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August 16, 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.
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Don't Be Left Out,
Register Today
The FMA Annual Meeting
and Medical Expo is right around the corner. Have you registered? If not, you
don't want to miss out on this very important event! The deadline for
pre-registration is Friday, August 17, 2007.
Some of the exciting events scheduled at this year's meeting include:
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FLAMPAC Good
Government Luncheon - Former Massachusetts Governor, Mitt Romney, will be
the special Guest Speaker for this annual luncheon. Governor Romney has been
widely recognized for his leadership and accomplishments as a public servant and
in private enterprise. He is currently seeking the Republican nomination for
President of the United States. This event is being held on Friday, Aug. 24,
from 12:00 p.m. - 1:30 p.m. in the Atlantic Ballroom. Tickets for lunch are $75
per person.
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Physician's Art
Show - The FMA Physician's Art Show will begin on Friday, Aug. 24, from
11:00 a.m. - 4:00 p.m. and will continue during the Foundation's Wine Fest from
5:00 p.m. to 7:00 p.m. in the Exhibit Hall. On Saturday, Aug. 25, the art show
will reopen from 7:00 a.m. - 2:00 p.m. The awards ceremony will begin at 2:00 pm
inside of the main Exhibit Hall. While visiting our many exhibitors in the trade
show, be sure to stop by and view the beautiful works of art that are on
display.
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Silent Auction
- The Florida Medical Association Foundation's Silent Auction will begin on
Friday, Aug. 24, from 11:00 a.m. - 4:00 p.m. and will continue during the
Foundation's Wine Fest from 5:00 p.m. to 7:00 p.m. in the Exhibit Hall. On
Saturday, Aug. 25, the auction will reopen for bidding from 7:00 a.m. - 2:00
p.m. Winners will be posted by 5:00 p.m. on Saturday, Aug. 25, at the FMA
Registration Desk.
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FMA Foundation's
Wine Fest -This year's wine fest will feature premier wines from around the
world and will include hors d'oeuvres and entertainment. The event is being held
on Friday, Aug. 24, from 5:00 p.m. - 7:00 p.m. in Exhibit Hall. This is a
fundraising event and tickets are $50 per person.
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South Beach Party
Lunch in Exhibit Hall - Come join us at the beach party and have lunch with
the entire family. Enjoy hamburgers, hotdogs, milkshakes, and other fun treats!
There will be numerous prizes to win from our exhibitors. Also, the FMA Grand
Prize Vacation Giveaway of a 5 days/4 nights Island Hopper Vacation Package will
take place during this time. Remember to stop by each exhibitor's booth and sign
up for all giveaway drawings. Our many thanks to our event sponsors: Regions
Bank and Regions Morgan Keegan Trust. This event will be held on Saturday, Aug.
25, from 12:30 p.m. - 2:00 p.m. located in the Grand Ballroom.
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Florida Medical
Colleges' Alumni Dessert Reception in the Exhibit Hall - A selection of
assorted desserts is being served in our Florida Medical Colleges' designated
alumni areas. Look for your school colors and enjoy being a part of your Alumni
celebration! The event will take place in the Grand Ballroom on Friday, Aug. 24,
from 1:30 p.m. - 2:30 p.m. No ticket purchase necessary.
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FMA/FMAA
President's Installation Reception - An evening of fine dining and lively
entertainment, as we install our new FMA and FMA Alliance Presidents on
Saturday, Aug. 25, from 6:30 p.m. - 9:30 p.m. in the Diplomat Ballroom. Tickets
for dinner are $85 per person.
Guide to Medicare
Preventive Services Second Edition
The second edition
of The Guide to Medicare Preventive Services for Physicians, Providers,
Suppliers, and Other Health Care Professionals is now available in a
downloadable format from the Centers for Medicare & Medicaid Services (CMS),
Medicare Learning Network (MLN). This comprehensive guide provides
fee-for-services health care providers and suppliers with coverage, coding,
billing, and reimbursement information for preventive services and screenings
covered by Medicare. This guide gives medical professionals and their staff the
information they need to help recommend Medicare-covered preventive services and
screenings that are appropriate for their Medicare patients. It also provides
information needed to bill Medicare effectively for services furnished. To view
this guide online
click here.
Avoid
Medicare Provider Enrollment Delays
Did you know that
incomplete applications result in significant delays? First Coast Service
Options, Inc. (FCSO) pre-screens enrollment applications to verify required data
elements and supporting documentation. Applications will be returned without
further review if certain conditions exist. The most common reasons for returned
applications include:
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An outdated version of the
CMS-855 application(s) was submitted. Only the 06/06 versions are accepted.
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The CMS-855 and/or CMS-588 EFT
application was not signed in ink and/or dated.
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All required applications in the
reassignment package were not submitted.
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The CMS-855R application was
signed by an unauthorized official.
FCSO processes applications in
the order they are received. Providers must correct and resubmit applications
that are returned by FCSO. Resubmitted applications are considered a new receipt
and will be processed in the order of receipt. The most common items missing
from applications include:
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Medical or professional
licenses, occupational licenses, certifications, and registrations required by
Federal or State law.
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National Provider Identifier (NPI)
notification letters from NPPES.
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Business licenses such as
occupational licenses (business tax receipts).
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Internal Revenue Service (IRS)
CP-575 documentation.
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Interim sales agreements.
If an application is missing at
least one required data element or supporting document, FCSO will send you a
letter (referred to as a pre-screening letter), via fax, requesting the
information required to continue processing your application. When a fax number
is not available, FCSO will mail this letter to the correspondence address noted
in the application. Providers have 60 days from the date of the pre-screening
letter to return all requested information. If the requested information is not
returned in 60 days, FCSO will reject the application. Once rejected, the
provider must resubmit the application, which will be processed in the order of
receipt.
For more information on provider enrollment, click on the following links:
http://www.floridamedicare.com/Reference/General_Topics/Provider_Enrollment/109011.pdf
http://www.cms.hhs.gov/manuals/downloads/pim83c10.pdf
2007 Physician Quality
Reporting Initiative Update
It's been one month since reporting quality data codes for the 2007 Physician
Quality Reporting Initiative (PQRI) on claims for dates of service starting July
1 through December 31, 2007 began. Eligible professionals participating in the
2007 PQRI indicate that the PQRI tool kit and data collection worksheets are an
asset to successful reporting. Provider organizations report successful
reporting by their members. Information about the 2008 PQRI was released in the
Notice of Proposed Rulemaking for the 2008 Medicare physician fee schedule (MPFS).
To ensure successful reporting, the CMS brings to your attention the following
items:
Use of Modifiers with PQRI Quality Data Codes -
The PQRI quality data codes should only be reported with CPT II modifier(s) 1P,
2P, 3P, or 8P, if applicable. If any other modifier, i.e., CPT I modifier or
HCPCS Level II modifier, is placed on the same line as a PQRI code, it may cause
the claim to be rejected or denied as an invalid procedure/modifier combination.
New information is continually added to the most reliable source of information
for the 2007 PQRI - the CMS Web site. To access the Web site,
click here.
Important Notice Regarding Vaccine Administrations in 2008
Section 202(b) of the Tax Relief and Health Care Act of 2006 (TRHCA) established
a permanent policy for payment by Medicare for administration of Part D-covered
vaccines, beginning in 2008. Specifically, the policy states that, MLN Matters
Number: SE0723 Related Change Request Number: N/A effective January 1, 2008, the
administration of a Part D-covered vaccine is included in the definition of
"covered Part D drug" under the Part D statute. During 2007, in transition to
this new policy, providers were permitted to bill Part B for the administration
of a Part D vaccine using a special G code (G3077). SE0723 now reminds providers
of the requirement that payment for the administration of Part D covered
vaccines only during 2007. Therefore, effective January 1, 2008, you can no
longer bill the G code to Part B; rather you will need to bill the patient for
the vaccine and its administration, and the patient will need to submit the
claim to the Part D plan for reimbursement. For more
information,
click here.
Drowning Prevention
Awareness Study
The Florida Department of Health has completed a pilot study on Drowning
Prevention Awareness. The study was done in Dade and Broward County by Nova
Southeastern University. To view the study,
click here.
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