs.com (800) 999-3332, ext. 219 Sandra LaPlace, Account Executive slaplace@para-hcfs.com (800) 999-3332, ext. 225 27

PARA Weekly Update: August 1, 2018

There were NO 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: August 1, 2018

Click this link to access the Fact Sheet CMS has published an additional MLNConnects Fact Sheet outlining new proposed changes to OPPS and Ambulatory Surgical Center payments for 2019.

The deadline for submissing comments is September 24, 2018.

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PARA Weekly Update: August 1, 2018

There were TWO 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: August 1, 2018

The link to this Transmittal R4095CP

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PARA Weekly Update: August 1, 2018

The link to this Transmittal R812PI

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PARA Weekly Update: August 1, 2018

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