2011 Medicare Proposed Changes (Posted 8/15/10)

Breast Cancer Drug Avastin Alert (Posted 8/15/10)

MGMA - 40 Questions to Ask Yourself About Patient Collections (Posted 8/15/10)

Incentives for Certain Providers in 2011 Proposed Physician Fee Schedule (Posted 8/15/10)

Physician Path to EHR Incentives Outlined (Posted 8/15/10)

OIG & Healthcare Fraud - "In The News" (Posted 8/15/10)

OIG - Analysis of Errors Identified in the Fiscal Year 2009 Comprehensive Error Rate Testing
Program (Posted 8/15/10)

NCCN Virtual Reimbursement Resource Room (Posted 8/15/10)

NCCN has published the following updates to the Neuroendocrine Tumors chapter of the NCCN
Drugs & Biologics Compendium (NCCN Compendium™) (Posted 8/15/10)

FDA Responds to Public Concerns and Reconsiders REMS Elements (Posted 8/15/10)

EMR Bonus Program Poses Tight Deadline for Physicians (Posted 8/15/10)

CMS Announces MAC Consolidations (Posted 8/15/10)

Final Rules Emerge on EHR Meaningful Use and Certification (Posted 8/15/10)

DME MAC Jurisdiction C - Oral Anticancer Drugs - Coverage Issue (Posted 8/15/10)

FDA Drug Shortages - Mitomycin, Furosemide & Leucovorin (Posted 8/15/10)

FDA Approves First Generic Blood Thinner (Posted 8/15/10)

FDA Issues Requirements for Baxter Healthcare Infusion Pump Recall (Posted 8/15/10)

FDA Approves New Taxotere® (docetaxel) Injection Concentrate Formulation (Posted 8/15/10)

Intensive Chemotherapy May Be Harmful to Most Older Patients  With Acute Myeloid Leukemia (Posted
8/15/10)

Something New from the MLN for Billing and Coding Professionals (Posted 7/8/10)

FDA Drug Shortages - Leucovortin & Furosemide (Posted 7/8/10)

Pfizer Voluntarily Withdraws Cancer Treatment Mylotarg from U. S. Market (Posted 7/8/10)

ASH Co-Sponsors Inaugural National Conference on Blood Disorders in Public Health and Promotes
the Important Role of Hematologists (Posted 7/8/10)

W.V. Part B Carrier J11 Award: Notice of Protest (Posted 6/4/10)

Change in the Amount in Controversy Requirement for Administrative Law Judge Hearings and
Federal District Court Appeals (Posted 6/4/10)

Information Regarding the Holding of June 2010 Claims for Services Paid Under the 2010 Medicare
Physician Fee Schedule (Posted 6/4/10)

FTC Again Extends Enforcement Deadline for Identity Theft Red Flags Rule (Posted 6/4/10)

FDA's Office of Oncology Drug Products Issues Mustargen Shortage Alert (Posted 6/4/10)

Contaminated IV Bags of Metronidazole, Ondansetron, and Ciprofloxacin (Posted 6/4/10)

Medicare Benefits Policy Manual Update: Determining Self-Administration of Drug or Biological (Posted
5/13/10)

Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by
Medicare Carriers and Part B MACs (Posted 5/13/10)

Signature Guidelines for Medical Review Purposes (Posted 5/13/10)

-21% Physician Payment Cut Delayed until June 1st (Posted 4/16/10)

Humana ALERTS Impacting Oncology Reimbursement (Posted 4/5/10)

CIGNA Cost of Care Estimator Enhancements (Posted 4/5/10)

Mountain State Blue Cross Blue Shield Contracting and Reimbursement 2010 Update (Posted 4/5/10)

EM Services Review Checklist and Scoresheet Tool (Posted 4/5/10)

Holding of April 2010 Claims for Services Paid Under the 2010 Medicare Physician Fee Schedule
Update (Posted 4/5/10)

-21% Cut to Medicare Services is still Looming (Posted 3/30/10)

WVOS Reimbursement Alter (Posted 3/11/10)

Humana Alert (Posted 3/8/10)

New vs Extablished Patient - What are the Rules? (Posted 3/8/10)

Charging Medicare Patients for Extra Fees (Posted 3/8/10)

Provider Enrollment Reporting Responsibilities (CMS Publications) (Posted 3/8/10)

Recent Palmetto Updates (Posted 3/8/10)

NCCN Guidelines are used a Patient Care Model in UnitedHealthCare Program (Posted 3/8/10)

NCCN Clinical Practice Guidelines in Oncology for Antiemesis Have Been Updated and Published as
Version 1.2010 (Posted 3/8/10)

WVOS Reimbursement Alert (Posted 3/1/10)

FDA Announces a REMS for ESA's (Posted 2/26/10)

PECOS Delayed Until January 3, 2011 (Posted 2/20/10)

Medicare - Signatures & Documentation, What You Need to Know (Posted 2/19/10)

United Healthcare Rescinds Radiology Notification Exemptions (Posted 2/9/10)

CMS's proposed rule on EHR incentives excludes many hospital-based physicians (Posted 2/9/10)

Revised Medicare Physician Fee Schedule Fact Sheet (Posted 2/9/10)

Change Request (CR) 6563 Announces Recent Instructions for the use of Modifiers in Association
iwth ABNs (Posted 2/9/10)

Medicare Update - Clarification on the use of Prolonged Care Procedure Codes (Posted 2/2/10)

CMS and ONC Issue Regulation Proposing a Definition of Meaningful Use and Setting Standard for
EHR (Posted 1/22/10)

United Healthcare and Consultation Codes (Posted 1/22/10)

CMS Guidelines Related to Drugs and Biologicals (Posted 1/21/10)

PQRI - The AMA Published Tools for Participating in PQRI in 2010 (Posted 1/14/10)

2010 E-Prescribing (Posted 1/14/10)

Palmetto GBA Powerpoint on Revisions to Consultation Services Payment Policy (Posted 1/13/10)

2010 HCPCS Drug Codes (Posted 12/17/09)

2010 E-Prescribing (Posted 12/17/09)

CMS Posts New FAQ on HCPCS/CPT Codes and Medicare Recovery Audit Contractors (Posted 12/11/09)

CMS Issues Correction to 2010 Medicare Conversion Factor (Posted 12/11/09)

CMS Streamlines the 2010 Medicare Electronic Prescribing Bonus Program (Posted 12/11/09)

Congressional Action on Medicare Payment Reductions for 2010 (Posted 12/7/09)

Billing Medicare for Consultations is History (Posted 12/7/09)

Oh Where, Oh Where Should the Modifier Go? (Posted 12/7/09)

ABN Modifiers More Specific in 2010 (Posted 12/7/09)

Folotyn (pralatrexate injection) Update (Posted 12/7/09)

Dr. John Azar gives Statement to Local News (Posted 12/7/09)

Update to Medicare Deductible, Coinsurance, and Premium Rates for 2010 (Posted 12/7/09)

January 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions
to Prior Quarterly Pricing Files

CMS Physician Fee Schedule 2010 Final Rule

Calculate the Impact of the 2010 Medicare Cancer Care Cuts

2010 Drug Billing Code Additions/Changes

HHS Issues New Regulations on Breaches of Security Involving Medical Information

H1N1 Vaccine Coding Guidelines from CIGNA

Here's How to Get Paid for Administering H1N1 Vaccine

ICD-9 Update: Take Your Oncology Coding Specificity Up a Notch With 7 2010 Changes

Quarterly Update to Correct Coding Initiative (CCI) Edits Version 15.3, Effective October 1, 2009

October 2009 Average Sales Price (ASP) Files Are Now Available

Usually Self Administered Drug List

Palmetto Releases Maximum Allowed Unit Listing for Drugs!

Addition and Deletion of HCPCS Codes: October 2009 Quarterly Update

New Information on ICD-10-CM Diagnosis Codes

Medicare Coverage and Reimbursement Rules for the H1N1 Vaccine and Seasonal Flu Coverage
and Reimbursement

2009 4th Qtr ASP Medicare Part B Drug Pricing Files & Revisions

The Appropriate Use of the GA and GY Modifier with an Advance Beneficiary Notice of Noncoverage
(ABN)

Healthcare Common Procedure Coding System (HCPCS) Quarterly Update

New Task Force to Combat Fraud and Abuse

Expansion of Medicare Part B Claims Editing for Ordering/Referring Providers

Medicare Updates Instructions on Billing Routine Costs of Clinical Trials (Part A and B)

Cigna Modifier Fact Sheet

CMS publishes a new Medicare Secondary Payer Fact Sheet

Medicare & Medicaid Internet-based PECOS Enrollment of Physicians and Non-physician
Practitioners

CMS 2009 Incentive Programs

A Review of E-Prescribing

Urgent - Mountain State Blue Cross Blue Shield Reimbursement Alert!

CPT 96367 and Mountain State Blue Cross

WV Medicaid & Treanda-J9033

Smoking and Tobacco-use Cessation Counseling

CME Credit for Learning

Palmetto GBA Awarded Contract for West Virginia's New MAC - Read about the Protest that has
this award on hold!

AMA CPT Codes for 2009

New HCPCS Codes Effective January 1, 2009

Audits - Make Sure Your Documentation Will Stack Up!

Guidance on Recent ESA Label Changes from ASCO

Physician Signature on Lab Orders NOT Required!

CMS releases 2009 Medicare Physician Fee Schedule (PFS) FINAL Rule

Medicare Releases an E & M Management Services Guide

West Virginia Legislative & West Virginia Reimbursement Links