tag:blogger.com,1999:blog-21134968310526281432008-07-24T07:45:12.628-07:00ANCO Online ListServJose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comBlogger257125tag:blogger.com,1999:blog-2113496831052628143.post-2762598908402173352008-07-24T07:43:00.000-07:002008-07-24T07:45:12.646-07:00ASCO's Cancer Policy Today PublishedThe American Society of Clinical Oncology's (ASCO) Cancer Policy Today was published and is available online at <a href="http://view.exacttarget.com/?j=fe5515767360017b7213&m=ff311d707460&ls=fe0112707160057f72157377&l=fea516737564057975&s=fe1f15797d620479731d75&ju=fe1f1579726d0475771276.">http://view.exacttarget.com/?j=fe5515767360017b7213&m=ff311d707460&ls=fe0112707160057f72157377&l=fea516737564057975&s=fe1f15797d620479731d75&ju=fe1f1579726d0475771276.</a><br /><br />It features:<br /><br />Senators Introduce $5.2 Billion FY 2008 Supplemental Funding for NIH <br /><br />Congress Overrides President's Veto of Medicare Legislation <br /><br />Senate Committee Passes $325M Increase for FDA<br /><br />Senate Passes Conquer Childhood Cancer Act <br /><br />ASCO Launches JOP Series on Exemplary Attributes of Research Sites<br /><br />Your Participation Needed for the Physician Practice Information SurveyJose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-82114560168191634452008-07-24T07:41:00.000-07:002008-07-24T07:42:54.483-07:004th Annual Oncology Congress (Sept 25-28; San Francisco Hilton)On behalf of the Oncology Congress Advisory Board, I cordially invite you to attend the 4th Annual Oncology Congress, September 25-28, at the Hilton San Francisco.<br /><br />We've developed a very educational four-day meeting specifically for you, the US-based practicing clinician. Personally, this is one of the most amazing collections of talent that I have seen in a venue of this kind. Our faculty will focus specifically on clinically-relevant diagnosis and treatment advances. Each will present the latest clinical data and best practices that are directly applicable to achieving optimal patient outcomes. When you have a moment, please take a look at the <a href="http://www.oncologycongress.com/app/homepage.cfm?appname=100432&moduleid=2145&campaignid=61409446&iusercampaignid=41629669">program</a>. I guarantee that you will leave the Congress with ideas you can directly apply to your practice the day you return from the conference.<br /><br />Since you are a member of one of Oncology Congress’ partnering associations, Reed Medical Education is offering complimentary registration to the first 50 registrants. A special discounted rate has been set up for all other members: $395 for physicians, free for fellows and residents, and $195 for all other clinicians (nurses, practice managers, physician assistants, etc). When registering, use priority code ANCO to receive your special rate.<br /><br />To ensure thought-provoking interaction, attendance is limited. You may want to register soon to reserve your place.<br /><br />For more information on the conference and to register visit <a href="http://www.oncologycongress.com">www.oncologycongress.com</a>.<br /><br />I hope to see you in San Francisco this September.<br /><br />Patrick J. Loehrer, Sr., MD, Chairperson, Oncology Congress<br />Director, Division of Hematology/Oncology<br />Bruce Kenneth Wiseman Professor of Medicine <br />Indiana University School of MedicineJose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-73097160522302507522008-07-23T07:24:00.000-07:002008-07-23T07:25:29.995-07:00CMS/Medicare: Website UpdatesThe following updates have been posted to the CMS/Medicare website.<br /><br />SE0826 – Important Information on the New Medicare Law – The Medicare Improvements for Patients and Providers Act of 2008<br /><a href="http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0826.pdf">http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0826.pdf</a><br /> <br />MM6115 – Hospice Discharge for Cause<br /><a href="http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6115.pdf">http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6115.pdf</a><br /> <br />MM6116 – Revision of the Requirements for Denial of Payment for New Admissions (DPNA) for Skilled Nursing Facility (SNF) Billing<br /><a href="http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6116.pdf">http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6116.pdf</a><br /> <br />MM6128 – Revision to Skilled Nursing Facility (SNF) Common Working File (CWF) Editing<br /><a href="http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6128.pdf">http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6128.pdf</a>Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-80685262863136241712008-07-22T07:03:00.000-07:002008-07-22T07:05:18.583-07:00THIS WEEK AT ACCC: JULY 21-25, 2008The following information is provided by the Association of Community Cancer Centers (ACCC). ANCO is an Institutional Member of ACCC. It is available online at <a href="http://www.accc-cancer.org/mediaroom/newsletters/media_ACCC_july21_08.html.">http://www.accc-cancer.org/mediaroom/newsletters/media_ACCC_july21_08.html.</a><br /><br />It features:<br /><br />More than 150 Listen to ACCC Conference Call on CMS Proposed 2009 Rules<br /><br />Congress Overrides Presidential Veto to Pass Medicare Physician Payment Fix<br /><br />September in San Francisco! What Could Be Better?<br /><br />ACCC to Host Oncology Pharmacy Meeting in September<br /><br />Do You Treat CML Patients? Still Looking for Docs to Take Our Survey<br /><br />Heard on the ACCC Listserv, Standards in Infusion Suite<br /><br />ACCC's CE Blackboard: New Continuing Education Programs for You<br /><br />State Medical Oncology Societies Host Upcoming MeetingsJose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-48491585093266701182008-07-22T07:01:00.000-07:002008-07-22T07:03:42.711-07:00ASCO e-News PublishedThe American Society of Clinical Oncology (ASCO) e-News was published today and is available at <a href="http://view.exacttarget.com/?j=fe501576706c037b731c&m=ff2d16787160&ls=fdf312747766077a72107777&l=fe6115747d610c7f7415&s=fdf2157972640d79751d7073&ju=fe2d15797260047d771374">http://view.exacttarget.com/?j=fe501576706c037b731c&m=ff2d16787160&ls=fdf312747766077a72107777&l=fe6115747d610c7f7415&s=fdf2157972640d79751d7073&ju=fe2d15797260047d771374</a>.<br /><br />It features:<br /><br />Applications for the 2009 ASCO Cancer Foundation Grants Program Now Being Accepted <br /><br />Submit an Abstract for 2009 Gastrointestinal Cancers Symposium <br /><br />New Address, Phone Number for ASCO Headquarters<br /><br />JCO Impact Factor Increases to 15.484 from 13.598<br /><br />Editors Sought for ASCO Daily News and ASCO News & Forum<br /><br />2008 Annual Meeting Products and Resources Available Online <br /><br />Purchase Virtual Meeting, View Top Three ASCO Annual Meeting Presentations <br /><br />Attend 2008 UICC World Cancer Congress<br /><br />Cancer Policy Alert: Senate Passes Medicare Legislation, CMS Answers Questions about 10 Day Medicare Physician Payment Hold<br /><br />For Your Patients: Cancer Education Slides Available for Patient, Community Presentations <br /><br />For Your Patients: New Cancer.Net Feature Explains Electronic Health Records<br /><br />For Your Patients: What to Expect During PET Scan<br /><br />JCO Early Release Articles Examine Tumor Metabolism, Blood Flow Changes by PET in Breast Cancer; International Peripheral T-Cell and Natural Killer/T-Cell Lymphoma Study; Bendamustine Plus Rituximab in Patients with Relapsed Indolent B-Cell and Mantle Cell Non-Hodgkin's Lymphoma; KRAS and EGFR as Biomarkers of Response to Erlotinib<br /><br />Future JCO Table of ContentsJose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-42517838538627452552008-07-22T06:59:00.000-07:002008-07-22T07:03:56.763-07:00CMA Alert: Congress Overrides Presidential Veto; Medicare Cuts ReversedThe California Medical Association (CMA) Alert was published today and is available online at <a href="http://www.calphys.org/html/news.asp">http://www.calphys.org/html/news.asp</a>.<br /><br />It features:<br /><br />Congress Overrides Presidential Veto; Medicare Cuts Reversed for 2008- 2009 <br /><br />Medicare Will Automatically Reprocess Physician Claims Paid at Lower Rate<br /><br />CMA Seeking Clarification on Blue Shield Contract Amendment<br /><br />United to Withdraw 3,000 Overpayment Requests<br /><br />Blue Cross Files Medi-Cal Managed Care Termination Notices in Eight Counties<br /><br />Deadline to Submit Resolutions to CMA’s 2008 House of Delegates Is 8/5<br /><br />Help Make the CMA Foundation Annual Dinner a Success<br /><br />Member Benefit of the Week: 30-50% off EpocratesJose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-26061105464993664022008-07-21T08:41:00.000-07:002008-07-21T08:43:20.292-07:00UCSF's 3rd International Symposium on Cancer Metastasis and the Lymphovascular SystemUCSF's (an ANCO Institutional Member) 3rd International Symposium on Cancer Metastasis and the Lymphovascular System will take place May 6-9, 2009 in San Francisco.<br /><br />Visit <a href="https://www.cme.ucsf.edu/cme/CourseDetail.aspx?coursenumber=MSU09002">https://www.cme.ucsf.edu/cme/CourseDetail.aspx?coursenumber=MSU09002</a> for more information and to register.Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-10824813502215937792008-07-21T08:39:00.000-07:002008-07-21T08:41:39.683-07:00DHCS/MediCal: NDC ReportingBeginning September 1, 2008, providers are encouraged to begin using the National Drug Code (NDC) for physician-administered drugs, in conjunction with the customary Healthcare Common Procedure Coding System (HCPCS) Level I, II, or III code, on all Medi-Cal claims. Claims for dates of service September 1, 2008 through March 31, 2009 that do not include an NDC will not be denied. However, for claims with dates of service on or after April 1, 2009 that do not meet the NDC reporting requirements of a valid NDC present with the HCPCS code, will result in that claim being denied.<br /><br />As you are aware, the Deficit Reduction Act of 2005 (DRA) requires all state Medicaid Agencies to collect rebates from drug manufacturers for physician-administered or dispensed drugs. This requirement also applies to Medicare crossover claims. Only those products manufactured by companies participating in the federal Medicaid rebate program are reimbursable under Medi-Cal. A list of manufacturers participating in the rebate program, which changes periodically, is available in the Medi-Cal pharmacy manual under Drugs: Contract Drugs List Part 5 – Authorized Manufacturer Labeler Codes (drugs cdl p5) or on the Medi-Cal website at: <a href="http://files.medi-cal.ca.gov/pubsdoco/publications/masters-mtp/part2/drugscdlp5_p00.doc">http://files.medi-cal.ca.gov/pubsdoco/publications/masters-mtp/part2/drugscdlp5_p00.doc</a><br /><br />This email is advance notice that the Department of Healthcare Services (DHCS) will soon be publishing the details regarding NDC reporting requirements. All documentation, such as Medi-Cal Updates and Companion Guides, are currently being updated. Those details include: NDC and physician-administered drug definitions; billing descriptions and examples for CMS 1500 and UB-04 paper claim forms, as well as both 837 Institutional and Professional electronic formats; and Section 340B information.<br /><br />Should you have any questions or need additional information, please call the Telephone Service Center (TSC) at 1-800-541-5555 or visit the Medi-Cal Web site at the address listed above.Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-37971981605391762072008-07-21T08:36:00.000-07:002008-07-21T08:37:51.277-07:00DHCS/MediCal: Code Conversions-Blood and Blood DerivativesThis article serves as a reminder that, effective for dates of service on or after August 1, 2008, the Department of Health Care Services (DHCS) will discontinue the use of the current Medi-Cal interim codes for blood products and some services related to administering those products. These interim codes will be replaced by Healthcare Common Procedure Coding System (HCPCS) Level II and Current Procedural Terminology (CPT-4) codes so as to be in compliance with provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996, Public Law 104-191, 45 CFR 162.1000.<br /><br />Complete details of the billing changes, including manual replacement pages (MRPs), can be found in the June release of the Medi-Cal Updates bulletin Part 2, which can be accessed from the Medi-Cal Web site by clicking on the “Publications” tab on the Home page. Click here to access the General Medicine Part 2 bulletin, found at <a href="http://files.medi-cal.ca.gov/pubsdoco/publications/bulletins/gm/archive/word/gm20080601.doc">http://files.medi-cal.ca.gov/pubsdoco/publications/bulletins/gm/archive/word/gm20080601.doc</a><br /><br />For additional assistance, providers may contact the Telephone Service Center (TSC) at 1-800-541-5555 or visit the Medi-Cal Web site at <a href="http://www.medi-cal.ca.gov">www.medi-cal.ca.gov</a> and access the NPI link on the “Featured” tab.Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-48080321624873551802008-07-17T06:59:00.002-07:002008-07-17T07:00:01.831-07:00CMS/Medicare: CY2009 Physician Fee ScheduleSection 1848(k)(2)(B)(ii) of the Social Security Act, as amended by the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Pub. Law 110-173), requires the Secretary to publish a proposed set of quality measures that would be appropriate for eligible professionals to use to submit data in 2009 in the Federal Register by August 15, 2008. This proposed set of quality measures for the 2009 PQRI and the proposed 2009 PQRI reporting options were published in the Calendar Year 2009 Physician Fee Schedule Proposed Rule (73 FR 38558 through 38576) in the Federal Register on July 7, 2008<br /> <br />In the Proposed Rule, we identified and proposed a subset of the proposed 2009 PQRI measures as measures that we would accept reporting through electronic health records (EHRs) in 2009. Asterisks were used to signify such measures in Tables 11 and 13 of the Proposed Rule (73 FR 38568, 38571). Asterisks were inadvertently left off of two measures that we had intended to propose as measures that we would accept reporting through EHRs in 2009 Б─⌠ Measures #110 (Preventive Care and Screening: Influenza Immunization for Patients Б┴╔ 50 Years Old) and #111 (Preventive Care and Screening: Pneumonia Vaccination for Patients 65 years and Older) in Table 11 (73 FR 38569). We will be issuing a correction notice for the Proposed Rule that will include asterisks for Measures #110 and #111 so that the total number of measures proposed for EHR submission would be seventeen measures rather than fifteen measures.Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-75156010046738054042008-07-17T06:59:00.001-07:002008-07-17T06:59:30.294-07:00CMS/Medicare: An Update on the 2007 PQRI Reporting PeriodThe Centers for Medicare & Medicaid (CMS) today announced payment of more than $36 million in bonus payments to many of the more than 56,700 health professionals who satisfactorily reported quality information to Medicare under the 2007 Physician Quality Reporting Initiative (PQRI). <br /> <br />“Creating a value-based purchasing system is a critical way to improve our health care systems. By collecting quality data, health care providers can use the information to improve the quality care of beneficiaries,” said Health and Human Services Secretary Michael Leavitt.<br /> <br />Physicians, physician group practices, and other PQRI eligible professionals should receive their payments by August 2008. The average incentive amount for individual professionals is over $600 and average incentive payment for a physician group practice is over $4,700, with the largest payment to a physician group practice totaling over $205,700. <br /> <br />The PQRI is part of the President’s Value-driven Health Care Agenda that seeks to address current problems in the health care sector regarding preventable errors, uneven quality of care and rising health care costs. <br />More information about the PQRI program, including how eligible professionals can participate and the criteria to qualify for an incentive payment is available at www.cms.hhs.gov/PQRI.<br /><br />To read the entire CMS Press release issued today, click here: <a href="http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=3198&">http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=3198&</a>Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-35951548732983266362008-07-17T06:58:00.001-07:002008-07-17T06:58:53.959-07:00CMS/Medicare: New 2008 Medicare Physician Fee Schedule Payment Rates Effective for Dates of Service July 1, 2008 through December 31, 2008New 2008 Medicare Physician Fee Schedule Payment Rates Effective for Dates of Service July 1, 2008 through December 31, 2008 <br /> <br />The Medicare Improvements for Patients and Providers Act of 2008 was enacted on July 15, 2008. As a result, the mid-year 2008 Medicare Physician Fee Schedule (MPFS) rate of -10.6 percent has been replaced with a 0.5 percent update, retroactive to July 1, 2008. <br /> <br />Physicians, non-physician practitioners and other providers of services paid under the MPFS should begin to receive payment at the 0.5 % update rates in approximately 10 business days, or less. Medicare contractors are currently working to update their payment system with the new rates.<br /> <br />In the meantime, to avoid a disruption to the payment of claims for physicians, non-physician practitioners and other providers of services paid under the MPFS, Medicare contractors will continue to process the claims that have been on hold on a rolling basis (first in/first out) for payment at the -10.6% update level. After your local contractor begins to pay claims at the new 0.5% rate, to the extent possible, the contractor will begin to automatically reprocess any claims paid at the lower rates. <br /> <br />Under the Medicare statute, Medicare pays the lower of submitted charges or the Medicare fee schedule amount. Claims with dates of service July 1 and later billed with a submitted charge at least at the level of the January 1 – June 30, 2008, fee schedule amount will be automatically reprocessed. Any lesser amount will require providers to contact their local contractor for direction on obtaining adjustments. Non-participating physicians who submitted unassigned claims at the reduced nonparticipation amount also will need to request an adjustment.<br /> <br />Contractor websites are being updated with the new rates and these should be available shortly.<br /> <br />Be aware that any published MLN Matters articles affected by the new law will be revised or rescinded as appropriate.<br /> <br />Finally, be on the alert for more information about other legislative provisions which may affect you.<br /> <br />Further instructions regarding other provisions of MIPPA will be forthcoming.Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-315948192900331172008-07-17T06:57:00.000-07:002008-07-17T06:58:27.461-07:00Palmetto/J1MAC Website UpdatesThe following updates have been posted to the Palmetto/J1MAC website.<br /><br /><br /><br />Currently, information submitted to NHIC in CMS 1500 claim form Item 10D is<br />rejected/denied by NHIC. How will this be handled once claims are<br />submitted to Palmetto GBA?<br /><a href="http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Currently%2C%20information%20submitted%20to%20NHIC%20in%20CMS%201500%20claim%20form%20Item%2010D%20is%20%20rejecteddenied%20by%20NHIC.%20%20How%20will%20this%20be%20handled%20once%20claims%20are%20submitted%20to%20Palmetto%20GBA%3F?opendocument">http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Currently%2C%20information%20submitted%20to%20NHIC%20in%20CMS%201500%20claim%20form%20Item%2010D%20is%20%20rejecteddenied%20by%20NHIC.%20%20How%20will%20this%20be%20handled%20once%20claims%20are%20submitted%20to%20Palmetto%20GBA%3F?opendocument</a><br /><br />Currently, information submitted to NHIC in CMS 1500 claim form Item 10D is<br />rejected/denied by NHIC. How will this be handled once claims are<br />submitted to Palmetto GBA?<br /><br />Applies to:<br />Part B Transition: General<br />----------<br /><br /><br />PTT-2008-07-01-PartB.pdf<br /><a href="http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/PTT-2008-07-01-PartB.pdf?opendocument">http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/PTT-2008-07-01-PartB.pdf?opendocument</a><br /><br />Read the July 1, 2008, Part B J1 A/B MAC Meeting Minutes.<br /><br />Applies to:<br />Part B Transition: General<br />----------Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-4163109545530558472008-07-16T06:40:00.000-07:002008-07-16T06:41:04.306-07:00ASCO Policy Alert: Congress Overrides President's Veto of Medicare LegislationASCO's Cancer Policy Alert was published today and can be viewed online at <a href="http://view.exacttarget.com/?j=fe661576706404747417&m=ff311d707460&ls=fe0112707160057f72157377&l=fea516737564057975&s=fe1f15797d620479731d75&ju=fe22157973600d75771072">http://view.exacttarget.com/?j=fe661576706404747417&m=ff311d707460&ls=fe0112707160057f72157377&l=fea516737564057975&s=fe1f15797d620479731d75&ju=fe22157973600d75771072</a>.<br /><br />Yesterday, the President vetoed H.R. 6331, the Medicare Improvements for Patients and Providers Act of 2008, the bill that would avert the 10.6% cut to Medicare physician payments the Medicare legislation that would avert the 10.6 percent cut. The House and Senate both voted to override the veto yesterday evening.<br /><br />The law will provide a 0.5% increase for the remainder of 2008 (retroactive to July 1) and a 1.1% increase for 2009. ASCO will update you on the plans for implementation once the Center for Medicare and Medicaid Services (CMS) releases information.Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-11501037403549404722008-07-16T06:39:00.000-07:002008-07-16T06:40:12.309-07:00Palmetto/J1MAC Website UpdatesThe following information is provided by Palmetto/J1MAC.<br /><br />Part B Transition Web-based Trainings<br /><a href="http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Part%20B%20Transition%20Web-based%20Trainings?opendocument">http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Part%20B%20Transition%20Web-based%20Trainings?opendocument</a><br /><br />More Dates Added with Later Start Times! Please register for one of the<br />upcoming Part B Web-based trainings. We've just added new sessions on July<br />21, 2008 at 7 p.m. EST or July 22, 2008 at 7 p.m. EST.<br /><br />Applies to:<br />Part B Transition: General<br />----------<br /><br /><br />Vendors, Billing Services and Clearinghouses: Important Early Boarding<br />Notification<br /><a href="http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Vendors%2C%20Billing%20Services%20and%20Clearinghouses%3A%20Important%20Early%20Boarding%20Notification%20?opendocument">http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Vendors%2C%20Billing%20Services%20and%20Clearinghouses%3A%20Important%20Early%20Boarding%20Notification%20?opendocument</a><br /><br />This is a very important Early Boarding Notification specifically geared to<br />Vendors, Billing Services and Clearinghouses regarding the Jurisdiction 1<br />transition to Palmetto GBA.<br /><br />Applies to:<br />Part A Transition: EDI<br />Part B Transition: EDIJose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-72204644243955122802008-07-15T12:10:00.000-07:002008-07-15T12:11:29.803-07:00MGMA Washington Connexion 7/15: Act now! President vetoes Medicare physician payment billToday the president vetoed the Medicare Improvement Act for Patients and Providers (H.R. 6331). The House of Representatives must now schedule a new vote to override the veto, followed by a similar vote in the Senate. A two-thirds majority in each chamber must support a veto override for it to succeed. <br /> <br />Please use the grassroots hotline at 800.833.6354 to call Congress and urge lawmakers to immediately override the veto of H.R. 6331 to provide 18 months of positive Medicare payments to physicians and ensure that Medicare beneficiaries have access to quality care. <br /> <br />Please click the links below to see how your senators and representatives previously voted on this bill. If they voted "yea", thank them for their support of this important legislation and urge them to vote to override the presidential veto. If they voted "nay", urge them to reconsider their position and vote to override the veto. <br /> <br />This bill reverses the 10.6 percent cut to Medicare reimbursement that took effect July 1 and the projected 5.4 percent cut scheduled for 2009. It continues the 0.5 percent payment increase for 2008 and provides an additional 1.1 percent increase in 2009.Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-19887575917282890812008-07-15T07:32:00.000-07:002008-07-15T07:33:39.414-07:00CMS/Medicare: Presentation Materials Posted for July 15, 2008 Special Open Door Forum on 2008 PQRI Reporting Initiative - Participation by the AmericaThe PowerPoint Presentation for the July 15, 2008 Special Open Door Forum (ODF) has been posted on <a href="http://www.cms.hhs.gov/PQRI/02_CMSSponsoredCalls.asp">http://www.cms.hhs.gov/PQRI/02_CMSSponsoredCalls.asp</a> . They can be accessed by clicking on the link under the "Related Links Outside CMS" section at the bottom of the web page.Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-25071618432168798692008-07-15T07:31:00.001-07:002008-07-15T07:32:41.281-07:00THIS WEEK AT ACCC: JULY 14-18, 2008The Association of Community Cancer Centers' (ACCC) This Week at ACCC has been published and is available at <a href="http://www.accc-cancer.org/mediaroom/newsletters/media_ACCC_july14_08.html">http://www.accc-cancer.org/mediaroom/newsletters/media_ACCC_july14_08.html</a>.<br /><br />It features:<br /><br />ACCC to Hold Thursday Conference Call on CMS Proposed 2009 Rules<br /><br />Pharmacy Departments Lose Under ASP+4 CMS Proposal<br /><br />Senate Passes 18-Month Medicare Physician Payment Fix<br /><br />September in San Francisco! What Could Be Better?<br /><br />ACCC to Host Oncology Pharmacy Meeting in September<br /><br />Do You Treat CML Patients? Take Our Survey<br /><br />Heard on the ACCC Listserv, Again and Again: Outpatient Infusion Center Tracking<br /><br />Welcome Aboard to ACCC's Newest Members<br /><br />ACCC's CE Blackboard: New Continuing Education Programs for You<br /><br />State Medical Oncology Societies Host Upcoming MeetingsJose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-10389061200568157542008-07-15T07:30:00.001-07:002008-07-15T07:31:10.801-07:00Medicare Bill Is Not Yet Law as White House Indicates President Will VetoThe White House has indicated that the President intends to veto the Medicare bill that the Congress has passed. If that happens, and may well take place on Tuesday (July 15th), the bill will have to go back to both the House and the Senate for votes to override the veto. It is assumed that both Houses of Congress have the votes required to overcome the veto; however, reports are that the Administration is reaching out to the Republican Senators who voted in favor of the bill in an attempt to convince three Senators to change their votes. Sixty-nine Senators voted for the legislation and 67 votes are needed to override a veto. <br /><br />The President is under pressure to sign the Medicare bill because, without legislation, the 10.6% cut becomes effective tomorrow, July 15th. This is the date on which the Centers for Medicare & Medicaid Services (CMS) indicated it will begin to process claims, with a date of service of July 1st or later, reflective of the 10.6% reduction. Even if the President decides to veto the bill, the current odds favor that the Congress will override the veto and the bill will be signed into law.Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-89396974773930797942008-07-14T07:26:00.001-07:002008-07-14T07:26:55.666-07:00CMA Alert: President Expected to Veto Medicare Physician Payment FixMedicare Alert: Call Your Member of Congress TODAY!<br /><br />Next week, the U.S. House of Representatives and the U.S. Senate will vote to override the President’s planned veto of the bill to stop the 15% Medicare physician payment cuts (HR 6331). The President is vetoing HR 6331 because the physician payment fix is funded with Medicare Advantage health plan reforms.<br /><br />Yesterday the Senate passed HR 6331 by a veto proof margin of 69-30. In a landslide vote the week before, the House passed the bill by a vote of 355-59. While both the House and the Senate have enough votes to override the President’s veto, the health plans are aggressively lobbying the Republicans to switch their votes to avert an override.<br /><br />CMA Action Requested<br /><br />Therefore, CMA needs all physicians to call their Members of Congress today (no need to call the Senators) and ask:<br /><br />— Please vote yes on the HR 6331 veto override. <br />— Stop the 15% physician payment cuts. <br />— Help Medicare patients and military families keep their doctors.<br /><br />Use the AMA Grassroots Hotline (800) 833-6354. Enter your zip code and it will automatically connect you to your Representative.<br /><br />Background<br /><br />HR 6331 would reverse the 10.6% payment cut that took effect on July 1, 2008, and stop the 5% cut on January 1, 2009. It would provide a 0.5% update for the rest of 2008 and a 1.1% increase in 2009. The bill would pay for the rate restoration by minor tweeks to the Medicare Advantage program. It would require Private Fee-For-Service plans to have contracts with physicians and meet the same marketing and quality requirements the other health plans meet. It would end duplicative Indirect Medical Education payments to the Medicare Advantage plans that already go to the hospitals.<br /><br />For California medical groups and physicians who contract with Medicare Advantage plans, HR 6331 does not cut Medicare Advantage in 2008-2009 while restoring nearly $10 billion in funding for all physician services. HR 6331 is good for all California physicians and their patients. If the 15% cut is not stopped, many physicians will be forced to reduce access to Medicare patients.<br /><br />California HR 6331 Votes<br /><br />Senators Boxer and Feinstein both voted YES.<br /><br />All California Members of Congress voted YES except:<br />NO – Doolittle, Lungren, Herger, Radanovich, Campbell, Royce<br />NOT VOTING – Nunes, SpeierJose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-13561029668012353402008-07-14T07:25:00.000-07:002008-07-14T07:26:12.484-07:00Palmetto/J1MAC Website UpdatesThe following updates have been posted to the Palmetto/J1MAC website.<br /><br />Cancelled: Part B Web-based Training on July 14 at 12:30 p.m<br /><a href="http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Cancelled%3A%20Part%20B%20Web-based%20Training%20on%20July%2014%20at%2012%3A30%20p.m?opendocument">http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Cancelled%3A%20Part%20B%20Web-based%20Training%20on%20July%2014%20at%2012%3A30%20p.m?opendocument</a><br /><br />The J1 A/B MAC Part B Web-based training on July 14 at 12:30 p.m. PST has<br />been cancelled. Please register to attend our next Part B Web-based<br />training on July 16, 2008 at 10 a.m. PST. We are sorry for any<br />inconvenience this may cause. Thank you.<br /><br />Applies to:<br />Part B Transition: General<br />----------<br /><br /><br />Noridian Customers (Segment 1): The J1 go live date is August 4, 2008!<br /><a href="http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Noridian%20Customers%20(Segment%201)%3A%20The%20J1%20go%20live%20date%20is%20August%204%2C%202008!?opendocument">http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Noridian%20Customers%20(Segment%201)%3A%20The%20J1%20go%20live%20date%20is%20August%204%2C%202008!?opendocument</a><br /><br />Attention Noridian Customers (Segment 1): Begin sending your J1 claims to<br />Palmetto GBA (early board) immediately to avoid interruptions in your<br />Medicare payments. Review the website at www.PalmettoGBA.com/j1 for all<br />details. Waiting until the last minute to transition will cause payment and<br />support delays!<br /><br /><br />Applies to:<br />Part B Transition: EDI<br />----------<br /><br /><br />Transition Communication<br /><a href="http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Transition%20Communication?opendocument">http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Transition%20Communication?opendocument</a><br /><br />Palmetto GBA Publishes a Transition Communication article to Assist<br />Providers with a Smooth Transition to the Jurisdiction 1 (J1) Medicare<br />Administrative Contractor (MAC). The Palmetto GBA J1 Web site is filled<br />with very important transition information. We understand that getting to<br />all of the available information may be confusing. We have published an<br />article that incorporates important transition information with direct Web<br />site links. We hope this article provides a concise overview of transition<br />information. We do caution, however, not to use this article alone for<br />transition information because our Web site is updated almost daily with<br />pertinent information for a successful and smooth implementation.<br /><br /><br />Applies to:<br />Part A Transition: General<br />Part B Transition: General<br />----------<br /><br /><br />Urgent Information for J1 Noridian EDI Submitters<br /><a href="http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Urgent%20Information%20for%20J1%20Noridian%20EDI%20Submitters?opendocument">http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Urgent%20Information%20for%20J1%20Noridian%20EDI%20Submitters?opendocument</a><br /><br />J1 Noridian EDI Submitters: Urgent information regarding our EDI transition<br />schedule is now available.<br /><br />Applies to:<br />Part B Transition: EDIJose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-46888229599173680462008-07-10T21:00:00.000-07:002008-07-10T21:02:27.492-07:00CMS/Medicare Website UpdatesThe Centers for Medicare & Medicaid Services (CMS) is pleased to announce that a new educational resource has been posted to the PQRI webpage on the CMS website and is available for ordering through the Medicare Learning Network product ordering system.<br /> <br />The following item is available for download on the PQRI Educational Resources web page:<br /> <br />2008 PQRI Reporting Options Quick Reference Chart- This two-sided laminated reference chart gives Eligible Professionals and practice staff a quick reference to the new reporting options available for 2008 PQRI with their corresponding alternative reporting periods.<br /> <br />To access this new, and all available, educational resource, visit <a href="http://www.cms.hhs.gov/PQRI">http://www.cms.hhs.gov/PQRI</a> on the CMS website and click on the Educational Resources tab. Once on the Educational Resources page, scroll down to the “Downloads” section and click on the “2008 PQRI Quick Reference Chart link. <br /> <br />To order this product, visit <a href="http://cms.meridianksi.com/kc/main/kc_frame.asp?kc_ident=kc0001&loc=5">http://cms.meridianksi.com/kc/main/kc_frame.asp?kc_ident=kc0001&loc=5</a> on the CMS website and click on the 2008 Physician Quality Reporting Initiative (PQRI) Reporting Quick Option Reference Chart (ICN# 900843)(May 2008) link.Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-57795920261775156882008-07-10T20:57:00.000-07:002008-07-10T21:00:32.985-07:00ASCO's Cancer Policy Today PublishedThe American Society of Clinical Oncology's (ASCO) Cancer Policy Today was published and is available online at <a href="http://view.exacttarget.com/?j=fe6515767164007d761c&m=ff311d707460&ls=fe0112707160057f72157377&l=fea516737564057975&s=fe1f15797d620479731d75&ju=fe1e157970610174731578">http://view.exacttarget.com/?j=fe6515767164007d761c&m=ff311d707460&ls=fe0112707160057f72157377&l=fea516737564057975&s=fe1f15797d620479731d75&ju=fe1e157970610174731578</a>.<br /><br />It feautres:<br /><br />Senate Passes Medicare Legislation <br /><br />Proposed 2009 Medicare Physician Fee Schedule Summary <br /><br />CMS Answers Questions about 10 Day Medicare Physician Payment Hold<br /><br />Wall Street Journal Reports on Rising Costs of Cancer Treatments<br /><br />Ohio Passes Law Requiring Coverage for People on Clinical Trials<br /><br />Cancer Leadership Council Endorses Access to Cancer Clinical Trials Act<br /><br />Cancer Leadership Council Voices Concerns on Delayed FDA Expanded Access Rules<br /><br />Your Participation Needed for the Physician Practice Information Survey<br /><br />ASCO Conducting Learning Needs Assessment of Member PhysiciansJose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-69267396507907990662008-07-10T20:56:00.000-07:002008-07-10T20:57:42.271-07:00ASCO Moves to New HeadquartersThe American Society of Clinical Oncology and The ASCO Cancer Foundation are moving on July 11, 2008 to<br /> <br />2318 Mill Road<br />Suite 800<br />Alexandria, VA 22314<br />USA<br /> <br />Phone: +1-571-483-1300<br />Fax: +1-571-366-9530Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.comtag:blogger.com,1999:blog-2113496831052628143.post-18392247216433717072008-07-09T19:40:00.000-07:002008-07-09T19:42:18.998-07:00ASCO's Cancer Policy Alert PublishedThe American Society of Clinical Oncology's (ASCO) Cancer Policy Alert was published today and is available at <a href="http://view.exacttarget.com/?j=fe561576766c0d757314&m=ff311d707460&ls=fe0112707160057f72157377&l=fea516737564057975&s=fe1f15797d620479731d75&ju=fe241579706005797d1679">http://view.exacttarget.com/?j=fe561576766c0d757314&m=ff311d707460&ls=fe0112707160057f72157377&l=fea516737564057975&s=fe1f15797d620479731d75&ju=fe241579706005797d1679</a>.<br /><br />This afternoon, the Senate passed H.R. 6331, the Medicare Improvements for Patients and Providers Act of 2008, which would avert the 10.6% cut to Medicare physician payments, by a veto-proof majority. The House of Representatives passed H.R. 6331 before the July fourth recess, also by a veto-proof majority. The President has threatened to veto the bill and still might in order to force the House and Senate to override the veto.<br /><br />The legislation would maintain the current 0.5% increase to physician payments from 2007for the remainder of 2008 (retroactive to July 1). The legislation also provides a 1.1% increase for 2009. <br /><br />This bill had failed by one vote in the Senate on June 26, but Sen. Ted Kennedy (D-MA), while under active treatment for cancer, returned today to Washington D.C. to make this important vote to ensure that this bill passed. <br /><br />Thank you to all of you who were in contact with your Representative and Senators during this difficult series of votes. Your outreach made a difference. ASCO will keep you updated as this legislation advances to the President.Jose Luis Gonzalez, ANCO Executive Directorhttp://www.blogger.com/profile/01985831858750294102noreply@blogger.com