NCMGMA-NCMSF August 15th Webinar: Transformation to Value-Based Payments Under the ACO Model

NCMGMA-NCMS Webinar Series

Transformation to Value-Based Payments Under the ACO Model

August 15, 2017 | 12:00 PM – 1:00 PM

Program

As the landscape of health care changes with the emphasis shifting onto the patient and improving overall community health, preparing for value-based payment models has become a priority for health care providers across the state of North Carolina. Lynn Barr, MPH, CEO of Caravan Health and Chief Transformation Officer of the National Rural Accountable Care Consortium (NRACC), will present on how to move your practice to the new reality of managing wellness and delivering value through operational improvements, staff development, community engagement, regional collaboration, and the effective utilization of data under the Accountable Care Organization model to improve MACRA performance.

Speaker

Lynn Barr, MPH
CEO, Caravan Health and Chief Transformation Officer, The National Rural Accountable Care Consortium (NRACC)
Lynn Barr is a recognized leader in the movement to transform and improve our nation’s health care systems. Lynn organized NRACC to overcome barriers for rural health providers so they could participate in innovative payment models under health care reform. Ms. Barr has lead the development and execution of nationwide programs that bring better care to patients and help health care providers’ achieve financial success. She is a frequent collaborator with government and national organizations looking to improve our health care systems.

Registration

This webinar is complimentary but space is limited so make sure to register early! After you register, you will receive an emailed confirmation with webinar and phone-in instructions.

Click here to register

Continuing education credit may be granted through your professional organization (MGMA, PAHCOM, AHIMA, etc.). Please self-submit for these organizations.

Questions

For questions or more information please contact the NC Medical Society offices at ncmsfoundation@ncmedsoc.org.

Palmetto GBA E-mail Update: Wednesday, August 09, 2017

Create a Signature Log
If a provider does not have a signature log currently in place, the provider may create a signature log at any time. Medicare contractors will accept all submitted signature logs regardless of the date on which they were created. Please share with appropriate staff.

Applies to:

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

Quarterly Influenza Virus Vaccine Code Update – January 2018
Change Request (CR) 10196, from which this article was developed, provides instructions for payment and edits for the Common Working File (CWF) and the Fiscal Intermediary Shared System (FISS) to include and update new or existing influenza virus vaccine codes. The influenza virus vaccine code set is updated on a quarterly basis. This update will include one new influenza virus vaccine code. Please make sure your billing staffs are aware of this update.

Applies to:

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

Part B Billing for Certain New Biosimilar Biological Products before the Modifier is Implemented
Modifiers that identify the manufacturer of a biosimilar biological product are required on Part B claims. CMS updates assignment of modifiers to specific HCPCS codes quarterly. In situations where a HCPCS code is already associated with one or more modifiers and a new biosimilar biological product becomes available before its corresponding manufacturer’s modifier becomes effective, a Not Otherwise Classified (NOC) code without a modifier may be used to bill for the new biosimilar product. Check out the website for more details.

Applies to:

  • JM Part B//General
  • Railroad Medicare (RRB)//General – Railroad Medicare

Top Five Things to Know About the M3 Conference

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The M3 – Merging Medicine and Management Conference – is just over a month away . If you haven’t registered yet for this unique gathering of physicians, physician assistants, practice administrators, and medical group managers, then consider these five facts about the conference to be held in Raleigh, September 14-16:

  1. The 11 general sessions feature noted national and local experts on everything from physician burnout to health care policy during the Trump administration. Review the agenda.
  2. The North Carolina Medical Society (NCMS) and the North Carolina Medical Group Management Association (NCMGMA) will present their annual awards during the conference including the Administrator of the Year Award and the E. Harvey Estes Award. Be there to honor your colleagues.
  3. The M3 brings together a who’s who in the medical community, creating fertile ground for insightful discussions and networking with your peers from across the state.
  4. Enjoy great food and drink and ample opportunity to socialize with old and new friends.
  5. Register before Aug. 25 and save $50.

Get all the details and register today at this link.

Palmetto GBA E-mail Update: Tuesday, August 01, 2017

CMS National Provider Enrollment Conference: September 6 and 7, 2017
The Centers for Medicare & Medicaid Services (CMS) will hold a National Provider Enrollment Conference on Wednesday, September 6, 2017 from 8 a.m. to 5 p.m. EDT and Thursday, September 7, 2017 from 8 a.m. to 3 p.m. EDT. This session will be held at the Charleston Area Convention Center located at 5000 Coliseum Dr., North Charleston, SC 29418. Don’t miss this opportunity to interact directly with CMS and Medicare Administrative Contractor provider enrollment experts. Registration for this free conference ends August 29, 2017. Please plan to attend.

Applies to:

  • JM Home Health and Hospice//General
  • JM Part A//General
  • JM Part B//General

Rendering Physicians Can Now Review Their Individual Medicare Billing Activities!
Palmetto GBA is excited to announce that rendering physicians now have access to eReview functions via the eServices portal to review and analyze their Medicare billing activity. JM Part B rendering physicians who are currently listed in PECOS may register for a rendering physician account in eServices.

Applies to:

  • JM Part B//General

Palmetto GBA E-mail Update: Monday, July 31, 2017

Correct Date of Service for Specific Services
This article is applicable to physicians, non-physician practitioners, and others submitting claims on a CMS-1500 form for reimbursement for Medicare Part B services. Physicians and non-physician practitioners need to identify the correct date of service for the services they provide to a Medicare patient.Please review and share it with your staff.

Applies to:

  • JM Part B//General

Opt Out Listing
This article includes a listing of those providers who have elected to opt out of the Medicare program. If you’ve recently opted out of the Medicare Program it’s possible that your name will not appear on the website until the next quarterly update. Please share with appropriate staff.

Applies to:

  • JM Part B//General

New Waived Tests
Change Request (CR) 10198 informs MACs of new Clinical Laboratory Improvement Amendments of 1988 (CLIA) waived tests approved by the Food and Drug Administration (FDA). Since these tests are marketed immediately after approval, the Centers for Medicare & Medicaid Services (CMS) must notify MACs of the new tests so that they can accurately process claims. Make sure that your billing staffs are aware of these CLIA-related changes.

Applies to:

  • JM Part B//General
  • Railroad Medicare (RRB)//General – Railroad Medicare

New Articles Posted to MLN

The following new articles have been added to the MLN Matters website:

MM10198 – New Waived Tests
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM10198.pdf

MM10098 – Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as Valid Provider Number
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM10098.pdf

MM10145 – Correcting Payment of Inpatient Prospective Payment System (IPPS) Transfer Claims Assigned to Medicare Severity-Diagnosis Related Group (MS DRG) 385
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM10145.pdf

Follow this link for the complete list of articles available on the MLN Matters website.

Registration is Open for the 2017 NCMS-NCMGMA M3 Conference in Raleigh

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What Does the Future Hold for Health Care?
Find some answers at the 2017 M3 Conference

September 14-16, 2017
Raleigh Marriott Crabtree Valley, Raleigh, NC

The North Carolina Medical Society (NCMS) and the North Carolina Medical Group Management Association (NCMGMA) are joining forces once again to present an array of educational, networking and social opportunities for their respective memberships.

What can you expect at this year’s M3 Conference?

  • Informative sessions led by health care leaders in North Carolina who are shaping policy, such as NC DHHS Secretary Mandy Cohen, MD, MPH.
  • Insight into the latest legislative developments that could impact your practice, including a talk led by health policy expert Robert L. Laszewski on “U.S. Health Care Policy in the Trump Era.”
  • Strategies for success using alternate payment models, with talks on Friday and Saturday presented by the innovators leading the way such as Rebecca Onie, CEO of Health Leads.
  • Camaraderie with your colleagues – physicians, PAs, practice administrators and managers from throughout the state. Attend receptions offering good food and fun or mingle with your colleagues in the expansive Exhibit Hall.

Registration is now open.  For complete details including attendee and exhibitor fees, please visit the M3 Conference website here.