MEDICARE UPDATE 2009

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MEDICARE UPDATE 2009

For additional information contact:

CPA Wanda Marrero at 787-622-2200 or

CPA Teresa Figueroa at 787-378-3425

Friday, August 14, 2009

 

Early bird until July 31, 2009:

$150 HFMA Members

$185 Non HFMA Members

$165 Three or more from same institution

After July 31, 2009:

$165 HFMA Members

$215 Non HFMA Members

$195 Three or more from same institution

 

Registration form is attached

San Juan Hotel & Casino, Isla

Verde

PROGRAM

Washington Update

Mrs. Delia La Santa,

Auxiliary Secretary of Federal Affairs

Mr. Domingo Nevárez,

Executive Director ASES

ICD 10

Mrs. Sally Montes,

Assistant Vice President HIM on Call

Mrs. Sandra Peña, Director Billing Compliance

and Revenue Cycle Services, HIM. On

Call

Facing the RAC-The New Challenge

Ms. Ada Vélez,

Performance Improvement Consultant

ICD 10 Workshop

Mrs. Sally Montes,

Assistant Vice President HIM on Call

Mrs Sandra Pena, Director HIM on Call

Introduction to FCSO and Provider Audit

and Reimbursement

Mr. Bill Tisdale, Director of Provider Audit

and Reimbursement,

First Coast Service Options

The New Provider Statistical and

Reimbursement System

Mr. Tony Matos, Branch Manager, Provider

Audit and Reimbursement,

First Coast Service Options

Medicare Update 2009 Program Agenda

7:30 a.m. – 8:45 a.m. Registration and Breakfast

8:45 a.m. – 9:00 a.m. Welcome

9:00 a.m. – 10:00 a.m. Washington Update – Changes recently approved by the Federal Government, with impact In PR

Speakers:

Mrs. Delia La Santa, Auxiliary Secretary of Federal Affairs, Health Department of the Commonwealth of PR

Mr. Domingo Nevárez, Executive Director ASES

10:00 a.m. – 10:15 a.m. Morning Break

10:15 a.m. – 12:15 p.m. General Morning Session - ICD-10

Speakers:

Mrs. Sally Montes, Assistant Vice-President, H.I.M. on Call

Mrs. Sandra Peña, Director Billing Compliance and Revenue Cycle Services, H.I.M. on Call

12:15 M –1:30 p.m. Lunch

1:30 p.m. – 3:00 p.m. Concurrent Sessions

Session 1:

Facing the RAC-The New Challenge

Speaker

Ms. Ada Velez, Performance Improvement Consultant

Session 2:

ICD-10 Workshop

Speakers

Mrs. Sally Montes, Assistant Vice-President, H.I.M. on Call

Mrs. Sandra Peña, Director Billing Compliance and Revenue Cycle Services, H.I.M. on Call

3:00 p.m. - 3:15 p.m. Afternoon break

3:15 p.m. – 4:30 p.m. General Afternoon Session

Topic: Introduction to FCSO and Provider audit and Reimbursement

Speaker:

Mr. Bill Tisdale, Director of Provider Audit and Reimbursement, First Coast Service Options

Topic: The New Provider Statistical and Reimbursement System

Speaker:

Mr. Tony Matos, Branch Manager, Provider Audit and Reimbursement, First Coast Service Options

4:30 p.m. Cocktail

 

 

07/08/2009 15:01 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

Oportunidad de educación al proveedor: Requisitos para la presentación del formulario CMS-1500 (08/05)

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(Este documento es copia igual al enviado a Afamep para su publicación.  Debido al tipo de documento se realizaron ajustes al formato)

Martes, 18 de agosto /  4:00 PM-5:30 PM

Idioma en que se ofrece el evento: Español

 

Este webcast educacional gratuito está a disposición de los proveedores de cuidados de la salud localizados en la Florida, Puerto Rico y las Islas Vírgenes de los Estados Unidos y tiene por finalidad ofrecer detalles sobre los requisitos del formulario CMS-1500 (08/05).

 

�� ¿Esta usted recibiendo reclamaciones denegadas o reclamaciones devueltas como no procesables o RUC por sus siglas en

ingles?

 

�� ¿Quiere reducir el número de errores en sus reclamaciones?

 

�� ¿Quiere familiarizarse con los requisitos del formulario CMS (08/05)?

 

Si usted respondió afirmativamente a estas preguntas, este webcast es para usted. Este webcast consistirá de una presentación interactiva y la navegación del sitio Web para encontrar la información que usted necesita.

 

La presentación terminará con un periodo de preguntas y respuestas. Únase a nosotros en esta sesión informativa y obtenga respuesta a sus preguntas por los expertos de Medicare. No se pierda esta gran oportunidad educacional.

 

Para participar en este webcast, inscríbase antes del 17 de agosto.

Haga clic en el siguiente enlace, http://medicareespanol.fcso.com/Wrapped/143806.asp para las instrucciones de inscripción.

 

21/07/2009 20:59 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

>Estimados proveedores del Medicare en Puerto Rico,

FYI

Raúl Alicea, MBA/HCM, CHA | Health Insurance Specialist | Provider Outreach & Education | Consortium for Medicare Health Plan Operations | Centers for Medicare and Medicaid Services|  ’ 787-771-3687 | 7 787-771-3689 | * raul.alicea@cms.hhs.gov
"A soft answer turneth away wrath; A gentle tongue is a tree of life; In the house of the righteous is much treasure; the lips of the wise disperse knowledge"   

Please consider the environment before printing this e-mail.

>-----Original Message-----
>From: Karnes, Kimberly [mailto:Kimberly.Karnes@fcso.com]
>Sent: Friday, June 05, 2009 4:33 PM
>Subject: First Coast Service Options (J9 MAC) quiere destacar webcasts educativos
>importantes para proveedores de Medicare en Puerto Rico
>
>Estimados proveedores del Medicare en Puerto Rico,
>
>First Coast Service Options, Inc. (FCSO) asumío su nuevo rol como el contratista
>administrativo de Medicare (MAC) para Puerto Rico el 2 de marzo. La principal
>prioridad de nuestro departamento de educación al proveedor es brindarles la
>información y los recursos que necesitan para entender y facturar correctamente el
>programa de Medicare.
>
>Durante los próximos meses, FCSO quiere destacar cuatro webcasts educativos que
>enfocan en temas importantes a los proveedores en Puerto Rico. Les  pedimos que
>compartan este anuncio con los miembros de sus organizaciones para que éstos
>aprovechen estas oportunidades de informarse e interactuar directamente con los
>expertos en Medicare de FCSO.
>
>Para inscribirse y leer sobre estos eventos y otros más, les exhortamos que accedan
>nuestro calendario de eventos educativos utilizando el enlance provisto:
>http://medicareespanol.fcso.com/Educacion_recursos/143443.asp. Si no ha
>participado todavía en un webcast de FCSO, adjunto incluyo preguntas más
>frecuentes sobre como participar en estos  eventos  interactivos.
>
>Webcasts de FCSO en junio y julio
>Evento: Cambios en el proceso de inscripción del proveedor - petición de cambio (CR)
>6310 (Parte A/B) - Webcast
>Fecha y hora:     Miércoles, 16 de junio a las 4:00 PM-5:30 PM
>Esta sesión interactiva incluirá detalles sobre la extensión de tiempo disponible
>para informar cambios a su información de inscripción, los cambios en la política de
>facturación retrospectiva y muchos otros temas relacionados.
>
>Evento: Determinando el nivel de código de evaluación y manejo (E/M) apropiado -
>Webcast
>Fecha y hora: Miércoles, 15 de julio a las 4:00 PM-5:00 PM
>En este evento discutiremos los componentes de E/M, revisaremos escenarios de
>una factura actual y explicaremos como nuestro departamento de revisión médica
>aplica las guías de E/M para determinar el nivel apropiado.
>
>Evento: Webcast sobre transportación de ambulancia de no emergencia (Parte B)-
>Webcast
>Fecha y hora: Jueves el 16 de julio a las 4:00 PM-5:00 PM
>Este evento está diseñado para ayudar a entender la determinación de cobertura
>local (LCD) sobre servicios de ambulancias terrestre no-emergencia para Medicare
>Parte B, que entrará en vigor el 30 de junio de 2009, así como otros requisitos
>importantes de facturación de servicios de ambulancia. Esta LCD establecerá
>limitaciones de cobertura para servicio de ambulancia terrestre no-emergencia.
>
>Evento: Requisitos para la presentación del formulario CMS-1500 (08/05) - Webcast
>Fecha y hora:  Martes, 18 de agosto a las 4:00 PM-5:30 PM
>Durante este evento ofreceremos detalles sobre los requisitos del formulario CMS-
>1500 (08/05) y su equivalente en versión electrónica (electronic media claim,
>EMC)para ayudar a los proveedores reducir el número de reclamaciones denegadas
>y errores en la CMS 1500.
>
> <>
>
>
>First Coast Service Options, Inc., and its affiliates are not responsible for errors or
>omissions in the transmission of this e-mail message. Any personal comments made
>in this e-mail do not reflect the views of First Coast Service Options, Inc., or its
>affiliates. The information contained in this document may be confidential and is
>intended solely for the use of the individual or entity to whom it is addressed. This
>document may also contain material that is privileged or protected from disclosure
>under applicable law. If you are not the intended recipient or the individual
>responsible for delivery to the intended recipient, please (1) be advised that any use,
>dissemination, forwarding, or copying of this document IS STRICTLY PROHIBITED;
>and (2) notify sender immediately by telephone and destroy the document. Thank
>you.

 

Seleccione localización Todos Florida Puerto Rico Islas Vírgenes de EE.UU.
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ISO Certification
6/10/2009
Last Modified: 6/9/2009 Location: FL, PR, USVI Business: Part A, Part B

Oportunidades de aprendizaje, asistencia y educación al proveedor

First Coast Service Options Inc. (FCSO) ofrece a los proveedores la oportunidad de incrementar su conocimiento del programa de Medicare a través de webcast educacionales y 24 horas de acceso de cursos de aprendizaje en línea. Le aconsejamos que utilice ambos recursos y esperamos su participación y sus comentarios. Note que ambos eventos educacionales de Medicare y cursos en línea ofrecidos por FCSO están disponibles libre de costo al proveedor.
Tema seleccionado Visite www.fcsomedicaretraining.com enlace externo para inscribirse en las clases en línea.
Tema seleccionado Haga clic aquí para instrucciones sobre inscripción del evento.

Cursos de aprendizaje en línea disponibles

Explore las oportunidades de aprendizaje en línea ofrecidas por FCSO y gane 24 horas de acceso de adiestramiento que se ajusta a sus necesidades educacionales y a su complicado horario en www.fcsomedicaretraining.com enlace externo.Si a usted le gustaría ver descripciones de algunos de nuestros cursos disponibles, haga clic aquí.

Calendario de eventos educacionales de Medicare de FCSO

Aprenda más sobre el programa de Medicare y encuentre formas de mejorar la precisión y eficacia del proceso de facturación de Medicare participando en los eventos educacionales libres de costo auspiciados por FCSO. Revise el calendario abajo y aprenda sobre los eventos próximos del proveedor que hemos programado para usted. Para ver detalles adicionales sobre eventos específicos, haga clic sobre el enlace en la columna de “descripción”.
Nota: A menos que se indique lo contrario, todos los eventos educacionales de FCSO son considerados eventos de “pregúntele al contratista”, y la hora designada es ET. Haga clic aquí para instrucciones de inscripción de evento.

Tipo de evento

Fecha

Descripción

webcast
Junio 10
Tema: Quiropráctico (Parte B)
Tipo:
Webcast
Hora:
11:30 AM-12:30 PM
Idioma en que se ofrece el evento:
Inglés
Dirigido a:
Florida, Puerto Rico y las Islas Vírgenes de los Estados Unidos
webcast
Junio 11
Tema: e-Prescribing: Programa de incentivo de receta electrónica de Medicare 2009 (Parte B)
Tipo:
Webcast
Hora:
11:30 PM-1:00 PM
Idioma en que se ofrece el evento:
Inglés
Dirigido a:
Florida, Puerto Rico, y las Islas Vírgenes de los Estados Unidos
webcast
Junio 16
Tema: (Cambios en el proceso de inscripción del proveedor - CR 6310 (Parte A/B)
Tipo:
Webcast
Hora:
4:00 PM-5:00 PM
Idioma en que se ofrece el evento:
Español
Dirigido a:
Puerto Rico
webcast
Junio 17
Tema: Infórmese de como utilizamos sus opiniones para mejorar los servicios que ofrecemos
Tipo:
Webcast
Hora:
11:30 AM-12:30 PM
Idioma en que se ofrece el evento:
Inglés
Dirigido a:
Florida, Puerto Rico, y las Islas Vírgenes de los Estados Unidos
webcast
Junio 17
Tema: Infórmese de como utilizamos sus opiniones para mejorar los servicios que ofrecemos
Tipo:
Webcast
Hora:
4:00 AM-5:00 PM
Idioma en que se ofrece el evento:
Español
Dirigido a:
Puerto Rico
webcast
Julio 14
Tema: Serie de temas de actualidad: Cambios y actualizaciones de Parte B 2009
Tipo:
Webcast
Hora:
11:30 AM-12:30 PM
Idioma en que se ofrece el evento:
Inglés
Dirigido a:
Florida y las Islas Vírgenes de los Estados Unidos
webcast
Julio 15
Tema: Serie de temas de actualidad: Cambios y actualizaciones de Parte A 2009
Tipo:
Webcast
Hora:
11:30 AM-12:30 PM
Idioma en que se ofrece el evento:
Inglés
Dirigido a:
Florida y las Islas Vírgenes de los Estados Unidos
webcast
Julio 15
Tema: Determinando el nivel de código de evaluación y manejo (E/M) apropiado
Tipo:
Webcast
Hora:
4:00 PM-5:30 PM
Idioma en que se ofrece el evento:
Español
Dirigido a:
Puerto Rico
webcast
Julio 16
Tema: Webcast sobre transportación de ambulancia de no emergencia (Parte B)
Tipo:
Webcast
Hora:
4:00 PM-5:30 PM
Idioma en que se ofrece el evento:
Español
Dirigido a:
Puerto Rico
webcast
Julio 21
Tema: Serie de temas de actualidad: Cambios y actualizaciones de Parte A 2009
Tipo:
Webcast
Hora:
2:00 PM-3:30 PM
Idioma en que se ofrece el evento:
Español
Dirigido a:
Puerto Rico
webcast
Julio 21
Tema: Nueva serie de Evaluación y Manejo: talleres que cubren servicios E/M de un paciente típico -- sesión 1 (Parte B)
Tipo:
Webcast
Hora:
11:30 AM–1:00 PM
Idioma en que se ofrece el evento:
Inglés
Dirigido a:
Florida, Puerto Rico y las Islas Vírgenes de los Estados Unidos
webcast
Julio 22
Tema: Serie de temas de actualidad: Cambios y actualizaciones de Parte B 2009
Tipo:
Webcast
Hora:
4:00 PM-5:30 PM
Idioma en que se ofrece el evento:
Español
Dirigido a:
Puerto Rico
webcast
Agosto 18
Tema: Requisitos para la presentación del formulario CMS-1500
Tipo:
Webcast
Hora:
4:00 PM-5:30 PM
Idioma en que se ofrece el evento:
Español
Dirigido a:
Florida, Puerto Rico y las Islas Vírgenes de los Estados Unidos
Seminario en persona
Septiembre 1-2
Tema: Evento educacional Medifest
Tipo:
Seminario/simposio en persona
Hora:
8:00 AM-5:30 PM
Idioma en que se ofrece el evento:
Inglés
Dirigido a:
Florida, Puerto Rico y las Islas Vírgenes de los Estados Unidos
webcast
Septiembre 8
Tema: Serie de temas de actualidad: Cambios y actualizaciones de Parte B 2009
Tipo:
Webcast
Hora:
11:30 AM-12:30 PM
Idioma en que se ofrece el evento:
Inglés
Dirigido a:
Florida y las Islas Vírgenes de los Estados Unidos
webcast
Septiembre 9
Tema: Serie de temas de actualidad: Cambios y actualizaciones de Parte A 2009
Tipo:
Webcast
Hora:
11:30 AM-12:30 PM
Idioma en que se ofrece el evento:
Inglés
Dirigido a:
Florida y las Islas Vírgenes de los Estados Unidos
webcast
Septiembre 22
Tema: Serie de temas de actualidad: Cambios y actualizaciones de Parte A 2009
Tipo:
Webcast
Hora:
2:00 PM-3:30 PM
Idioma en que se ofrece el evento:
Español
Dirigido a:
Puerto Rico
webcast
Septiembre 23
Tema: Serie de temas de actualidad: Cambios y actualizaciones de Parte B 2009
Tipo:
Webcast
Hora:
4:00 PM-5:30 PM
Idioma en que se ofrece el evento:
Español
Dirigido a:
Puerto Rico

Iconos clave

webcast = Webcast Seminario en persona = Seminario/simposio en persona tele-conferencia = Tele-conferencia
Nota: Las fechas y horas están sujetas a cambios antes de abrir la inscripción del evento.

Dos formas fáciles de inscribirse

Para la mayoría de los eventos, aquellos que desean participar deben inscribirse a más tardar el día antes del evento. FCSO ofrece, a los proveedores, las opciones de inscribirse por medio de Internet “en línea” y/o por fax.

Instrucciones para inscribirse por Internet

Para inscribirse en un evento educacional de FCSO Medicare -- por Internet -- en línea:
1. Visite nuestro sitio Web de cursos al proveedor www.fcsomedicaretraining.com external link/enlace externo.
2. Ingrese a su cuenta o abra una cuenta nueva si aún no la tiene.
Nota: Los nuevos usuarios pueden crear su cuenta completando en línea el formulario Request User Account Form (Los proveedores que no tienen un número NPI pueden entrar “9999” en el campo NPI del formulario. Todos los datos son verificados). Usted recibirá su información de acceso dentro de 72 horas de haber solicitado su cuenta y puede luego inscribirse en cualquier clase que sea de interés para usted o su personal.
3. Seleccione “Course Catalog” de la barra superior navegación
4. Seleccione “Catalog” (en el medio de la página)
5. Seleccione “Browse Catalog” (a la derecha de su recuadro de búsqueda)
6. Seleccione su localidad (Florida, Puerto Rico o las Islas Vírgenes de los Estados Unidos) y su línea de negocios (Parte A o Parte B) en la lista Categories (en el medio de la página).
7. Seleccione la sesión específica a la cual desea atender, y haga clic en el botón “Preview Schedule” (al final de la página).
8. Seleccione Register en la columna Options.
9. Le será enviado un e-mail confirmando su inscripción.
Nota: Para verificar la disponibilidad en Internet de los materiales de enseñanza para un evento en particular, solamente debe seleccionar My Courses (del menú de navegación principal) el día antes del evento.

Instrucciones para inscripción por medio de Fax (para proveedores sin acceso a Internet)

Para inscribirse en un evento educacional FCSO Medicare por medio de fax:
Los proveedores sin acceso a Internet pueden solicitar un formulario de inscripción por fax dejando un mensaje en nuestra línea directa de inscripción: (904) 791-8103. Los materiales del curso le serán enviados por fax el día del evento.

Como solicitar ayuda

Si usted requiere ayuda para inscribirse, contacte nuestro centro de ayuda de cursos de Medicare llamando al (866) 756-9160 o enviando un correo electrónico a fcsohelp@geolearning.com external link.

¿No tiene tiempo de asistir a un evento?

Sabemos que nuestros proveedores están muy ocupados y puede que no tengan el tiempo de asistir a todos los eventos. Así que nosotros también ofrecemos la ventaja de cursos en línea libres de costo en los cuales puede aprender a su propio paso y le permite a usted y a su personal capacitarse cuando le sea más conveniente. Todo lo que se necesita es acceso a Internet. Visite www.fcsomedicaretraining.com external link, explore nuestro amplio catalogo de cursos, y seleccione el adiestramiento que mejor se ajusta a sus necesidades. Lo mejor de todo es que ofrecemos todo nuestro catalogo de cursos en línea libre de costo.

Manténgase informado: Vea el calendario de los próximos eventos dedicados a nuestros proveedores

Continuamos la planeación de más eventos educacionales interactivos (webcast, tele-conferencias, etc.) para mantenerlo al tanto de los últimos asuntos de Medicare y ayudarlo a informar, educar, y mejorar el desempeño de su personal de facturación. Manténgase revisando nuestro calendario de eventos de asistencia y educación o llame a la línea directa de inscripción de educación al proveedor al (904) 791-8103 para conocer más sobre las más recientes oportunidades de cursos disponibles para los proveedores. List item

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10/06/2009 09:34 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

IMPORTANTE INFORMACION PARA LOS QUE TRABAJAN CON EQUIPO MEDICO (DME) - Get Ready for DMEPOS Competitive Bidding!

 

---------- Forwarded message ----------
From: CMS CMSProviderResource <CMSProviderResource@cms.hhs.gov>
Date: Fri, May 29, 2009 at 5:50 PM
Subject: GET READY FOR DMEPOS COMPETITIVE BIDDING!
To: ALL_FFS_PROVIDERS@list.nih.gov


The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), enacted on July 15, 2008, made limited changes to the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program, including a requirement that competition to re-bid Round 1 occur in 2009.  On January 16, 2009, the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment period that incorporates into regulations only those provisions of MIPPA related to the DMEPOS competitive bidding program that are self-implementing and necessary to conduct the Round 1 rebid competition in 2009.  That rule became effective on April 18, 2009.  To ensure that suppliers have ample time to prepare for the competition, CMS has announced the following next steps for the program:

 

SPRING 2009

Ø  CMS BEGINS PRE-BIDDING SUPPLIER AWARENESS CAMPAIGN

Ø  PROGRAM ADVISORY AND OVERSIGHT COMMITTEE (PAOC) MEETING (JUNE 4, 2009)

 

SUMMER 2009

Ø  CMS ANNOUNCES BIDDING SCHEDULE/SCHEDULE OF EDUCATION EVENTS

Ø  CMS BEGINS BIDDER EDUCATION CAMPAIGN

Ø  BIDDER REGISTRATION PERIOD TO OBTAIN USER IDS AND PASSWORDS BEGINS

 

FALL 2009

Ø  BIDDING BEGINS

 

If you are a supplier interested in bidding, prepare now – don’t wait!

 

Ø  UPDATE YOUR NSC FILES:   DMEPOS supplier standard # 2 requires ALL suppliers to notify the National Supplier Clearinghouse (NSC) of any change to the information provided on the Medicare enrollment application (CMS-855S) within 30 days of the change.  DMEPOS suppliers should use the 3/09 version of the CMS-855S and should review and update:

• The list of products and services found in section 2.D;

•  The Authorized Official(s) information in sections 6A and 15; and

• The correspondence address in section 2A2 of the CMS-855S. 

This is especially important for suppliers who will be involved in the Medicare DMEPOS Competitive Bidding Program. These suppliers must ensure the information listed on their supplier files is accurate to enable participation in this program.  Information and instructions on how to submit a change of information may be found on the NSC Web site (http://www.palmettogba.com/nsc) and by following this path: Supplier Enrollment/Change of Information/Change of Information Guide. 

 

Ø  GET LICENSED:  Suppliers submitting a bid for a product category in a competitive bidding area (CBA) must meet all DMEPOS state licensure requirements and other applicable state licensure requirements, if any, for that product category for every state in that CBA.  Prior to submitting a bid for a CBA and product category, the supplier must have a copy of the applicable state licenses on file with the NSC.  As part of the bid evaluation we will verify with the NSC that the supplier has on file a copy of all applicable required state license(s). 

 

Ø  GET ACCREDITED:  CMS would like to remind DMEPOS suppliers again that time is running out to obtain accreditation by the September 30, 2009 deadline or risk having their Medicare Part B billing privileges revoked on October 1, 2009.   Accreditation takes an average of 6 months to complete.  It is very important for DMEPOS suppliers to contact an accreditation organization right away to obtain information about the accreditation process and submit an application.  Suppliers must be accredited for a product category in order to submit a bid for that product category.  CMS cannot contract with suppliers that are not accredited by a CMS-approved accreditation organization. 

 

Further information on the DMEPOS accreditation requirements along with a list of the accreditation organizations and those professionals and other persons exempted from accreditation may be found at the CMS website:  http://www.cms.hhs.gov/MedicareProviderSupEnroll/01_Overview.asp .

 

Ø  GET BONDED:  CMS would like to remind DMEPOS suppliers that certain suppliers will need to obtain and submit a surety bond by the October 2, 2009 deadline or risk having their Medicare Part B billing privileges revoked.  Suppliers subject to the bonding requirement must be bonded in order to bid in the DMEPOS competitive bidding program.   A list of sureties from which a bond can be secured is found at the Department of the Treasury’s “List of Certified (Surety Bond) Companies;” the web site is located at:

www.fms.treas.gov/c570/c570_a-z.html.

 

Visit the CMS web site at http://www.cms.hhs.gov/DMEPOSCompetitiveBid/

for the latest information on the DMEPOS competitive bidding program.

 

To view the Press Release, please click: http://www.cms.hhs.gov/apps/media/press_releases.asp.

10/06/2009 09:18 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

Medicare 2009 Conference on June 23, 2009

Mark your calendar for the Medicare 2009 Conference on June 23, 2009 at the Rio Piedras’s Rotary Club. Attached are the registration form and a map of the Rotary Club. Complete the registration form and forward it on or before June 17 to the following e-mail address: prfo@cms.hhs.gov. Read registration instructions carefully included in the Registration Form. This is a basic Medicare A, B, C and D Training with updates. DO NOT REGISTER THROUGH THIS E-MAIL.

Raúl Alicea, MBA/HCM, CHA | Health Insurance Specialist | Provider Outreach & Education | Consortium for Medicare Health Plan Operations | Centers for Medicare and Medicaid Services 787-771-3687 | 7 787-771-3689 | * raul.alicea@cms.hhs.gov

"A soft answer turneth away wrath; A gentle tongue is a tree of life; In the house of the righteous is much treasure; the lips of the wise disperse knowledge"  

 

 

Please consider the environment before printing this e-mail.

 

19/05/2009 09:55 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

MEDICARE CONFERENCE 2009

Mark your calendar for the Medicare 2009 Conference on June 23, 2009 at the Rio Piedras’s Rotary Club. Attached are the registration form and a map of the Rotary Club. Complete the registration form and forward it on or before June 17 to the following e-mail address: prfo@cms.hhs.gov. Read registration instructions carefully included in the Registration Form. DO NOT REGISTER THROUGH THIS E-MAIL.

 
Raúl Alicea-Morales, MBA/HCM, CHA - Health Insurance Specialist - Puerto Rico Field Office - P: 787-771-3660 - F: 787-771-3689 - C: 787-300-0389
19/05/2009 09:54 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

"A soft answer turneth away wrath; A gentle tongue is a tree of life; In the house of the righteous is much treasure; the lips of the wise disperse knowledge"

FYI

 

Raúl Alicea, MBA/HCM, CHA | Health Insurance Specialist | Provider Outreach & Education | Consortium for Medicare Health Plan Operations | Centers for Medicare and Medicaid Services' 787-771-3687 | 7 787-771-3689 | * raul.alicea@cms.hhs.gov

"A soft answer turneth away wrath; A gentle tongue is a tree of life; In the house of the righteous is much treasure; the lips of the wise disperse knowledge"  

 

 

Please consider the environment before printing this e-mail.

 


From: AHA Central Office [mailto:AHACentralOffice@mail149.subscribermail.com]
Sent: Monday, March 23, 2009 12:48 PM
To: Alicea, Raul (CMS/CMHPO)
Subject: AHA Coding Clinic presents Neoplasm Coding Seminar

 

View this message in a browser.

 

 

 

Audio Conf Series Logo 2008

 

March 23, 2009

 

Register Today!

Understanding Neoplasm Coding
April 28th, 2009 • 12:00-1:30pm CT

 

Highlights of this program include:

  • Classification of the different types of neoplasms
  • Overview of neuroendrocine tumors
  • Primary and secondary malignant neoplasm
  • Lymphatic and hematopoietic malignancies
  • Chemotherapy, Radiotherapy and Immunotherapy
  • Complications associated with malignant neoplasms

Learning objectives for the program:

  • Understand and apply the Official Guidelines for Coding and Reporting Neoplasms.
  • Differentiate between the various types of neoplasms (e.g., malignant, neuroendocrine, benign, carcinoma in situ, uncertain behavior, and unspecified nature).
  • Demonstrate methods for locating neoplasm codes using ICD-9-CM's Alphabetic Index and the neoplasm table.
  • Review the new classification of neuroendocrine tumors.
  • Understand the distinction between primary and secondary malignant neoplasm.
  • Become familiar with the sequencing rules for neoplasm.

Presenters

This program presented by AHA Central Office experts Nelly Leon-Chisen, RHIA, Anita Rapier, RHIT, CCS and Gretchen Young-Charles, RHIA.

Who Should Attend 

  • HIM Directors 
  • Coding Managers
  • Coding Professionals

Continuing Education      Now offering both AHIMA and AAPC units!


AHIMA-This program has been approved for 2 continuing education units for fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

AAPC-This program has prior approval of the American Academy of Professional Coders for 2.0 Continuing Education Units.  Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor.

Registration

For more information or to register, please visit www.krm.com/ahacentraloffice or call 800/775-7654.

Coming Soon!

ICD-10 Summit: Beyond Compliance to Strategic Advantage

April 16-17, 2009 ~ Washington DC

Presented by AHIMA in Cooperation with AHA Central Office

 

 

 

24/03/2009 21:55 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

Importante Información Relacionada con Medicare / First Coast

FYI

 

Raúl Alicea, MBA/HCM, CHA | Health Insurance Specialist | Provider Outreach & Education | Consortium for Medicare Health Plan Operations | Centers for Medicare and Medicaid Services' 787-771-3687 | 7 787-771-3689 | * raul.alicea@cms.hhs.gov

 

"The secret of joy in work is contained in one word – “EXCELLENCE”. To know how to do something well is to enjoy it"


From: Favio F. Miranda Aldarondo [mailto:fmiranda@leadersteps.com]
Sent: Thursday, March 19, 2009 9:03 AM
To: Alicea, Raul (CMS/CMHPO); Alicea, Raul (CMS/CMHPO)
Subject: Assertus - First Coast

 

Estimado Raul:

 

Saludos.  Me complace compartir contigo la informacion adjunta.  Sientete en total libertad de compartir la misma.

 

Reclamaciones Medicare Parte A y B  //  Transición de Triple S a First Coast...  En ASSERTUS estamos Listos.  El pasado 25 de febrero de 2009, recibimos la certificación por parte First Coast Service Option, Inc.,  de que ASSERTUS ha pasado exitosamente las pruebas para procesar las reclamaciones de Medicare  parte A y B.   Vea más en: www.assertus.com

 

Sinceramente,

 

Favio F. Miranda

 

t 787.518.2615
f 787.957.6087

____

FYI

 

Raúl Alicea, MBA/HCM, CHA | Health Insurance Specialist | Provider Outreach & Education | Consortium for Medicare Health Plan Operations | Centers for Medicare and Medicaid Services' 787-771-3687 | 7 787-771-3689 | * raul.alicea@cms.hhs.gov

 

"The secret of joy in work is contained in one word – “EXCELLENCE”. To know how to do something well is to enjoy it"


 

Part A

Billing and coverage

 

Updates to the Medicare Claims Processing Manual for ambulance services
Modified: 3/16/2009 Business: Part A, Part B Location: FL, PR, USVI
The key purpose of these manual changes is to eliminate references to the reasonable charge payment methodology and the transition to the ambulance fee schedule, which took place from April 2002 through December 2006. [MM6347]

Transition from an FI/carrier to a Medicare administrative contractor
Modified: 3/13/2009 Business: Part A, Part B Location: FL, PR, USVI
This article was revised on March 11, 2009, to add definitions of an outgoing and incoming contractor and to remind affected providers of upcoming Medicare contractor transitions. [SE0837, PERL 200903-17]

Forms

 

Request for redetermination form
Modified: 3/13/2009 Business: Part A Location: FL
This is for an appeal and not to be used when requesting a claim adjustment.

Hospital

 

Disclosure of physician ownership in hospitals
Modified: 3/13/2009 Business: Part A Location: FL, PR, USVI
The fiscal year (FY) 2008 and FY 2009 inpatient prospective payment system regulations require hospitals to disclose to patients whether they are physician-owned, and if so, to disclose the physician owners’ names. [MM6306]




DISCLAIMERS

CPT codes, descriptions, and other data only are copyright 2008 American Medical Association (or such other date of publication of CPT). All rights reserved. Applicable FARS/DFARS apply.

Links to third party Web sites. This message may contain links to sites operated by third parties. Such links are provided for your reference only. FCSO does not control such sites and is not responsible for their content. The inclusion of such links within this message does not suggest any endorsement of the material on such sites or any association with their operators.

 

This message was sent from First Coast Service Options to raul.alicea-morales@cms.hhs.gov. It was sent from: First Coast Service Options, Inc., 532 Riverside Avenue , Jacksonville , FL 32202 . You can modify/update your subscription via the link below.

___________________________________

Click on the link below for calling information about the PQRI conference call TODAY at 3:30 p.m.

http://www.acc.org/advocacy/advoc_issues/medicare_pqri031209.cfm

Raúl Alicea, MBA/HCM, CHA | Health Insurance Specialist | Provider Outreach & Education | Consortium for Medicare Health Plan Operations | Centers for Medicare and Medicaid Services' 787-771-3687 | 7 787-771-3689 | * raul.alicea@cms.hhs.gov

 

"The secret of joy in work is contained in one word – “EXCELLENCE”. To know how to do something well is to enjoy it" 

 

19/03/2009 13:06 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

03/12/09 FCSO Parte B/A (Información General) eNews: Un recorrido por el sitio Web para proveedores en Puerto Rico

Please, share with colleagues.

 

Raúl Alicea, MBA/HCM, CHA

Health Insurance Specialist

Provider Outreach & Education

Centers for Medicare & Medicaid Services

P 787-771-3660

F 787-771-3689

C 787-300-0389

 

"The secret of joy in work is contained in one word - EXCELLENCE. To know how to do something well is to enjoy it"

 

 

Forwarded Message: 03/12/09 FCSO Parte B (Información General) eNews: Un recorrido por el sitio Web para proveedores en Puerto Rico

03/12/09 FCSO Parte B (Información General) eNews: Un recorrido por el sitio Web para proveedores en Puerto Rico

Thursday, March 12, 2009 6:24 AM
From:
To:
"Alicea, Raul (CMS/CMHPO)"
FCSO eNews header
Parte B
Un recorrido por el sitio Web rediseñado del proveedor (proveedores de Puerto Rico)
Webcast: 20 de marzo de 2009, 5:00 PM-6:30 PM
Idioma en que será ofrecido el evento: español
butterfly
El contratista administrativo de Medicare (MAC) de jurisdicción nueve (J9), conferido a First Coast Service Options Inc. (FCSO), ha expandido la comunidad de proveedores de FCSO para incluir profesionales del cuidado de la salud e instalaciones hospitalarias en Florida, Puerto Rico y las Islas Vírgenes de los Estados Unidos. Mientras nos dirigimos juntos al nuevo ambiente de MAC, nuestra primera prioridad será mantenerlo informado sobre las últimas noticias de Medicare y proveerle con los recursos que usted necesita para continuar su labor como proveedor de Medicare.

El sitio Web es uno de los recursos más utilizados de nuestros proveedores, el cual sirve como una ventana de información abierta las 24 horas del día, incluyendo artículos, herramientas de inscripción del proveedor, publicaciones, tarifas fijas, próximos eventos del proveedor, y mucho más. En respuesta a los valiosos comentarios de nuestros proveedores, hemos rediseñado nuestro sitio Web para brindarles un mejor servicio.

Descubre las maravillas del cambio
Para celebrar el estreno de nuestro nuevo sitio Web y darle la bienvenida a nuestros más recientes miembros de la comunidad de proveedores, nosotros administraremos un webcast para introducir a los proveedores a nuestro nuevo sitio Web. Durante el webcast, le guiaremos a través de nuestro nuevo sitio Web y le diremos en detalle las nuevas mejorías, incluyendo una navegación mas intuitiva, un mejor sistema de búsqueda, y nuevas herramientas que le ayudarán a encontrar exactamente la información que usted busca más rápida y fácilmente que nunca.

Estos cambios fueron realizados teniendo a nuestros valiosos proveedores en mente. Es nuestra meta el asegurar que cada visita hecha a nuestro sitio Web del proveedor sea una placentera y productiva. ¿Quiere saber más? Únase a nosotros.

Luego de la presentación habrá una sesión de preguntas y respuestas.

Para participar en este webcast, inscríbase antes del 19 de marzo de 2009.

Haga clic aquí para instrucciones de inscripción.

Únase a nosotros para este evento importante y usted podrá descubrir las maravillas del cambio.

Icon Legend
PDF file Adobe file (PDF)     ZIP file Compressed file (ZIP)     external Web site PDF file External PDF file     external Web site External Web site     Flash content Flash content    
Disclaimers
CPT codes, descriptions, and other data only are copyright 2007 American Medical Association (or such other date of publication of CPT). All rights reserved. Applicable FARS/DFARS apply.
Links to third party Web sites. This message may contain links to sites operated by third parties. Such links are provided for your reference only. FCSO does not control such sites and is not responsible for their content. The inclusion of such links within this message does not suggest any endorsement of the material on such sites or any association with their operators.


This message was sent from First Coast Service Options to raul.alicea-morales@cms.hhs.gov. It was sent from: First Coast Service Options, Inc., 532 Riverside Avenue, Jacksonville, FL 32202. You can modify/update your subscription via the link below.First Coast Service Options, Inc.

Manage your subscription  
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Forwarded Message: 03/12/09 FCSO Parte A (Información General) eNews: Un recorrido por el sitio Web para proveedores en Puerto Rico

03/12/09 FCSO Parte A (Información General) eNews: Un recorrido por el sitio Web para proveedores en Puerto Rico

Thursday, March 12, 2009 6:21 AM
From:
To:
"Alicea, Raul (CMS/CMHPO)"
FCSO eNews header
Parte A
Un recorrido por el sitio Web rediseñado del proveedor (proveedores de Puerto Rico)
Webcast: 20 de marzo de 2009, 5:00 PM-6:30 PM
Idioma en que será ofrecido el evento: español
butterfly
El contratista administrativo de Medicare (MAC) de jurisdicción nueve (J9), conferido a First Coast Service Options Inc. (FCSO), ha expandido la comunidad de proveedores de FCSO para incluir profesionales del cuidado de la salud e instalaciones hospitalarias en Florida, Puerto Rico y las Islas Vírgenes de los Estados Unidos. Mientras nos dirigimos juntos al nuevo ambiente de MAC, nuestra primera prioridad será mantenerlo informado sobre las últimas noticias de Medicare y proveerle con los recursos que usted necesita para continuar su labor como proveedor de Medicare.

El sitio Web es uno de los recursos más utilizados de nuestros proveedores, el cual sirve como una ventana de información abierta las 24 horas del día, incluyendo artículos, herramientas de inscripción del proveedor, publicaciones, tarifas fijas, próximos eventos del proveedor, y mucho más. En respuesta a los valiosos comentarios de nuestros proveedores, hemos rediseñado nuestro sitio Web para brindarles un mejor servicio.

Descubre las maravillas del cambio
Para celebrar el estreno de nuestro nuevo sitio Web y darle la bienvenida a nuestros más recientes miembros de la comunidad de proveedores, nosotros administraremos un webcast para introducir a los proveedores a nuestro nuevo sitio Web. Durante el webcast, le guiaremos a través de nuestro nuevo sitio Web y le diremos en detalle las nuevas mejorías, incluyendo una navegación mas intuitiva, un mejor sistema de búsqueda, y nuevas herramientas que le ayudarán a encontrar exactamente la información que usted busca más rápida y fácilmente que nunca.

Estos cambios fueron realizados teniendo a nuestros valiosos proveedores en mente. Es nuestra meta el asegurar que cada visita hecha a nuestro sitio Web del proveedor sea una placentera y productiva. ¿Quiere saber más? Únase a nosotros.

Luego de la presentación habrá una sesión de preguntas y respuestas.

Para participar en este webcast, inscríbase antes del 19 de marzo de 2009.

Haga clic aquí para instrucciones de inscripción.

Únase a nosotros para este evento importante y usted podrá descubrir las maravillas del cambio.

Icon Legend
PDF file Adobe file (PDF)     ZIP file Compressed file (ZIP)     external Web site PDF file External PDF file     external Web site External Web site     Flash content Flash content    
Disclaimers
CPT codes, descriptions, and other data only are copyright 2007 American Medical Association (or such other date of publication of CPT). All rights reserved. Applicable FARS/DFARS apply.
Links to third party Web sites. This message may contain links to sites operated by third parties. Such links are provided for your reference only. FCSO does not control such sites and is not responsible for their content. The inclusion of such links within this message does not suggest any endorsement of the material on such sites or any association with their operators.


This message was sent from First Coast Service Options to raul.alicea-morales@cms.hhs.gov. It was sent from: First Coast Service Options, Inc., 532 Riverside Avenue, Jacksonville, FL 32202. You can modify/update your subscription via the link below.
15/03/2009 21:47 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

02/24/09 FCSO J9 Transition Information eNews: Premiere of Spanish provider Web site



"The secret of joy in work is contained in one word - EXCELLENCE. To know how to do something well is to enjoy it"


From: First Coast Service Options [mailto:fcso.provider.education@fcso.com]
Sent: Tuesday, February 24, 2009 2:41 PM
To: Alicea, Raul (CMS/CMHPO)
Subject: 02/24/09 FCSO J9 Transition Information eNews: Premiere of Spanish provider Web site

 

FCSO eNews header

 

J9 transition information: Premiere of Spanish provider Web site

Two sites: Better service for FCSO’s provider community

With the recent launch of its redesigned provider Web site medicare.fcso.com, First Coast Service Options Inc. (FCSO) has been able to offer providers the benefit of more intuitive navigation, enhanced search capabilities, and brand-new features to help save valuable time. FCSO is pleased to announce the debut of a brand-new Medicare provider resource, especially designed for the Spanish-speaking members of the provider community, on March 1: medicareespanol.fcso.com.

The new Medicare Spanish provider site, medicareespanol.fcso.com is a perfect reflection of its English counterpart in every respect but one: the language selected for its interface is español. FCSO’s newest site offers Spanish-speaking providers the convenience of a navigation system as well as a wealth of Medicare information and resources presented in their preferred language. To further facilitate understanding of important Medicare changes and alerts, medicareespanol.fcso.com also offers translated summaries of articles from the CMS Medicare Learning Network (MLN).

The foundation of the user-friendly navigation system for both provider Web sites is the opportunity for visitors to set their location (Florida, Puerto Rico, or the U.S. Virgin Islands) as well as their line of business (Part A or Part B) when they first enter the site’s welcome or homepage. Plus, it's easy to switch from one site to the other; just click the language link located in the banner navigation area at the top of every page.

Best of all, once you have selected your location and line of business (unless you make a change or close your browser window), the site will “remember” your choices throughout the duration of your visit and will display information in accordance with those preferences. Now you’ll be able to find the information you want without having to search through content that does not directly pertain to either your line of business or to your location.

A new era of opportunity begins

FCSO is proud of the distinguished reputation it has built with the Centers for Medicare & Medicaid Services (CMS) as a trusted Medicare administrator since the program’s inception in 1966. For more than four decades, FCSO’s mission has been to safeguard the integrity of the Medicare program and to furnish the highest quality service for its providers.

Throughout its tenure, FCSO has researched industry trends, listened to provider feedback, and utilized the latest technology to ensure that providers not only have the Medicare resources they need but also can choose when and how they will receive them. From scheduling more frequent eNews communications to redesigning the provider Web site to make it easier to use, FCSO consistently strives to offer providers the advantage of convenient access to the most current program information as well as the cutting-edge tools they need to submit Medicare claims efficiently as well as successfully.

March 1 begins an exciting new era in FCSO’s service to the Medicare program as it assumes the role of Medicare administrative contractor (MAC) for jurisdiction 9 (J9), which encompasses Florida, Puerto Rico, and the U.S. Virgin Islands. The extended provider community, created by the transition, presents challenges as well as opportunities for FCSO to discover innovative ways to meet the needs of those it serves.

We welcome your feedback

We invite you to explore medicare.fcso.com and medicareespanol.fcso.com and to share your comments and suggestions. Many of the changes we have implemented were inspired by ideas offered by providers, and we welcome your feedback on our newest endeavors. Just visit your preferred site and select “Web Site Feedback” from the Quick Find Box drop-down menu. We look forward to hearing from you.

 

27/02/2009 08:46 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

MEDICARE PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS

Raúl Alicea, MBA/HCM, CHA

Health Insurance Specialist

Provider Outreach & Education

Centers for Medicare & Medicaid Services

P 787-771-3660

F 787-771-3689

C 787-300-0389

 

"The secret of joy in work is contained in one word - EXCELLENCE. To know how to do something well is to enjoy it"

 CMS asks that you share this important information with all of your association members and State and local chapters.  Thanks!

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

MEDICARE PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS

INTERNET-BASED MEDICARE ENROLLMENT

February 19, 2009

 Now there’s a better way for physicians and non-physician practitioners to enroll or make a change in their Medicare enrollment information.  The Internet-based Provider Enrollment, Chain and Ownership System (PECOS) will allow physicians and non-physician practitioners to enroll, make a change in their Medicare enrollment, or view their Medicare enrollment information on file with Medicare.Internet-based PECOS is a scenario-driven application process with front-end editing capabilities and built-in help screens. The scenario-driven application process will ensure that physicians and non-physician practitioners complete and submit only the information necessary to enroll or make a change in their Medicare enrollment record. 

 There are three basic steps to completing an enrollment action using Internet-based PECOS .  Physicians and non-physician practitioners must:

1.               Have an NPPES User ID and password to use Internet-based PECOS . 

  For security reasons, physicians and non-physician practitioners should change passwords periodically, at least once a year.  For information on how to change a password, go to the NPPES Application Help page available at https://nppes.cms.hhs.gov/NPPES/Welcome.do  and select the “Reset Password Page” under the NPPES Application help page.

 2.               Go to Internet-based PECOS at https://pecos.cms.hhs.gov and complete, review, and submit the electronic enrollment application via Internet-based PECOS .

 3.               Print, sign and date the two-page Certification Statement and mail the Certification Statement and all supporting paper documentation to the Medicare contractor within 7 days of electronic submission. 

 Note:  A Medicare contractor will not process an Internet enrollment application without the signed and dated Certification Statement.  In addition, the effective date of filing an enrollment application is the date the Medicare contractor receives the signed Certification Statement that is associated with the Internet submission.  

 While CMS encourages physicians and non-physician practitioners print and retain a copy of the enrollment record for their records, physicians and non-physician practitioners should only mail the two-page Certification Statement to the designated contractor. 

 Additional Information

 For information about Internet-based PECOS, including important information that physicians and non-physician practitioners should know before submitting a Medicare enrollment application via Internet-based PECOS , go to www.cms.hhs.gov/MedicareProviderSupEnroll.

 The Centers for Medicare & Medicaid Services (CMS) will make Internet-based PECOS to all organizational providers and suppliers (except durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers) later this year.

 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Mary Case forValerie A. Haugen, Director
Division of Provider Information Planning & Development
Provider Communications Group, CMS
(410) 786-6690
Valerie.Haugen@cms.hhs.gov

Medicare Learning Network (MLN) LogoVisit the Medicare Learning Network  ~ it’s free!

 

27/02/2009 08:42 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

MEDICARE PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS

Raúl Alicea, MBA/HCM, CHA

Health Insurance Specialist

Provider Outreach & Education

Centers for Medicare & Medicaid Services

P 787-771-3660

F 787-771-3689

C 787-300-0389

 

"The secret of joy in work is contained in one word - EXCELLENCE. To know how to do something well is to enjoy it"

 CMS asks that you share this important information with all of your association members and State and local chapters.  Thanks!

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

MEDICARE PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS

INTERNET-BASED MEDICARE ENROLLMENT

February 19, 2009

 Now there’s a better way for physicians and non-physician practitioners to enroll or make a change in their Medicare enrollment information.  The Internet-based Provider Enrollment, Chain and Ownership System (PECOS) will allow physicians and non-physician practitioners to enroll, make a change in their Medicare enrollment, or view their Medicare enrollment information on file with Medicare.Internet-based PECOS is a scenario-driven application process with front-end editing capabilities and built-in help screens. The scenario-driven application process will ensure that physicians and non-physician practitioners complete and submit only the information necessary to enroll or make a change in their Medicare enrollment record. 

 There are three basic steps to completing an enrollment action using Internet-based PECOS .  Physicians and non-physician practitioners must:

1.               Have an NPPES User ID and password to use Internet-based PECOS . 

  For security reasons, physicians and non-physician practitioners should change passwords periodically, at least once a year.  For information on how to change a password, go to the NPPES Application Help page available at https://nppes.cms.hhs.gov/NPPES/Welcome.do  and select the “Reset Password Page” under the NPPES Application help page.

 2.               Go to Internet-based PECOS at https://pecos.cms.hhs.gov and complete, review, and submit the electronic enrollment application via Internet-based PECOS .

 3.               Print, sign and date the two-page Certification Statement and mail the Certification Statement and all supporting paper documentation to the Medicare contractor within 7 days of electronic submission. 

 Note:  A Medicare contractor will not process an Internet enrollment application without the signed and dated Certification Statement.  In addition, the effective date of filing an enrollment application is the date the Medicare contractor receives the signed Certification Statement that is associated with the Internet submission.  

 While CMS encourages physicians and non-physician practitioners print and retain a copy of the enrollment record for their records, physicians and non-physician practitioners should only mail the two-page Certification Statement to the designated contractor. 

 Additional Information

 For information about Internet-based PECOS, including important information that physicians and non-physician practitioners should know before submitting a Medicare enrollment application via Internet-based PECOS , go to www.cms.hhs.gov/MedicareProviderSupEnroll.

 The Centers for Medicare & Medicaid Services (CMS) will make Internet-based PECOS to all organizational providers and suppliers (except durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers) later this year.

 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Mary Case forValerie A. Haugen, Director
Division of Provider Information Planning & Development
Provider Communications Group, CMS
(410) 786-6690
Valerie.Haugen@cms.hhs.gov

Medicare Learning Network (MLN) LogoVisit the Medicare Learning Network  ~ it’s free!

 

27/02/2009 08:41 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

IMPORTANTE INFORMACION DE MEDICARE PARA USTED

Starting 2009, First Coast will be the Medicare Parts A and B Contractors (MAC) for Jurisdiction 9 which includes Puerto Rico . Visit their website at: http://www.floridamedicare.com/index.asp for additional information on the transition process. To receive news about the MAC joins the First Coast mailing list at the following link: http://www.floridamedicare.com/Home/107867.asp

Raúl Alicea, MBA/HCM, CHA

Health Insurance Specialist

Provider Outreach & Education

Centers for Medicare & Medicaid Services

P 787-771-3660

F 787-771-3689

C 787-300-0389

 

"The secret of joy in work is contained in one word - EXCELLENCE. To know how to do something well is to enjoy it" 

27/10/2008 20:44 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

"The secret of joy in work is contained in one word - EXCELLENCE. To know how to do something well is to enjoy it"

Raúl Alicea, MBA/HCM, CHA

Health Insurance Specialist

Provider Outreach & Education

Centers for Medicare & Medicaid Services

P 787-771-3660

F 787-771-3689

C 787-300-0389

 

"The secret of joy in work is contained in one word - EXCELLENCE. To know how to do something well is to enjoy it"

 

Medicare tools to compare 2009 options are online now…

 

Beneficiaries can now visit www.Medicare.gov to access the Medicare Prescription Drug Plan finder and Medicare Options Compare to review their options for 2009.  The Plan Finder allows beneficiaries to compare prescription drug coverage from both PDPs and MA-PDs and to view premiums, formularies, and availability of coverage in the gap.  The Medicare Options Compare tool allows beneficiaries to compare Medicare health plan options, such as HMOs and PPOs

 

The general version of the “Medicare & You 2009” handbook is also available online.  This general version contains information about 2009 costs, covered services, beneficiary choices, help for those with limited income and resources, and beneficiary rights and protections.  Additionally, there are 59 geographic-specific versions of the handbook which include drug and health plan comparison charts for particular states or regions.  These handbooks are currently being mailed to people with Medicare and partners through out the country.

 

Important information about Part D Fraud, Waste, and Abuse Training Requirements…

 

Please see this important notice from the CMS Office of Financial Management.  I’ve pasted the full text of this notice immediately below.

 

 

CLARIFICATION OF CMS’ REQUIREMENT FOR PART D FRAUD, WASTE, AND ABUSE TRAINING LISTSERVE ALERT

 

 

The Centers for Medicare and Medicaid Services (CMS) has received hundreds of phone calls and emails from Part D Sponsors and their first tier, downstream, and related entities about the fraud, waste, and abuse training requirement that becomes effective as of January 1, 2009. 

 

Quick facts about the requirement:

1)   It is the Part D Sponsor’s responsibility to provide their first tier, downstream, and related entities with the appropriate training;

2)   This training requirement becomes effective January 1, 2009.  Since this is a yearly requirement, each Sponsor has from January 1, 2009 to December 31, 2009 to meet this requirement; and

3)   This requirement could be cumbersome for first tier, downstream, and related entities because these entities often contract with multiple Part D Sponsors.  To alleviate the necessity for first tier, downstream, and related entities to take training multiple times, there are a few associations that are working to create a training that will meet CMS’ requirements.  The goal would be to offer training that employees from the Part D Sponsor and the first tier, downstream, and related entities could take once a year to meet their annual  obligation with all the Part D Sponsors with which they contract. 

 

If you would like more specific details, please read below:

 

The final rule entitled, "Revisions to the Medicare Advantage and Part D Prescription Drug Contract Determinations, Appeals, and Intermediate Sanctions Processes,” FR Doc. 07-5946 (72 FR 68700 through 68741), published December 5, 2007, updated the compliance plan requirements for Medicare Advantage (MA) organizations and Part D Sponsors.  Specifically, the compliance regulation states that a compliance plan, which must include measures to detect, correct, and prevent fraud, waste and abuse, must consist of training, education, and effective lines of communication between the compliance officer and the organization’s employees, managers, and directors, as well as first tier, downstream, and related entities.  This change clarifies that MA organizations and Part D Sponsors need to apply these training and communication requirements to all entities they are partnering with in the MA and Part D programs, not just the direct employees within their organizations.

 

MA organizations and Part D Sponsors are responsible for ensuring that all employees (including managers and directors) and the first tier, downstream, and related entities are provided appropriate training.  MA organizations and Part D Sponsors must either provide the training directly to all of its employees (including managers and directors) and first tier, downstream, and related entities or provide the appropriate training materials to its employees (including managers and directors) and first tier, downstream, and related entities and ensure that the training has been taken.  First tier, downstream, and related entities, including pharmacies, should not develop  their own training.  The first tier, downstream, and related entities can administer the training if the materials are provided by the Sponsor.

 

This change in the training requirement becomes effective January 1, 2009.  Therefore,  the mandatory training of the MA organization and the Part D Sponsor’s employees (including managers and  directors) and the first tier, downstream, and related entities must begin  January 1, 2009, and  must be completed within one year (by December 31, 2009).  The training does not need to be completed by January 1, 2009.  Thereafter, the training on the Part D program must be provided on an annual basis.   

 

CMS recognizes that because first tier, downstream and related entities, including pharmacies, often contract with many different MA and Part D plans, this requirement would impose a burden on the first tier, downstream and related entities that contract with multiple Sponsors.  As a result, CMS is currently working with a few associations to assist the industry in developing a training program that meets CMS’ requirements.  The training program would reduce the burden on first tier, downstream, and related entities since they would only have to take this training once a year, and the one time training would satisfy the CMS requirement for all MA Organizations and Part D Sponsors with which they are affiliated.

 

It is CMS’ hope that training that meets CMS’ requirements will be available soon.  Until such time as this training program is available, MA Organizations and Part D Sponsors are responsible for either providing the training directly to all of their employees (including managers and directors) and first tier, downstream, and related entities or providing the appropriate materials to their employees (including managers and directors) and first tier, downstream, and related entities and ensuring that the training has been taken.  If you have any questions about this policy, please contact either Stephanie Blaydes Kaisler at 410-786-0957 or Lynn Merritt-Nixon at 410-786-4652.         

 

27/10/2008 20:40 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.

EN AVANCE LOS TRAMITES DEL ICD-10

ESTE ES EL MOMENTO DE ENVIAR SUS COMENTARIOS Y SUGERENCIAS ANTES QUE SE CONVIERTA EN LEY.

 

Raúl Alicea, MBA/HCM, CHA

Health Insurance Specialist

Provider Outreach & Education

Centers for Medicare & Medicaid Services

P 787-771-3660

F 787-771-3689

C 787-300-0389

Listen Medicare Te Educa through AlfaOmega Radio station at 88.5FM, 91.7FM and 90.3FM or through internet at www.alfaomegafm.com


From: 18 existing FFS provider listservs [mailto:ALL_FFS_PROVIDERS@LIST.NIH.GOV] On Behalf Of CMS CMSProviderResource
Sent: Monday, August 18, 2008 10:22 AM
To: ALL_FFS_PROVIDERS@LIST.NIH.GOV
Subject: Department of Health and Human Services (HHS) Proposes Adoption of ICD-10 Code Sets and Updated Electronic Transaction Standards

 

HHS Proposes Adoption of ICD-10 Code Sets and Updated Electronic Transaction Standards

Proposed Changes Would Improve Disease Tracking and Speed Transition

 to an Electronic Health Care Environment

 

The Department of Health and Human Services (HHS) announced Friday a long-awaited proposed regulation that would replace the ICD-9-CM code sets now used to report health care diagnoses and procedures with greatly expanded ICD-10 code sets, effective October 1, 2011.  In a separate proposed regulation, HHS has proposed adopting the updated X12 standard, Version 5010, and the National Council for Prescription Drug Programs standard, Version D.0, for electronic transactions, such as health care claims.  Version 5010 is essential to use of the ICD-10 codes.

 

In 2000, under authority provided by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the ICD-9-CM code sets were adopted for use in the administrative transactions by both the public and private sectors to report diagnoses and inpatient hospital procedures.  Covered entities required to use the ICD-9-CM code sets include health plans, health care clearinghouses, and health care providers who transmit any electronic health information in connection with a transaction for which a standard has been adopted by HHS.

 

Developed almost 30 years ago, ICD-9 is now widely viewed as outdated because of its limited ability to accommodate new procedures and diagnoses.  ICD-9 contains only 17,000 codes and is expected to start running out of available codes next year.  By contrast, the ICD-10 code sets contain more than 155,000 codes and accommodate a host of new diagnoses and procedures. The additional codes will help to enable the implementation of electronic health records because they will provide more detail in the electronic transactions.

 

Comments on the ICD-10 code sets proposed rule are due by 5:00pm Eastern time on October 21, 2008.

 

Comments on the updated transaction standards proposed are due by 5:00pm Eastern time on October 21, 2008.

 

Both regulations may be viewed at www.cms.hhs.gov/TransactionCodeSetsStands/02_TransactionsandCodeSetsRegulations.asp.

 

To read the HHS press release issued, please click here: http://www.hhs.gov/news/press/2008pres/08/20080815a.html .

 

Fact sheets describing both proposed rules will be forthcoming at http://www.cms.hhs.gov/apps/media/fact_sheets.asp.

 

 

 

22/08/2008 12:18 Autor: informacionafamep. Enlace permanente. No hay comentarios. Comentar.
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