Centers for Medicare & Medicaid Services Listening Session Series: Provider Compliance Group National Outreach
March 22-24, 2011 The Centers for Medicare & Medicare Services (CMS) would like to announce three national outreach listening sessions, called the Provider Compliance Group (PCG) Outreach Calls that will focus on several Office of the Inspector General (OIG) released reports. Also, there will be an Outreach and Education session for Chiropractic Care. The purpose of the calls is to educate providers and suppliers on specific vulnerabilities that exist in Durable Medical Equipment (DME), Part A, Part B, and Home Health and Hospice settings related to the reports. These reports can be found on the OIG website at http://oig.hhs.gov/reports.asp . CMS Contractor, Medical Directors, will identify common topics and themes along with identified billing errors seen to educate on ways provider and supplier behaviors can be changed to ensure full compliance with Medicare policy, billing instructions and medical review guidance. Based on your understanding of the OIG reports, the PCG Outreach Calls and your real life experience, questions and suggestions of policy, procedure, or practice improvements to prevent improper payments are welcomed. Submit questions and suggestions to the email boxes listed after each call day schedule. Questions should be submitted to the designated emails below and CMS will provide answers after the series of calls via email. No questions will be taken on the call as these calls are listening sessions. The calls will be broadcasted over the internet with a specific web-link for each call is listed below. See below for the schedule of calls and OIG and Audit reports to be discussed. A notice regarding how to access the rebroadcast of the calls will soon follow. Day One - Tuesday, March 22, 2011, 1:00pm to 4:00pm ET Audience Web-Link: http://webcast.acrobat.com/r.htm?e=296561&s=1&k=BE936C7435C1F82BEB7DE8A67A75DDC8; Email questions: [email protected]; 1. OEI-05-09-00030 - Inappropriate Medicare Payments for Transforaminal Epidural Injections Services; 2. OEI-06-06-00580 - Medicare Part B Services During a Non-Part A Nursing Home Stays: Mental Health; 3. OEI-06-07-00090 - Medicare Part B Services during Non-Part A Nursing Home Stays: Enteral Nutrition Therapy; 4. A-01-09-00503 - Review of Point Of Service (POS) Coding for Physician Services Processed by Part B Carriers During Calendar Year 2007. Day Two - Wednesday, March 23, 2011, 1:00pm to 4:00pm ET Audience Web-Link: http://webcast.acrobat.com/r.htm?e=296567&s=1&k=686C277EEA298133D4767DB9D4A3B708; Email: [email protected]; 1. A-01-04-00513 - Medicare Part B Payments for Ambulance Services Rendered to Beneficiaries During Inpatient Stays: 2001 Through 2003; 2. A-04-09-00059 - Review of Inpatient Rehabilitation Facilities (IRF) Compliance with Medicare Transfer Regulation During Fiscal Year 2004 through 2007; 3. A-01-09-00504 - Part A ER Department Adjust Nationwide Review of Medicare Part A Emergency Dept Adjustments for Inpatient Psychiatric Facilities During CY 2006 and 2007; 4. A-01-09-00507 - Nationwide Review of IRF Transmission of Patients' Assessment Instruments for CY 2006 and 2007. Day Three - Thursday, March 24, 2011, 1:00pm to 4:00pm ET Audience Web-Link: http://webcast.acrobat.com/r.htm?e=296629&s=1&k=39F8A595DB5092CD6641D3C0942CB138; Email: [email protected]; 1. OEI-07-08-00550 - A Review of Claims for Capped Rental Durable Medical Equipment; 2. OEI-02-06-00224 - Questionable Billing for Physicians Services for Hospice Beneficiaries; 3. OEI-04-09-00540 - Questionable Billing for Medicare Outpatient Therapy Services 4. Chiropractor Outreach and Education. ------------------------------------------------------------------------------------------------- March Flu Shot Reminder It's Not too Late to Give and Get the Flu Vaccine. Take advantage of each office visit and continue to protect your patients against the seasonal flu. Medicare will continue to pay for the seasonal flu vaccine and its administration for all Medicare beneficiaries through the entire flu season. The Centers for Disease Control and Prevention (CDC) recommends that patients, health care workers and caregivers be vaccinated against the seasonal flu. Protect your patients. Protect your family. Protect yourself. Get Your Flu Vaccine - Not the Flu. Remember - Influenza vaccine plus its administration are covered Part B benefits. Note that influenza vaccine is NOT a Part D covered drug. For information about Medicare's coverage of the influenza vaccine and its administration, as well as related educational resources for health care professionals and their staff, please visit the following CMS websites: http://www.cms.gov/MLNProducts/Downloads/Flu_Products.pdf and http://www.cms.gov/AdultImmunizations. --------------------------------------------------------------------------------- Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser. If you know someone who would like to subscribe to a Medicare Fee-For-Service (FFS) provider listserv, go to (http://www.cms.gov/prospmedicarefeesvcpmtgen/downloads/Provider_Listservs.pdf). If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/wa.exe?INDEX) to unsubscribe or to leave the appropriate listserv. Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.gov/ContactCMS). Thank you.
