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Medicare Learning Network® Educational Products update

From the Thursday, May 21, 2015 MLN Connects Provider eNews from Medicare Learning Network


Medicare Learning Network® Educational Products

“Chronic Care Management (CCM) Services Frequently Asked Questions (FAQs)” MLN Matters® Article — Released

MLN Matters® Special Edition Article #SE1516, “Chronic Care Management (CCM) Services Frequently Asked Questions (FAQs)” has been released and is now available in downloadable format. This article is designed to provide education on Medicare’s requirement for 24/7 access by individuals furnishing CCM services to the electronic care plan, rather than the entire medical record. It includes FAQs regarding billing CCM services to the Physician Fee Schedule (PFS) and Hospital Outpatient Prospective Payment System (OPPS) under CPT code 99490.

“Power Mobility Pearls for the Practicing Physician” Web-Based Training Course — Released

The “Power Mobility Pearls for the Practicing Physician” Web-Based Training Course (WBT) was released and is now available. This WBT is designed to provide education on the fundamentals of the Power Mobility Devices compliance program. Continuing education credits are available to learners who successfully complete this course. See course description for more information.

To access the WBT, go to MLN Products, scroll to the bottom of the web page and under “Related Links” click on “Web-Based Training Courses.”

“Clarification of the Use of Modifiers When Billing Wrong Surgery on a Patient” Podcast — Released

The “Clarification of the Use of Modifiers When Billing Wrong Surgery on a Patient” Podcast (ICN 909189) was released and is now available. The podcast, based on MLN Matters® Article SE0927, clarifies the correct use of certain Healthcare Common Procedure Coding System (HCPCS) modifiers, specifically when billing for wrong surgery on a patient.

“Co-Surgery Not Billed with Modifier 62” Podcast — Released

The “Co-Surgery Not Billed with Modifier 62” Podcast (ICN 909209) was released and is now available. This podcast, based on MLN Matters® Article SE1322, provides clarification on existing policy regarding significant payment errors because of failing to properly apply the co-surgeon modifier when two or more surgeons of different specialties participate in one operative session and each separately submit claims to Medicare.

“Chronic Care Management Services” Fact Sheet — Reminder

The “Chronic Care Management Services” Fact Sheet (ICN 909188) was released and is available in downloadable format. This fact sheet is designed to provide background on the separately payable Chronic Care Management (CCM) Services for non-face-to-face care coordination services furnished to Medicare beneficiaries with multiple chronic conditions. It includes information on eligible providers and patients; Physician Fee Schedule billing requirements; and a table aligning the CCM Scope of Service Elements and billing requirements with the Certified Electronic Health Record or other electronic technology requirements.

New Medicare Learning Network® Educational Web Guides Fast Fact

A new fast fact is now available on the Medicare Learning Network Educational Web Guides web page. This web page provides information on Evaluation and Management services; Guided Pathways that contain resources and topics of interest; lists of health care management products; and easy-to-understand billing and coding educational products. It is designed to provide educational and informational resources related to certain CMS initiatives. Please bookmark this page and check back often as a new fast fact is added each month.

Medicare Learning Network Product® Available In Electronic Publication Format

The following product is now available as an electronic publication (EPUB) and through a QR code. Instructions for downloading EPUBs and how to scan a QR code are available at “How To Download a Medicare Learning Network® Electronic Publication.”

The “Home Health Prospective Payment System” Fact Sheet (ICN 006816) is designed to provide education on the Home Health Prospective Payment System (HH PPS). It includes the following information: background; consolidated billing requirements; criteria that must be met to qualify for home health services; therapy services; elements of the HH PPS; updates to the HH PPS; billing and payment for home health services; and Home Health Quality Reporting Program.

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Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations. The information presented herein is for general informational purposes only and is accurate as of the date of publication.

 
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