California Oncology Weekly 9-29-15

The California Healthcare Compare website was launched on September 21, 2015, that will allow health care consumers to check prices paid for medical care and scores on the quality of care.For more information click here.


Noridian/JEMAC has posted the following updates to their website (http://med.noridianmedicare.com/web/jeb):
* Non-Covered Services-R3
* Immune Globulin Intravenous (IVIg) Final LCD-Effective November 7, 2015. For more information click here.


DHCS/Medi-Cal is one of four state Medicaid programs that will not fully transition to ICD-10 code sets by October 1. DHCS/Medi-Cal will use a technique to translate the new codes into the ICD-9 format. For more information click here.


The Berkeley Research Group (BRG) conducted a study on the 340B drug discount program. The findings are released and are very interesting.  COA is hosting a webinar to share the findings.  For more information click here.


A claim cannot contain both ICD-9 codes and ICD-10 codes. Insurance payers required to accept ICD-10 under HIPPA Administrative Simplification will not pay claims containing both ICD-9 and ICD-10 codes. Many providers and payers, including Medicare, have already coded their systems to allow only ICD-10 codes beginning October 1, 2015. For more information click here.

 

Register now for CMA’s ICD-10: An Overview webinar, tomorrow, September 23rd, presented by the American Academy of Professional Coders (AAPC). The webinar will present an overview of specificity, dual processes, chronic conditions, medical policies, and case examples and is free to CMA members ($99 for non-members) and is intended as a final review for those who have a base knowledge of ICD-10. Click here for more information.

Noridian/JEMAC has posted the following updates to its website (http://med.noridianmedicare.com/web/jeb):
* MLN Connects Provider eNews
Countdown to ICD-10–Physician Orders for Lab, Radiology Services, and Other Services after ICD-10 Implementation; Use of Unspecified Codes in ICD-10-CM; Get ICD-10 Answers in One Place
Calls and Events–Medicare Quality Reporting Programs: 2017 Payment Adjustments Call–Last Chance to Register. Click here for more information.

The Cancer Care Payment Reform Act of 2015 (HR1934) is new legislation for oncology payment reform that seeks to establish a national Oncology Medical Home (OMH) demonstration project under Medicare. The purpose of the legislation is to improve the quality of care and cost efficiencies for both cancer patients and taxpayers. Click here for more information.

Read ACCC’s comment on CMS’s proposed 2016 Medicare Physician Fee Schedule at http://accc-cancer.org/advocacy/pdf/2016-Proposed-PFS-ACCC-Comment-Letter-to-proposed-rule.pdf.

To view the complete California Oncology Weekly Newsletter, click on the link below.

September 22, 2015

The California Medical Association (CMA) will host a webinar entitled ICD-10: An Overviewon September 23; register at www.cmanet.org/events/detail/?event=icd-10-staying-compliant.
For more information click here.

Noridian/JEMAC has posted the following updates to its website (http://med.noridianmedicare.com/web/jeb):
* Countdown to ICD-10–ICD-10 Coding and Clinical Documentation Resources; Find ICD-10 Information Online Just Got Easier
* ICD-10 EDI Front-End Edits.  For more information click here.

DHCS/Medi-Cal is one of four state Medicaid programs that will not fully transition to ICD-10 code sets by October 1. Instead, DHCS/Medi-Cal will use a technique to translate the new codes into the ICD-9 format. For more information click here.

Congress has returned to work and ANCO and MOASC urge members to contact their Congressional representatives in support of the Patients’ Access to Treatments Act (HR1600) that would rein in excessive coinsurance practices for “specialty tier” drugs that limit patient access to essential treatments; the Planning Actively for Cancer Treatment (PACT) Act (HR2846) that would provide coverage for cancer care planning and coordination under Medicare…. For more information click here.

ASCO and ASH have commented on CMS’s proposed Medicare Physician Fee Schedule (MPFS) for 2016. ASCO calls on CMS to reconsider revisions to payment policies that could be administratively burdensome to oncology practices and result in reimbursement that inadequately supports optimal cancer patient care and makes 23 specific recommendations that focus on patient care, physician payment, quality of care, and other important issues. For more information click here.

To view the complete California Oncology Weekly Newsletter, click on the link below.

Newsletter 9-15-2015

This Friday is Patriot Day, the National Day of Service and Remembrance, which is observed each September 11th in memory of all of those who perished in the 2001 attacks. In his proclamation, the president said, “As we remember all those we lost on that day and the Americans who made the ultimate sacrifice in the wars that followed, we must strive to carry forward their legacy. On this National Day of Service and Remembrance, we take up their unfinished work and pay tribute to their lives with service and charity. Through these acts and quiet gestures, we can honor their memory and reclaim our sense of togetherness. I encourage all Americans to visit www.Serve.gov to learn more about service opportunities across our country.”