Summary: In this week's Medicare Insights Weekly podcast, please enjoy our articles on website changes, remit changes affecting our J12901 and J04911 customers, the Part A Newsletter, Part A Claim Submission Errors and erroneous rejections of outpatient hospital claims containing codes 11042, 11043 or 11044 for Skilled Nursing Facility Consolidated Billing. In our Electronic Billing segment, we announce edit changes occurring October 6 and invite vendors, billing companies and clearinghouses to an informative teleconference on September 10 to discuss EDI Connections – Partnering for the Future initiative. In the Centers for Medicare and Medicaid Services segment, we announce the August 15 Special Open Door Forum call on the Inpatient Hospital Admission and Medical Review Criteria (2-Midnight Provision) and Part B Inpatient Billing in Hospitals and the August 22 National Provider Call on International Classification of Diseases, 10th Revision, Basics and the availability of the 2014 General Equivalence Mappings for diagnosis codes and inpatient procedure codes. In addition, we invite you to complete the Medicare Satisfaction Indicator. The Centers for Medicare and Medicaid Services also issued new Medicare Learning Network Matters articles on Revisions and Deletions to the Internet Only Manual, Publication 100-06, Chapter 3, Overpayment, Section 50.3; Chapter 4, Debt Collection, Section 50 - 50.6 and 100.6.4 Related to Extended Repayment Schedules, October Update to the Calendar Year 2013 Medicare Physician Fee Schedule Database and The Supplemental Security Income Medicare Beneficiary Data for Fiscal Year 2011 for Inpatient Prospective Payment System Hospitals, Inpatient Rehabilitation Facilities, and Long Term Care Hospitals, Positron Emission Tomography, Update to the Claims Processing Internet-Only Manual to Add the National Uniform Billing Committee Payer Only Codes and Annual Clotting Factor Furnishing Fee Update 2014. In our Comprehensive Error Rate Testing segment, we discuss and provide an actual case example on insufficient documentation and its impact on skilled nursing facility claims. As we conclude this week’s episode, we announce the 2013 Medicare Fall Symposium and invite you to review our list of upcoming educational events. A transcript of this program is included with the MP3 file. To view the transcript, please enable lyrics on your player. Have a comment on our podcasts? Take our Podcast Survey! https://www.surveymonkey.com/s/MIWpodcastfeedback. Websites referenced in today’s podcast: https://www.novitas-solutions.com/parta/whatsnew/index.html https://www.novitas-solutions.com/bulletins/parta/newsletters.html https://www.novitas-solutions.com/edi/ref-pub/bulletins/index.html https://www.novitas-solutions.com/claims/index.html http://www.eventsvc.com/blhtechnologies/register/beca3541-efd6-4d04-8fbd-ab739eb1e659 http://www.cms.gov/Medicare/Coding/ICD10/index.html http://www.cms.gov/Medicare/Medicare-Contracting/MSI/ http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8347.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8386.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8406.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8381.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8413.pdf http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8423.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c08.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c06.pdf http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html https://www.novitas-solutions.com/calendar/parta/index.html
