April 19, 2007

The FMA E-News is emailed to all members of the Florida Medical Association semimonthly. The FMA, located in Tallahassee, Fla., serves as an advocate for physicians and their patients to promote the public health, to ensure high standards in medical education and ethics, and to enhance the quality and availability of health care.


Medicaid Changes
Florida Medicaid began requiring the use of the National Drug Code (NDC) for all HCPCS level II J, Q, and S codes for injectable medications that are purchased and administered in the physician's office effective for claims submitted after January 7, 2007.  This information must be entered on the revised CMS-1500(08-05) claim form.  Edit 241, "NDC missing," was posted to claims when the NDC was not listed, but claims were paid during a grace period.  Effective April 1, 2007, this edit will deny when claims are submitted without an NDC.
 
Also, as a result of the Federal Deficit Reduction Act (DRA), Florida Medicaid is reimbursing for J, Q, and S codes only when the NDC is with a manufacturer that has a rebate agreement.  Medicaid has posted the "Current List of Drug Rebate Manfuacturers" on the AHCA website.  It can be accessed here under the "What is New in Medicaid" heading.  Providers will be notified through the e-mail alert system.

 

Upcoming Waiver Seminars
At the conclusion of the legislative session, the FMA, in partnership with the county medical societies, will resume its waiver seminars. Please check the FMA Web site at www.fmaonline.org for newly added sessions. The following seminars are currently scheduled and are available to physicians only. For more information, please contact the FMA at 800.762.0233 or RSVP through the county medical society.

May 16, 2007 - Martin County Medical Society
Martin Memorial Health Systems
200 SE Hospital Ave.
Stuart, Fla. 34994
Time: 6:00 p.m.
772.287.5200
www.mmhs.com

May 17, 2007 - Citrus County Medical Society
Citrus Hills Golf & Country Club
509 E Hartford St
Hernando, FL 34442

Time: 6:30 p.m.
352.344.9822


 

Member Spotlight

The FMA would like to congratulate Carl Brumback, M.D., M.P.H., who was recently awarded the Palm Beach County Medical Society Lifetime Achievement Award at the 2007 Heroes in Medicine Awards Luncheon. Dr. Brumback, a lifetime member of the FMA, served for many years as Chair and key member of the FMA's Committee on Public Health and currently serves as a member of the FMA Foundation's Committee on the Museum of Medicine and Public Health.  He was honored for his unsurpassed achievement on behalf of public health in Palm Beach County and the State of Florida.  Dr. James Howell, an FMA member for 37 years, was also honored.  He was awarded the Physician Hero in Medicine Award.

We are proud to announce that Thomas Hicks, M.D., an FMA member for 27 years, recently accepted a position on the State Office of Vital Statistics workgroup.  This workgroup will be involved in the development and planning of the Electronic Death Registration (EDR) system for Florida.


 

Medicare Provider Contact Center - Training Plan for May
Customer service representatives will be undergoing training during the month of May.  The Florida Medicare Part B Provider Contact Center will be closed for business on the following dates:

• Friday, May 04, 2007 from 8:00 – 10:00 a.m.
• Friday, May 11, 2007 from 8:00 – 10:00 a.m.
• Friday, May 18, 2007 from 8:00 – 10:00 a.m.
• Friday, May 25, 2007 from 8:00 – 10:00 a.m.

Although the customer service representatives will not be available, the Medicare Part B IVR (Interactive Voice Response) unit at 877.847.4992 will be available.  For specific claims information, the IVR hours are:  6:00 a.m. – 6:00 p.m. Monday through Friday.  For recorded information on current Medicare issues, the IVR hours are:  24 hours a day, 7 days a week.  First Coast Service Options, Inc., the Florida Medicare Carrier, apologizes for any inconvenience this may cause.

 
Reminder: New NPI Compliance Deadline
The Centers for Medicare and Medicaid Services recently implemented a contingency plan for the former May 23, 2007 deadline for NPI numbers. The new compliance date is May 23, 2008. For more details, please visit the FMA Web site at www.fmaonline.com.
 

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