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Provider Outreach and Education Advisory Group (POE-AG) Minutes: February 17, 2021


Facilitator
Wendy Weary, POE Supervisor

Palmetto GBA Attendees

Belinda Marin POE Manager
Areka Freeman POE Senior Provider Relations Representative
Marlene Frierson POE Senior Provider Relations Representative
Judy Brown Senior Provider Education Consultant
Sandra Booker Senior Provider Education Consultant
Tamika Woodard Senior Provider Education Consultant

Palmetto GBA welcomed all the POE-AG Members

In attendance

Name

Company

Amy Drake CMS
Bonnie Windham Wingcorp Management Service
Cathy Patterson Medical Center of Central Georgia/Navicent Health
Charlene Allen Life Care Centers of America
Gene Lee Cullman Regional Medical Center
Tunisia Chaney Maury Regional Medical Center
Lauren Gray Maury Regional Medical Center
Laurie Holtsford Baptist Health
Paula Garrett Granview Medical Center
Susan Scutt Life Care Centers of America
Tammy Calvert Maury Regional Medical Center
Yolandia Addison

Wellstar Health Systems

Welcome
POE-AG member were welcomed by the facilitator.

POE-AG Charter 
Review of Goals and Purpose — Part A POE-AG Charter

The POE Advisory Group is a members-only group that assists Palmetto GBA in the creation, implementation, and review of provider education and training strategy and efforts. This group provides input and feedback on training topics, educational materials, and provider education events which allows us to better communicate with and respond to the needs of those involved in administering care to Medicare beneficiaries.

If you are interested in learning more about this group or would like to nominate someone for this group, email a completed Provider Outreach and Education Advisory Group (POE-AG) Membership Request Form (PDF, 63 KB).

Old Business: Prior POE-AG Suggestions and Recommendations 

Feedback
Members had no further feedback.

New Business
POE-AG Education Suggestions and Recommendations 

Feedback: A member stated they appreciate the interactive modules and use them often. Also, the website offers easily accessible education.

Website Enhancement

  • New Navigation
    1. Change You Do Make a Difference to Take Our Satisfaction Survey and See the Results 1/12
    2. Take Our Satisfaction Survey and See the Results Banner 1/14
    3. Palmetto GBA Education Events banner 1/25
  • eServices
    1. eServices Extends Administrator Unlock Feature Beyond 30 Days Re-listserved 1/26
    2. How do I register for eServices? Re-listserved 1/28
    3. How do I administer users? Re-listserved 1/28
    4. Managing Multiple eService Accounts Is Easier with Account Linking Re-listserved 1/29
    5. Do You Have a Question Regarding eServices? We Can Help! Re-listserved 1/6, 1/20, 1/29

Feedback: A member stated they love eServices and the information it provides. They made a suggestion for enhancement to the remittance tab to include details about financial adjustments.

  • New Self-Service Tools
    1. Open Meeting Recordings 1/27
    2. EDI Online Enrollment Application 1/14
    3. Integrated Outpatient Code Editor and Medicare Code Editor Module 1/22
    4. Diagnosis Related Group (DRG) 227 Module 1/14
    5. COVID-19 vaccine and monoclonal antibody billing for Part A providers Revised 2/3
  • Revised Self-Service Tools
    1. Limitations on the Recoupment of Medicare Overpayments module revised 1/26
    2. Medicare Made Easy revised 1/5
    3. Medicare Credit Balance Report Module revised 1/15

Web Based Trainings (WBTs): The most viewed WBTs

  December January
JJ Part A EDI Enrollment Instructions Guide Module — 138 views Medicare Credit Balance Report Module - 177 views

Feedback: A member stated they were having difficulty accessing the Medicare Credit Balance Report. Palmetto GBA advised to use Microsoft Edge or Chrome as the Browser and this solved the problem.

Upcoming Part A Education Events

  • 2 -23 QIC Appeals Demonstration Webinar
  • 2-24 Ask the Contractor Teleconference at 11 am
  • 3 -2 Beneficiary Care Deficits Innovation Initiative: Annual Depression Screening
  • 3-17 JJ/JM Part A Quarterly Medicare Updates Webinar at 11 a.m.
  • 3 -30 Hyperbaric Oxygen (HBO) G0277 Webinar
  • 5-18 Mayfest Virtual Workshop

Feedback: A member suggested Medicare Secondary Payer (MSP) updates be provided as a Mayfest session. There are always questions concerning MSP and routine education is recommended.

CMS Initiatives

MLN Matters Articles

FAQs on thee-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients
CMS issued a new MLN Matters Special Edition Article SE20024 on FAQs on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients. Learn about procedures and resources to avoid billing errors.

New and Expanded Flexibilities for RHCs and FQHCs during the COVID-19 PHE
CMS revised MLN Matters Special Edition Article SE20016 on New & Expanded Flexibilities for RHCs & FQHCs during the COVID-19 PHE (PDF, 247.99 KB) to provide additional guidance on cost-sharing for telehealth services.

Publications  

Major Joint Replacement (Hip or Knee)

CMS revised the MLN booklet Major Joint Replacement (Hip or Knee). Learn about:

  • Documentation
  • Coverage requirements
  • Coding

Medicare Preventive Services
CMS revised the MLN educational tool Medicare Preventive Services. Learn about:

  • Coding
  • Coverage
  • Copayment/coinsurance and deductible

Medicare Provider Enrollment
CMS revised the MLN educational tool Medicare Provider Enrollment. Learn about:

  • Eligibility and process
  • Application fee for institutional providers
  • Revalidation
  • Provider Enrollment, Chain and Ownership System (PECOS)

Opioid Treatment Programs (OTPs) Medicare Billing and Payment
CMS revised MLN fact sheet Opioid Treatment Programs (OTPs) Medicare Billing and Payment. Learn about:

  • Covered services
  • Coding and submitting claims
  • Payment and remittance advice

Opioid Treatment Programs (OTPs) Medicare Enrollment
CMS revised MLN fact sheet Opioid Treatment Programs (OTPs) Medicare Enrollment. Learn about:

  • Completing and submitting your application
  • What to expect

Provider Compliance Tips
CMS revised the following MLN fact sheets with provider compliance tips. Learn about coverage and documentation requirements to prevent claim denials.

Provider Compliance Tips for Tracheostomy Supplies
CMS revised the MLN fact sheet Provider Compliance Tips for Tracheostomy Supplies. Learn about:

  • Coverage criteria
  • Refill requirements
  • How to prevent denials

Web-based Training

Diagnosis Coding: Using the ICD-10-CM Web-Based Training Course
A revised Diagnosis Coding: Using the ICD-10-CM Web-Based Training (WBT) course is available through the MLN Learning Management System. Learn how to:

  • Recognize features
  • Find correct codes
  • Identify structure and format

Procedure Coding: Using the ICD-10-PCS Web-Based Training Course
A revised Procedure Coding: Using the ICD-10-PCS Web-Based Training (WBT) course is available through the MLN Learning Management System. Learn how to:

  • Recognize features
  • Find correct codes
  • Identify structure and format

CERT A/B MAC Outreach & Education Task Force Education Resources

From the Desk of the MAC Medical Directors:

Open Discussion
Members had no further discussion and the meeting was concluded.

Next JJ Part A POE-AG teleconference is May 10, 2021, at 11 a.m.





Last Updated: 03/02/2021