mln

Provider Outreach and Education (POE) Advisory Group Meeting Minutes: April 14, 2020


Palmetto GBA welcomed all POE-AG Members

Name

Company
Beth Barnette Riverside Medical Group
 Bobbi Cook Huntington Internal Medicine
Debbi Hogg PPCM Healthcare (onsite)
Duan Frye Radiology Incorporated
Jackie Keese Radiology Incorporated
Jeff Maheny

Physicians Business Office

Karen Mullins Radiology Incorporated
 Laura Sullivan WVUPC
M.L. White Virginia Academy
 Melanie Davies West Virginia University  
Miriam Weber

Trident Dermatology (onsite)

Robin Drummond MED3000
 Sharon Sorah MCV Positions
Sherry Williams Piedmont Triad Anesthesia

Palmetto GBA Associates
Belinda Marin
Jazz Harrison
Kathy Boehm
Swandra Miller        
Yoshiko White Dimes

Goals/Purpose

Our Goals

  • Establish and maintain strong relationships with Palmetto GBA staff and the provider community
  • Meet with Palmetto GBA and the provider community on a quarterly basis
  • Provide the communication tools to facilitate thorough and prompt transfer of information to and from each representative
  • Coordinate the issues within the provider community to adequately reflect the concerns of the majority

Palmetto GBA’s Intent

  • Promote an atmosphere that facilitates an exchange of ideas and information to service the best interests of Medicare providers and Palmetto GBA’s Medicare program administration
  • Provide educational forums that address various global provider concerns
  • Allow the provider community an opportunity to communicate with Palmetto GBA’s staff on any areas that may need additional education activities
  • Assist in making the Medicare program more understandable for providers
  • Enhance providers’ understanding of the role and responsibilities of Palmetto GBA as their A/B Medicare Administrative Contractor (MAC)

Old Business
No old business.

Special Agenda Topics

This POE-AG is dedicated solely to COVID-19 Resources, dialogue and concerns. We appreciate your patience as we all work to sort this out. The situation is very fluid. CMS is updating information daily, answering questions, providing clarification.

COVID-19 Resources — CMS

CMS COVID-19 information can be found on the CMS.GOV page

Coronavirus

  • Secretary Azar used his authority in the Public Health Service Act to declare a public health emergency (PHE) in the entire United States on January 31, 2020, giving us the flexibility to support our beneficiaries, effective January 27, 2020
  • Blanket waivers for COVID-19 in the List of Blanket Waivers (PDF, 623.16 KB) Updated (4/9/20)

General Information and Updates

  • Coronavirus.gov is the source for the latest information about COVID-19 prevention, symptoms, and answers to common questions
  • USA.gov has the latest information about what the U.S. Government is doing in response to COVID-19
  • CDC.gov/coronavirus has the latest public health and safety information from CDC and for the overarching medical and health provider community on COVID-19

Clinical and Technical Guidance

For All Health Care Providers

For Labs

Billing and Coding Guidance

Coverage Guidance

Provider Enrollment Guidance

Note: Members were encouraged to join the following social media pages for the latest CMS guidance:

COVID-19 Resources — Palmetto GBA

  • We have the same resources as CMS listed on our page
  • We have created a dedicated page under the Top Links section of the website with links to CMS Called CORNOAVIRUS COVID-19 (links to emergency disaster instructions)
  • We have created a “self-service tools” page to assist with quick items that would alleviate calls to the PCC so we can keep lines as open as possible for pressing provider issues
  • Established, according to CMS directives, a separate line for accelerated Provider Enrollment applications as well as accelerated payment requests
  • Added COVID-19 ICON to signature lines of our emails as a quick way for provider to link to information
  • Created a COVID-19 hashtag so you can filter on social media
    • #PalmettoGBACOVID19
  • Increased webcasts
    • We held four webcasts that have given providers and opportunity to engage with Palmetto GBA and ask questions as we work through this together
    • There were webcasts focused on the new Telehealth requirements for COVID-19 and we also conducted an Ambulance Webcast on April 3 (we have removed these recordings as CMS has updated information)

Open Dialogue

  • Members were asked the following questions:
    • Are there any suggestions on how we can better communicate/disseminate information?
    • Do you have any COVID-19 concerns you would like to discuss?
  • Provider Feedback
    • Accelerated Payments: Member stated that they believe they understand details of
    • Accelerated advanced payments, but would like to know about the interest that
      would be accrued if you go into the 200-day period. They have been getting different answers from other providers
      • POE will include on accelerated webcast. Will be interest that is current at the time. CMS has an CR that interest is 9.6255 effective as of April for underpayments and overpayments, but that is subject to change.
      • More info can be found on CMS.GOV — look under regulations and guidance/transmittals and search interest. The rates are normally what it is for any other overpayment.
    • Cares Act
      • Members would like Palmetto GBA to differentiate between Accelerated Payments and Cares Act on an upcoming webcast. There is currently information on the website, but members suggest it may good to clarify.
    • Modifiers
      • Members would like clarity on modifiers CS and CR
        • POE explained that there is an updated article from CS that gives additional guidance. This will also be included in future education.

Open Discussion Items/Palmetto GBA Updates

  • We understand that as a MAC, we still have our traditional responsibilities and education we must adhere to and we have not forgotten about those
    • We will be holding our Quarterly Updates webcast on April 30, 2020
    • We are preparing for our annual Spring Tour (Mayfest) which will be virtual this Please be on the lookout for details. We have tailored it to make it conducive to busy schedules.
      • There will be four sessions, split into two 90-minute sessions. First 90-minute session on Day 1 and another on Day 2.
  • Members stated that works well for them

Announcement of Next Meeting Date: July 14, 2020

Adjournment


Your Opinion Matters

Please take a moment to complete our satisfaction survey.

Launch survey



Last Updated: 05/04/2020