JJ/JM Part A MACtoberfest

Palmetto GBA is pleased to present our first-ever virtual MACtoberfest® — “Shelter in Place. We are Coming to You.” Medicare providers from both Jurisdictions J and M are encouraged to register for this October 20–21 event. For your convenience, and to support your ever-changing schedules, the sessions will be split into two days.

On Tuesday and Wednesday, October 20–21, plan to join the MACtoberfest® presenters from our Medical Affairs and Provider Outreach and Education Clinical teams, along with other important Medicare-related partners. Sessions begin each day at 9 a.m. ET.

During the two-day sessions we will share the latest available information regarding the current state of Medicare.

Note: Providers will be required to sign up for each session separately, at no cost.

Audio
The audio for this presentation is broadcast through your computer speakers or headphones. Please test your audio device(s) prior to the start of each presentation. A telephone conference line is not used for the webcast.

Handouts
Copies of many of these presentations, along with additional resources, will be available once the event begins.

Part A Day 1 – October 20, 2020
Topic
Time (ET)
Summary/Registration
Welcome/ Opening Remarks
Discharge Planning – working with other entities
9–9:55 a.m.

Join Wendy Weary as she welcomes participants to the Part A providers Palmetto GBA's 2020 Virtual MACtoberfest®! Charles Canaan, RN, will discuss discharge planning and working with other entities.

Course# 2653280

Welcome/ Opening Remarks; Discharge Planning – working with other entities Registration Link

Inpatient Rehab Neurology Stroke
10–10:55 a.m.

Join Kara Gainer and Matt Sivret with the American Physical Therapy Association (APTA) as they discuss Inpatient Rehabilitation for neurology stroke. Rehabilitation plays an important role in the recovery of stroke survivors and others affected by physical, speech and cognition deficits.

Course# 2653604

Inpatient Rehab Neurology Stroke Registration Link

Medicare Secondary Payer (MSP) Non-Group Health Plans and MSP Audit Findings
11–11:55 a.m.

Join Wendy Weary, POE, in a review of MSP Non-Group Health Plans, (i.e., liability, no-fault) guidelines. Followed by MSP Auditor, Linda Williams, who will discuss current MSP audit findings and tips to avoid errors.

Course# 2654236

Medicare Secondary Payer (MSP) Non-Group Health Plans and MSP Audit Findings Registration Link

Let's Get Physical with the latest COVID 19 News and Reminders – with a touch of Part A Quarterly Updates
1–1:55 p.m.

Join Vinsetta Montgomery and Areka Freeman from the Provider Outreach and Education team as they review new COVID-19 Public Health Emergency information and other Medicare quarterly updates.

Course# 2654342

Let's Get Physical with the latest COVID 19 News and Reminders – with a touch of Part A Quarterly Updates Registration Link

Let's Talk Appeals
C2C – Part A East Demonstration
2–3:25 p.m.

Join our Palmetto GBA Appeals director, Kathy Kardules as she reviews current Appeals findings. Emily Barnes with Innovative Solutions will follow with a review of the C2C Part A East Appeal Demonstration.

Course# 2654727

Let's Talk Appeals C2C – Part A East Demonstration Registration Link 

Hospital Outpatient Department (OPD) Prior Authorization
3:30— 4:30 p.m.

Sandra Booker, Provider Outreach and Education Consultant, will discuss the CMS prior authorization program for certain hospital outpatient department (OPD) services for dates of service on or after July 1, 2020. As a condition of payment, a Prior Authorization Request is required for the following hospital OPD services:

  • Blepharoplasty, eyelid surgery, brow lift, and related services
  • Botulinum toxin injections
  • Panniculectomy, excision of excess skin and subcutaneous tissue (including lipectomy), and related services
  • Rhinoplasty and related services
  • Vein ablation and related services

Course# 2654749

Hospital Outpatient Department (OPD) Prior Authorization Registration Link

Part A Day 2 - October 21, 2020
Topic
Time (ET)
Summary/Registration
Part A Medical Review – Signed, Sealed & Documented
9–9:55 a.m.

Insufficient documentation is one of the top reasons for Medicare medical denials. Join Provider Outreach and Education Consultant, Sandra Booker as she discusses documentation compliance.

Course# 2653829

Part A Medical Review – Signed, Sealed & Documented Registration Link

Why Did I Get a CBR/eCBR?
What Does My CBR/eCBR Data Mean?
10–10:55 a.m.

Debra Goodman will provide insight into billing and utilization issues as it relates to Comparative Billing Reports. Rick Altobello will review the data analysis process involved in CBRs/eCBRs.

Course# 2654324

Why Did I Get a CBR/eCBR? What Does My CBR/eCBR Data Mean? Registration Link

Provider Audit & Reimbursement Department (PARD)
11–11:55 a.m.

PARD'ner with Audit and Reimbursement Director, Arteya Robinson as she discusses provider payments in accordance with Medicare laws, regulations, and instructions.

Course# 2654359

Provider Audit & Reimbursement Department (PARD) Registration Link

Electronic Data Interchange (EDI) and eServices
1–1:55 p.m.

EDI manager, Kim Campbell, will bring you up to date with EDI news and reminders. Followed by Belinda Marin, POE manager, who will review the latest in eServices!

Course# 2654406

Electronic Data Interchange (EDI) and eServices Registration Link

What's Hot in Part A Provider Enrollment (PE)?
2–2:55 p.m.

Join Provider Enrollment Analyst, Monica Entzminger, as she reviews current PE hot topics for Part A providers.

Course# 2654440

What's Hot in Part A Provider Enrollment (PE)? Registration Link

What Goes Around, Comes Around:
Hospital Readmissions/ Transitions of Care and Readmission Management
 
 
3–4:30 p.m.

Dr. Bill Rifkin, Managing Editor and Physician Relations Specialist with MCG Health will focus on how to best use MCG guidelines to reduce the 30-day rehospitalization rate for Medicare beneficiaries. This talk will be a corollary to the "CITE for Physicians" collaboration that is underway between Palmetto GBA and MCG.

Mariellen Morgano, MCG Health Account Director, will address how to use MCG guidelines to streamline the delivery of evidence-based post-acute care, with the focus of reducing re-hospitalizations.

Course# 2654481

What goes around, comes around: Hospital Readmissions/Transitions of Care and Readmission Management Registration Link

 

Contact Palmetto GBA JM Part A Medicare


Provider Contact Center: 855-696-0705

Email Part A

Contact a specific JM Part A department

Other Palmetto GBA Sites

Palmetto GBA Home

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Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

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National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

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