November 06, 2009
Make a lunch date with Highmark Medicare Services!
Join us on November 18, 2009 at noon for a Lunch Time Teleconference on Appeals - Clerical Reopenings. We will review the Appeals Center, Reopenings and the Five Levels of an Appeal. The handout material is now available.
Join us on November 09, 2009 at 1:00pm for a teleconference on Inpatient Psychiatric Facility (IPF) & Long Term Care Hospital (LTCH) Advanced Billing. We will review the Comprehensive Error Rate Testing (CERT) Program, Interrupted Stay Policy, Billing Requirements, Benefits Exhaust and Self Services Options. The handout material is now available.
Join us on November 12, 2009 at 10:00am for a teleconference on Inpatient Returns and Admissions. We will discuss Inpatient Prospective Payment System (IPPS) Transfers, Same Day Transfers, Repeat Admissions, Leave of Absence (LOA), Interrupted Stay Policy, Skilled Nursing Facility (SNF) Readmissions, and the CERT Program. The handout material is now available.
Attention: UR Committees, Compliance Professionals, Medical Records, Hospitalists, Physicians and Clinical Professional staff
Join us on November 11, 2009 at 10:00am for an informative teleconference on Medical Review of Acute Hospital Inpatient Prospective Payment System (IPPS). We will discuss medical necessity, OPPS inpatient only policy, admission categories, proper documentation, the observation policy and review case studies. . The handout material is now available.
November 05, 2009
This is a comprehensive education program to discuss the changes for IRFs effective January 1, 2010. Highmark Medicare Services will not be repeating this training, therefore it is imperative that you have representation at this training.
November 06, 2009
Join us on Thursday, November 19, 2009 at 9:30 am (EST) for our next Ask the Contractor Teleconference (ACT). During this teleconference we will discuss the most current Medicare changes and allow you to interact directly with representatives from various departments within Highmark Medicare Services.
Spend your lunch with us and learn informative tips on billing office and outpatient evaluation and management services. Dial in and handout materials are now available.
2010 Medicare Physician Fee Schedule
The 2010 Medicare Physician Fee Schedule amounts are currently unavailable. The Center for Medicare and Medicaid Services will be issuing a correction to the 2010 Medicare Physician Fee Schedule. When the corrected fee schedule amounts are released, we will post them to our website. Providers should check the web site periodically for any updates.
November 05, 2009
The Centers for Medicare & Medicaid Services' (CMS) Provider Communications Group will host a national provider conference call on the 2009 Physician Quality Reporting Initiative (PQRI). This toll-free call will take place from 1:00 p.m.-3:00 p.m., EST, on Tuesday, November 10, 2009. In order to receive the call-in information, you must register for the call.
The purpose of this third H1N1 call is to discuss the Secretary of Health and Human Services invoking her waiver authority under Section 1135 of the Social Security Act.
