JJ/JM Part B 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 B Day 1 — October 20, 2020
Topic
Time
(ET)
Summary/Registration
Welcome/Things They Are A'changin' January 2021
9–9:55 a.m.

Join Belinda Marin, the Provider Outreach and Education (POE) Manager, as she welcomes participants to the Part B Palmetto GBA’s 2020 Virtual MACtoberfest®! Palmetto GBA Medical Director Leland Garrett, M.D., will discuss Medicare changes. On January 1, 2021, Medicare will completely change the way that outpatient office visits are coded and billed. The change will move to a code selection process that is completely dependent on either time or medical decision-making. This session will explain and clarify these changes.

Welcome/Things They Are A'changin' January 2021 Registration Link

eTips for eServices and Electronic Data Interchange
10–10:55 a.m.

Join Palmetto GBA’s Kim Campbell and Yoshiko White Dimes as they cover tips to assist Part B providers with common challenges in the eServices portal. We used data analysis to determine common challenges among Part B providers to include administrative functions, eligibility checks, documentation submission and more. Our goal is for you to leave with solutions to some of the most common barriers.

eTips for eServices and Electronic Data Interchange Registration Link

Preparing for AUC: Appropriate Use Criteria
11–11:55 a.m.
 

Join Paula Motes, Provider Outreach and Education Consultant, as she reviews this new, impactful Medicare program. The Appropriate Use Criteria Program will affect all physicians and practitioners who order advanced diagnostic imaging services, as well as facilities performing these services. Don’t wait until the last minute! Start preparing today by learning how to navigate the requirements of this new initiative.

Preparing for AUC: Appropriate Use Criteria Registration Link

Navigating Part B Provider Enrollment
1–1:55 p.m.

Join Quanita Jones as she presents an overview on enrolling in Part B Medicare, details on maintaining an accurate enrollment record, how to avoid processing delays and submitting your applications using Internet PECOS.

Navigating Part B Provider Enrollment Registration Link

Stopping the Cycle: Medicare Secondary Payer and Top Claim Denial and Rejection Reasons
2–2:55
p.m.

Join Kathy Boehm and Swandra Miller for a dynamic session for Part B providers billing Medicare on the CMS-1500 claim form or electronic equivalent. This session will be presented in two parts. Part one will cover Medicare as the secondary payer. We will review Part B billing options, claim submission and billing situations, the MSP overpayment process and common denials and how to avoid them. The second part of the session will include the top reasons claims are rejected or denied. Understanding these concepts will allow you to work within your office or clinic to identify and stop the negative cycle of claim denials and rejections. We will share tips that will allow you to review your internal processes to proactively address billing issues, saving time and resources.

Stopping the Cycle: Medicare Secondary Payer and Top Claim Denial and Rejection Reasons Registration Link

Deciphering the National Correct Coding Initiative and Medically Unlikely Edits
3–3:55 p.m.

How do you know which services are bundled, or the frequency of services billable for a patient on a given day? Join Kathy Boehm as she helps providers to decipher the national editing behind the National Correct Coding Initiative and Medically Unlikely edits that are tools to reduce the improper payment rate for Part B claims. You will learn where you can find the published edits and how you can request a change in the bundling pairs or frequency edits.

Deciphering the National Correct Coding Initiative and Medically Unlikely Edits Registration Link

Emerge! and See: Ambulance Focus
4–5 p.m.

Join Shannon Chase to learn about two types of Part B ambulance transports that are “hot,” and what the difference is between the two. Emergent transports A0427–A0429 are listed as active service specific post payment medical reviews for both JJ and JM. For JJ, A0426–A0428 (Repetitive Scheduled Non-Emergent) transports are on the active list. Join us whether you need help recognizing the difference between these services or want to hear about the most common reasons these payments are denied.

Emerge! and See: Ambulance Focus Registration Link

Part B Day 2 — October 21, 2020
Topic
Time
(ET)
Summary/Registration
Medicare Part B Coverage of Therapeutic Exercise CPT Code 97110
9 — 9:55 am

Join Jazz Harrison. Provider Outreach and Education Clinician and Laura Brown for this presentation that will focus on Therapeutic Exercise CPT code 97110. Discussion will include key components of the service with documentation tips to meet the regulatory requirements of this service.

Medicare Part B Coverage of Therapeutic Exercise CPT Code 97110 Registration Link

Part B COVID-19: What’s New
10–10:55 a.m.

Join Kathy Boehm from the Provider Outreach and Education team as she reviews important COVID-19 information.

As we adjust to our new normal, or at least our new normal during the Public Health Emergency, this session will explore the Part B Medicare COVID-19 waivers and flexibilities. This session will cover Palmetto GBA and CMS resources and provide ample time for your questions.

 

 

 

 

Part B COVID-19: What’s New Registration Link

The New Local Coverage Determination (LCD) Process: Improving Communication and Preserving the Trust Fund and What is a CBR/eCBR and Why Did I Get One?
11–11:55 a.m.

Join Rick Altobello and Jason Stroud for this two-part session. Part one will focus on the new Local Coverage Determination (LCD) process, how a provider can request an LCD, and review of an actual proposed LCD.  Part two of this session will  review comparative billing reports (CBRs), their purpose, how they’re developed, and the data analysis process involved in CBRs/eCBRs.

The New Local Coverage Determination (LCD) Process: Preserving the Trust Fund Registration Link

Everything you Need to Know When Billing Part B Services for Your Railroad Medicare Patients
1–1:55 p.m.

Have questions about Railroad Medicare? Whether you’re a new provider and need to know how to tell if a patient has Railroad Medicare and how to start billing Railroad Medicare claims or a current provider who would like more information on the Railroad Medicare program, this session is for you.  It will answer frequently asked questions about Railroad Medicare enrollment, claims submission, appeals, medical review, eServices and more, with emphasis on the website resources and self-service tools that can help you succeed with Railroad Medicare.

Speaker: Jennifer Johnson, Director, Palmetto GBA Railroad Retirement Board Specialty MAC

Everything you Need to Know When Billing Part B Services for Your Railroad Medicare Patients Registration Link

Part B Medical Records: Signed, Sealed and Documented
2–2:55 p.m.

Join Paula Motes, Provider Outreach and Education Consultant, as she reviews medical record documentation best practices and requirements to assist providers in achieving Medicare compliance. This session will walk through principles of good documentation, elements required for medical record review and documentation error examples.

Part B Medical Records: Signed, Sealed and Documented Registration Link

Let’s Talk Part B Appeals
3–4 p.m.

Join our Palmetto GBA Appeals director, Kathy Kardules as she reviews current Appeals findings.

Let’s Talk Part B Appeals Registration Link

 

Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

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