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Florida and U.S. Virgin Islands Part B POE-AG minutes -- March 21, 2024
Last Modified: 7/13/2024
Location: FL, USVI
Business: Part B
Jurisdiction N
Medicare Part B
March 21, 2024
Janice Mumma, supervisor, welcomed the members and reviewed current committee guidelines.
Janice advised the purpose of the Provider Outreach and Education Advisory Group (POE-AG) is to assist the contactor in the creation, implementation and review of provider education events. We conduct this meeting to allow provider feedback on training topics, provider education materials, and dates and times of provider education events.
The most and least attended prior quarter activities were reviewed, and feedback was requested. The group discussed the attendance at the prior webinars. A comment was received regarding the events on November 15 and 16, 2023. These dates overlapped the AMA and CPT meeting and could explain why attendance was low.
The upcoming activities for the remainder of March 2024 were reviewed. April calendar is in development and will be posted soon.
The CERT information on the
First Coast website was reviewed. First Coast has compiled resources and developed checklists to help guide you when responding to CERT documentation requests. The CERT information is used to build many of the POE presentations and articles. Health care providers retain responsibility to submit complete and accurate documentation upon request to Medicare.
2024 education events will include: workshops, a virtual symposium, and additional topics. We gather our education topics from a number of different sources such as new Medicare initiatives, LCD/NCD revisions, Medicare fundamentals, medical review data, provider suggestions, survey comments, etc.
We will offer the Stay Connected workshop series in 2024. The Stay Connected workshop webinars occur over a one-week span and are topic-specific. Part B topics for 2024 include: care management, new provider, Part B billing, Part B post-payment, and pain management.
Additional topics planned for 2024 include but are not limited to: modifier of the month, SPOT portal, Medicare compliance, behavioral health, Medicare secondary payer, self-service tools, and preventive services.
First Coast is active in social media. LinkedIn and YouTube are live. Subscribe today and please promote these social media tools to your colleagues.
First Coast has a wide array of on-demand learning
resources. These resources are intended for you to participate in Medicare education at your own pace, on your schedule.
The 2024 MEDPARD information is now available on our
website.
The 2024 deductible, coinsurance, and premium rates have been posted. The annual deductible for all Medicare Part B beneficiaires is $240 in 2024. Coinsurance remains at 20%. Additional information is available on our
website.
CMS has issued the
2024 Physician Fee Schedule final rule . This rule updates payment policies and Medicare payment rates for services that we pay providers under the MPFS in CY 2024. We encourage you to review the MLN Connects for future updates.
A new add-on HCPCS code has been created for office/outpatient E/M codes. G2211 was created to capture the inherent complexity of the visit that's derived from the longitudinal nature of the practitioner and patient relationship. For more information,
MM13473 and
MM13272 were released to assist you with when/how you should use this new code.
Robert went out to our website to outline the Physician Fee Schedule Code Search and Download tool, as well as the FastTrack to Medicare Coverage Policies Tool. We added a new page to our Medical Policy section, Journey to LCD Coverage. This page has multiple steps to assist you in understanding how LCDs work for you.
Medicare covers behavioral, mental, and psychiatric health services that may improve outcomes for Medicare patients. These services include BHI, psychotherapy for crisis, and opioid use disorder (OUD) screening and treatment. For more information, please visit our
website.
We do post the top claim errors to our
website. This page is updated each quarter to assist providers with avoiding unnecessary denials. This page lists the Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark Codes (RARCs), the description of the RARC, and the resolution.
The First Coast articles titled "Claim submission options for impacted providers of the Change Healthcare cybersecurity incident" and "Remittance options for impacted providers of the Change Healthcare cybersecurity incident" was reviewed with the group.
Our next advisory group meetings will take place on July 25 and November 21.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.