Palmetto GBA Update: Tuesday, August 04, 2015

Active Medical Reviews
This article provides a listing of active medical reviews being conducted by Palmetto GBA. Please share with appropriate staff.

Applies to:

  • Jurisdiction 11 Home Health and Hospice//General Jurisdiction 11 Part A//General Jurisdiction 11 Part B//General

MLN Connects National Provider Call: Countdown to ICD-10
Don’t miss the August 27 MLN Connects Call – five weeks before ICD-10 implementation on October 1, 2015. Sue Bowman from the American Health Information Management Association (AHIMA) and Nelly Leon-Chisen from the American Hospital Association (AHA) will be joining us with coding guidance and tips, along with updates from CMS.

Applies to:

  • Jurisdiction 11 Home Health and Hospice//General Jurisdiction 11 Part A//General Jurisdiction 11 Part B//General Railroad Medicare (RRB)//General – Railroad Medicare

Local Coverage Determination (LCD) Update: Part A and Part B
The Infliximab (Remicade) L35426/L35677 and MolDX: Genetic Testing for Lynch Syndrome L35024/L33779 Part A and Part B Local coverage Determiantions (LCDs) were revised. Please share with appropriate staff.

Applies to:

  • Jurisdiction 11 Part A//General
  • Jurisdiction 11 Part B//General

Local Coverage Determination (LCD) Updates
The Laparoscopic Sleeve Gastrectomy for Severe Obesity L32975/L34576 Part B Local Coverage Determinations (LCDs) was revised. Please share with appropriate staff.

Applies to:

  • Jurisdiction 11 Part B//General

Part B Ask the Contractor Teleconference: ICD-10 – Are You Ready?
Palmetto GBA will host the next Part B Ask the Contractor Teleconference (ACT) call: ICD-10 Are You Ready? on August 13, 2015, from 10 to 11 a.m., ET. This call is intended for Part B providers and their billing staff billing for services rendered in Virginia, West Virginia, North Carolina and South Carolina. Please plan to attend!

Applies to:

  • Jurisdiction 11 Part B//General
  • Jurisdiction 11 Part B//Physician
  • Jurisdiction 11 Part B//Primary Care
  • Jurisdiction 11 Part B//Anesthesia/Pain Management Jurisdiction 11 Part B//Ca rdiovascular Jurisdiction 11 Part B//Pathology & Laboratory Jurisdiction 11 Part B//Hematology/Oncology Jurisdiction 11 Part B//Non-Physician Practitioners Jurisdiction 11 Part B//Physical/Occupational Therapy

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