PARA Weekly Update For Users September 19 2018

PARA WEEKLY

UPDATE For Users

I mproving T he Business of H ealthCare Since 1985 September 19, 2018 NEWS FOR HEALTHCARE DECISION MAKERS

IN THIS ISSUE QUESTIONS & ANSWERS - Initial Versus Subsequent Visit - Hypoxia - Radiation Therapy Locum Tenens - Billing 88341 and 88342

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INFORMATIVE ARTICLES PARA YEAR-END HCPCS UPDATE PROCESS

New MedLearn Articles in the Advisor tab of the PARA Dat a Edit or .

Click here

UPDATED! 2019 MPFS PROPOSED RULE E/M PAYMENT POLICY CHANGES 2019 CPT® CODE SET RELEASE 2019 DRG TABLE 5 COMPARISON RURAL HOSPITAL PROGRAM GRANTS HOME HEALTH PROVIDERS: BILLING OSTEOPOROSIS DRUGS

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New or revised Transmittals in the Advisor tab of the PARA Dat a Edit or .

Click here.

- Administration: Pages 1-32 - HIM /Coding Staff: Pages 1-32 - Providers: Pages 2-5,7,14,16,20,29 - Sleep Study Svcs: Page 3 - Radiation Therapy: Pages 4,20 - Clinical Lab Svcs: Pages 5-6

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PDE Users: Page 6 Obstetrics: Page 13 Dialysis Svcs: Page 14 Rural Healthcare: Page 15 Home Health: Page 16 Hospice: Pages 18,22,28 Diabetes Care: Page 18 Pharmacy: Page 21

© 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: September 19, 2018

INITIAL VERSUS SUBSEQUENT VISIT

A patient sees their doctor for the first time for pain in their left knee. The doctor sends them for an x-ray where it is determined that there is a fracture to the patella. Does the fracture end in A or D? The controversy is that the patient is seen for the second time due to the knee. But on the other hand patient is being seen for the first time for the fracture. Can you help us to decide the correct coding of this?

Answer: The fracture will end in a seventh character of ?A? in this scenario. The 2018 Official Coding guidelines Section I.C.19.a defines the 7th character ?A? as initial encounter used for each encounter, where the patient is receiving active treatment for the condition. Based on the scenario provided, the patient is still under treatment. The 7th character ?D? subsequent encounter is used for encounters after the patient has completed active treatment of the condition and is receiving routine care for the condition during the healing or recovery phase. Please refer to the Official Coding Guidelines Section I.C.19.a which is located in the PARA Data Editor calculator.

2018 Official Coding Guidelines: Section I.C.19.a: Application of 7th Characters in Chapter 19 Most categories in chapter 19 have a 7th character requirement for each applicable code. Most categories in this chapter have three 7th character values: A, initial encounter, D, subsequent encounter and S, sequela. Categories for traumatic fractures have additional 7th character values.

While the patient may be seen by a new or different provider over the course of treatment for an injury, assignment of the 7th character is based on whether the patient is undergoing active treatment and not whether the provider is seeing the patient for the first time.

For complication codes, active treatment refers to treatment for the condition described by the code, even though it may be related to For complication an earlier precipitating problem. For example, code T84.50XA, codes, active Infection and inflammatory reaction due to unspecified internal joint prosthesis, initial encounter, is used when active treatment is treatment refers to provided for the infection, even though the condition relates to the treatment for the prosthetic device, implant or graft that was placed at a previous condition encounter. described by the 7th character ?A?, initial encounter is used for each encounter where the patient is receiving active treatment for the condition. code.

7th character ?D? subsequent encounter is used for encounters after the patient has completed active treatment of the condition and is receiving routine care for the condition during the healing or recovery phase.

The aftercare Z codes should not be used for aftercare for conditions such as injuries or poisonings, where 7th characters are provided to identify subsequent care. For example, for aftercare of an injury, assign the acute injury code with the 7th character ?D? (subsequent encounter).

7th character ?S?, sequela, is for use for complications or conditions that arise as a direct result of a condition, such as scar formation after a burn. The scars are sequelae of the burn. When using 7th character ?S?, it is necessary to use both the injury code that precipitated the sequela and the code for the sequela itself. The ?S? is added only to the injury code, not the sequela code. The 7th character ?S? identifies the injury responsible for the sequela. The specific type of sequela (e.g. scar) is sequenced first, followed by the injury code.

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PARA Weekly Update: September 19, 2018

INITIAL VERSUS SUBSEQUENT VISIT

HYPOXIA When a provider orders a sleep study due to Hypoxia. Can we assume that it is Sleep Related Hypoxia and code it as such?

Answer: Report ICD-10 CM code R09.02, Hypoxia. Coders cannot assume a link between conditions unless the documentation, Alphabetic or tabular index of ICD-10 CM provides the terms ?with?, ?associated with? or ?in?. There is no link between hypoxia and sleep disorder within these areas. Please refer to the PARA Data Editor Code descriptions.

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PARA Weekly Update: September 19, 2018

RADIATION THERAPY LOCUM TENENS

Our radiation therapist will be taking some time off. We have three different locums lined up to fill in. Medicare states a substitute physician cannot provide services to Medicare patients over a continuous period of longer than 60 days. Is that 60 days for the same substitute or is that 60 days regardless of how many different substitute physicians we have?

Here is an example of what the time periods will look like. Dr. X covering 11-26-18 thru 12-14-18. Dr. Y covering 12-17-18 thru 1-4-19 Dr. Z covering 1-7-19 thru 2-1-19. Are we okay to bill locums for this entire amount of time since each of the substitute physicians time does not exceed 60 days?

Answer: Our paper on billing for locums is appears below. The nuance you have probed (60 days total, or 60 days per substitute physician) is not contemplated in the pertinent regulations. The rules clearly limit the use of a second physician to 60 days, but they do not contemplate a third or fourth physician. We find that is stretching the rule beyond what was intended. We advise organizations not to bill for any substitute--regardless if it is one or three--for a period of more than 60 consecutive days of absence of the regular physician. The reason Medicare places that limit is to ensure that all physicians are enrolled with Medicare to avoid fraud and abuse.

Here?s the central regulation: https://www.cms.gov/Regulations-and-Guidance/Guidance/ Manuals/Downloads/pim83c15.pdf Medicare Program Integrity Manual Chapter 15 - Medicare Enrollment 15.1 ? Introduction to Provider Enrollment ?? No provider or supplier shall receive payment for services furnished to a Medicare beneficiary unless the provider or supplier is enrolled in the Medicare program. Further, it is essential that each provider and supplier enroll with the appropriate Medicare fee-for-service contractor.? Since you know in advance which physicians will be covering, we recommend that the organization simply enroll the physicians who will cover for the radiation therapy physician under the organization?s group NPI. If the substitute physicians are already enrolled as individuals under Medicare, it is a fairly quick and straightforward process to enroll the physician for the period of time in which they will be rendering care, keeping the integrity of your claims above reproach

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PARA Weekly Update: September 19, 2018

BILLING 88341 AND 88342

There have been some questions/concerns if we are charging/billing CPTsÂŽ 88342 and 88341 appropriately for maximum reimbursement. The concern is that 88341 being the add on code that there is not separate reimbursement on the Medicare addendum as it is status indicator N. Could you please provide us with further insight into billing/reimbursement for these two CPTÂŽ codes? I see that the MUE on 88342 is three and could you elaborate and possibly give me scenarios where billing for more than one of the primary procedure would be appropriate??

Answer: Code 88341 is an add-on code and is not separately payable under OPPS packaging rules. We point out that the Medically Unlikely Edit of three is because Medicare allows three different tissues to be billed without questioning the quantity -- the code description is ?per specimen?: 88342 - immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure. 88341 - immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (list separately in addition to code for primary procedure).

Even so, the MUE Adjudication Indicator (MAI) for 88342 is 3, which means that additional units will be considered for payment if the provider attests that the units were correct (by use of the GD modifier) and adding a remark on the UB, such as ?4 specimens processed for 88342.?

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PARA Weekly Update: September 19, 2018

PARA YEAR-END HCPCS UPDATE PROCESS

usual, PARA clients will be fully supported with information and assistance on the annual CPT® 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, 2019. 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 CPT® codes; this information is released in September of each year. PARA will produce the first spreadsheet of CPT® updates for client review in October, 2019.

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2. Medicare?s 2019 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 CPTs® generated by the AMA, or whether Medicare will require another reporting method.

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: September 19, 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: September 19, 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: September 19, 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: September 19, 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: September 19, 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: September 19, 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 prepared 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. 12

PARA Weekly Update: September 19, 2018

2019 DRG TABLE 5 COMPARISON

In July 2018, the Centers for Medicare & Medicaid Services (CMS) released the 2019 DRG Table 5. This table lists the MS-DRGs, Relative Weight Factors and Geometric and Arithmetic Mean Lengths of Stay for 2019.

PARA has performed a comparison between the 2018 DRGs and the 2019 DRGs and found the following: For 2019, there were eighteen DRGs added to the DRG Table 5.

MS-DRG 783 784 785 786 787 788 796 797 798 805 806 807 817 818 819 831 832 833

MS-DRG Description CESEREAN SECTION W STERILIZATION W MCC CESAREAN SECTION W STERILIZATION W CC CESAREAN SECTION W STERILIZATION W/O CC/MCC CESAREAN SECTION W/O STERILIZATION W MCC CESAREAN SECTION W/O STERILIZATION W CC CESAREAN SECTION W/O STERILIZATION W/O CC/MCC VAGINAL DELIVERY W STERILIZATION/D&C W MCC VAGINAL DELIVERY W STERILIZATION/D&C W CC VAGINAL DELIVERY W STERILIZATION/D&C WO CC/MCC VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC VAGINAL DELIVERY W/O STERILIZATION/D&C W CC VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC OTHER ANTEPPARTUM DIAGNOSES W O.R. PROCEDURE W MCC OTHER ANTEPPARTUM DIAGNOSES W O.R. PROCEDURE W CC OTHER ANTEPPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC OTHER ANTEPPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC OTHER ANTEPPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC OTHER ANTEPPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC

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PARA Weekly Update: September 19, 2018

2019 DRG TABLE 5 COMPARISON

Also, eleven DRGs were removed from the DRG Table 5 for 2019: MS-DRG 685 765 766 767 774 775 777 778 780 781 782

MS-DRG Description ADMIT FOR RENAL DIALYSIS CESAREAN SECTION W CC/MCC CESAREAN SECTION W/O CC/MCC VAGINAL DELIVERY W STERILIZATION &/OR D&C VAGINAL DELIVERY W COMPICATION DIAGNOSES VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES ETOPIC PREGNANCY THREATENED ABORTION FALSE LABOR OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS

The DRG Table 5 comparison is accessible on the Calculator tab of the PARA Data Editor.

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PARA Weekly Update: September 19, 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 Tomorrows Partnership For Children Program - Supports community-based child health projects that improve the health status of mothers, infants, children, and adolescents in rural and other underserved communities by increasing their access to health services with funding of up to $50,000 for each of five years.

- Application Deadline: October 1,2018

Montana HealthCare Foundation Grants - Provides up to $100,000 to organizations working with: - Behavioral Health - Strengthening Indian Health initiatives - Reducing the use of emergency departments - Application Deadline: September 28, 2018

Service Area Funding For Health Center Programs - Provides $1,000,000 for Technologies for Improving Population Health and Eliminating Health Disparities to develop partnerships between innovative small business concerns and nonprofit research institutions resulting in improving minority health and the reduction of health disparities by commercializing innovative technologies. Rural populations are included in the listed health disparities priority populations.

- Application Deadline: October 1, 2018 15

PARA Weekly Update: September 19, 2018

HOME HEALTH PROVIDERS: BILLING OSTEOPOROSIS DRUGS

In Home Health consolidated billing, rules require the primary home health agency (HHA) to bill osteoporosis drugs for beneficiaries meeting the coverage requirements for these drugs, if the patient is under a 60-day episode.

The actual Osteoporosis drug (s) are excluded from reimbursement under the Home Health Prospective Payment System (HHA-PPS) and are instead reimbursed to providers on a reasonable cost basis.

Reimbursement for administering the drug is included in the HH-PPS episode payment. The primary HHA should submit these charges with other skilled nursing visits on the HH-PPS claim using type of bill (TOB) 329, along with all other applicable home health related services provided by the HHA during the episode.

Providers seeking reimbursement for this service should: 1. Ensure the beneficiary is entitled to Medicare Part B 2. The date of service for the covered osteoporosis drug(s) must fall within the start and end-dates of an existing HHA PPS episode 3. The provider number on the claim for osteoporosis drug(s) must also match the provider number that established the home health episode during which the drug(s) were administered 4. Of note: HHAs should be aware if Medicare denies the skilled nursing visit during which the osteoporosis drug was administered, the charges for the drug will not be paid as well by Medicare.

In addition to the usual information that is required on a HHA -PPS Medicare claim, the adjacent table identifies the specific data that is required for osteoporosis drug(s) reporting:

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PARA Weekly Update: September 19, 2018

HOME HEALTH PROVIDERS: BILLING OSTEOPOROSIS DRUGS

References for this article: https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c07.pdf Chapter 7, Section 50.4.3

https://www.cms.gov/Regulations-andGuidance/Guidance/Manuals/Downloads /clm104c10.pdf Chapter 10 Sections: 10, 20 and 90.1

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PARA Weekly Update: September 19, 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, September 13, 2018 New s & An n ou n cem en t s

· Help Your Medicare Patients Avoid and Report Scams · Hospice Provider Preview Reports: Review Your Data by October 5 · IRF Provider Preview Reports: Review Your Data by October 8 · LTCH Provider Preview Reports: Review Your Data by October 8 · Open Payments: Key Thresholds for Program Year 2019 Reporting · Open Payments: Program Year 2019 Teaching Hospital List Pr ovider Com plian ce

· Bill Correctly for Device Replacement Procedures - Reminder Upcom in g Even t s

· Dementia Care: Opioid Use & Impact for Persons Living with Dementia Call ? September 18 · Medicare Diabetes Prevention Program: New Covered Service Call ? September 26 · Final Modifications to the Quality of Patient Care Star Rating Algorithm Call ? October 3 · Comparative Billing Report on Psychologists Webinar ? October 17 M edicar e Lear n in g Net w or k ® Pu blicat ion s & M u lt im edia

· Billing Requirements Implemented for non-OPPS Providers MLN Matters® Article ? New · Annual Clotting Factor Furnishing Fee: 2019 Update MLN Matters Article ? New · ASC Payment System: October 2018 Update MLN Matters Article ? New · Influenza Vaccine Payment Allowances: Annual Update MLN Matters Article ? New · Influenza Virus Vaccine Code: January 2019 Update MLN Matters Article ? Revised

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PARA Weekly Update: September 19, 2018

There were FOUR 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: September 19, 2018

The link to this Med Learn SE18013

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PARA Weekly Update: September 19, 2018

The link to this Med Learn MM10918

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PARA Weekly Update: September 19, 2018

The link to this Med Learn MM10517

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PARA Weekly Update: September 19, 2018

The link to this Med Learn MM10924

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PARA Weekly Update: September 19, 2018

There were SEVEN new or revised Transmittals released this week.

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

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FIND ALL THESE TRANSMITTALS IN THE ADVISOR TAB OF THE PDE

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PARA Weekly Update: September 19, 2018

The link to this Transmittal R2138OTN

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PARA Weekly Update: September 19, 2018

The link to this Transmittal R4134CP

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PARA Weekly Update: September 19, 2018

The link to this Transmittal R2139OTN

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PARA Weekly Update: September 19, 2018

The link to this Transmittal R246BP

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PARA Weekly Update: September 19, 2018

The link to this Transmittal R4132CP

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PARA Weekly Update: September 19, 2018

The link to this Transmittal R4131CP

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PARA Weekly Update: September 19, 2018

The link to this Transmittal R4130CP

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PARA Weekly Update: September 19, 2018

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