Jurisdiction L (JL) Educational Events Calendar

Monday, December 2

Start:

10:00 a.m.

End

11:30 a.m..

StayConnected: Medicare Program Fundamentals

Stay connected as a new provider in Medicare by attending the New Provider Roadmap Workshop series. Start your journey on the New Provider Roadmap and join our presentation to learn about the fundamentals of the Medicare Program from the provider's perspective. This webinar will explore the basics of Medicare, covered and non-covered services, benefit eligibility, deductibles and Medicare reimbursement.

1.5

Monday, December 2

Start:

2:00 p.m.

End

3:30 p.m.

StayConnected: Enrolling in Electronic Billing

Stay connected as a new provider in Medicare by attending the New Provider Roadmap Workshop series. Learn about the endless advantages of electronic billing and let us guide you through starting the enrollment process today. This webinar will explore electronic billing benefits, products and services, enrollment forms, common enrollment scenarios and resources.

1.5

Tuesday, December 3

Start:

10:00 a.m.

End

11:30 a.m.

End Stage Renal Disease (ESRD) Services Billing and Documentation Guidance

This webinar will provide an overview of the End Stage Renal Disease (ESRD) Medicare benefit. We will review the Part A and B provider's role in compliance, including meeting purposeful documentation requirements and avoiding improper billing errors commonly identified by the Comprehensive Error Rate Testing (CERT) program and Targeted Probe and Educate (TPE) reviews.

1.5

Tuesday, December 3

Start:

2:00 p.m.

End

3:30 p.m.

StayConnected: Get Started with Part A Medicare Billing

Stay connected as a new provider in Medicare by attending the New Provider Roadmap Workshop series. A key factor in becoming a successful provider and biller is to know how to complete and submit Medicare Part A claims. The webinar will continue traveling the New Provider Roadmap by exploring how to get started with claim submission, claim submission guidelines, form locator on the CMS-1450/UB-04 claim form and helpful self-service tools.

1.5

Wednesday, December 4

Start:

11:00 a.m.

End

12:30 p.m.

Repetitive Scheduled Non-Emergent Ambulance Transports (RSNAT) Prior Authorization Requirements

This webinar is for Part B ambulance suppliers enrolled as an independent ambulance supplier that bills for repetitive scheduled non-emergent ambulance transports. Under prior authorization, the supplier submits the prior authorization request and supportive medical documentation to the Medicare Administrative Contractor (MAC) and receives an affirmed or non-affirmed decision prior to rendering the service. Prior authorization helps ensure that applicable coverage, payment and coding rules are met before services are rendered. This webinar will review the ambulance benefit policy, submission requirements, documentation guidelines, and end with an overview of common avoidable reasons providers receive a non-affirmed decision.

1.5

Wednesday, December 4

Start:

1:00 p.m.

End

2:30 p.m.

Cardiology Non-Emergent Outpatient Stress Testing

This session will examine the noninvasive testing in the outpatient setting to assess for coronary artery disease (CAD) and left ventricular (LV) dysfunction by utilizing conventional exercise stress testing without imaging or by utilizing exercise or pharmacologic stress testing with imaging. We will review coverage, reasonable and necessary indications, limitations and provider qualifications for this procedure.

1.5

Wednesday, December 4

Start:

2:30 p.m.

End

4:00 p.m.

StayConnected: Get Started with Part B Medicare Billing

Stay connected as a new provider in Medicare by attending the New Provider Roadmap Workshop series. A key factor in becoming a successful provider and biller is to know how to complete and submit Medicare Part B claims. The webinar will continue traveling the New Provider Roadmap by exploring how to get started with claim submission, claim submission guidelines, fields on the CMS-1500 claim form and helpful self-service tools.

1.5

Thursday, December 5

Start:

2:30 p.m.

End

4:00 p.m.

StayConnected: How to Appeal a Part A Medicare Claim Decision

Stay connected as a new provider in Medicare by attending the New Provider Roadmap Workshop series. Discover options available to providers when they disagree with Medicare's claim decision. This webinar will continue through the New Provider Roadmap by conducting an appeals overview, levels of appeals, redetermination process, methods to submit an appeal and self-service tools.

1.5

Friday, December 6

Start:

11:00 a.m.

End

12:30 p.m.

Successfully Complete Your Medicare Revalidation

Revalidation of your enrollment record to ensure it reflects the most current information is a requirement for compliance in the Medicare program. This webinar will provide an overview of the provider enrollment revalidation process, including how to identify revalidation due dates, how to complete and submit a revalidation application, and how to monitor the processing status of the application once submitted. We will review the new "stay of enrollment" status imposed on providers if the requirement to revalidate is not completed in its entirety. We will also review the requirements for the new Skilled Nursing Facilities (SNF) attachment that is a part of the updated CMS-855A application.

1.5

Friday, December 6

Start:

2:00 p.m.

End

3:30 p.m.

StayConnected: How to Appeal a Part B Medicare Claim Decision

Stay connected as a new provider in Medicare by attending the New Provider Roadmap Workshop series. Discover options available to providers when they disagree with Medicare's claim decision. This webinar will continue traveling the New Provider Roadmap by conducting an appeals overview, levels of appeals, redetermination process, methods to submit an appeal and self-service tools.

1.5

Tuesday, December 10

Start:

10:00 a.m.

End

11:00 a.m.

Novitasphere Redesign Overview Part B

Novitasphere is our free, secure internet portal available for use by our JH and JL providers, facilities, billing services, clearinghouses and support staff. Novitasphere released a redesigned new user interface (UI) for Novitasphere on December 9. This webinar will introduce Part B Novitasphere users to the redesigned screens for current features and several feature enhancements. Join us to learn more.

1.0

Tuesday, December 10

Start:

2:00 p.m.

End

3:30 p.m.

Updates for the Hospital Outpatient Department (OPD) Prior Authorization (PA) Program

This webinar will review the prior authorization (PA) program for hospital outpatient department (OPD) services. Under prior authorization, the provider submits the prior authorization request (PAR) and supportive medical documentation to the Medicare Administrative Contractor (MAC) and receives an affirmed or non-affirmed decision prior to rendering the service. As a condition of payment, a PAR is required for the following hospital OPD services: blepharoplasty, blepharoptosis repair, and brow ptosis repairs; botulinum toxin injections; panniculectomy, excision of excess skin and subcutaneous tissue (including lipectomy), and related services; rhinoplasty and related services; vein ablation and related services; cervical fusion with disc removal, implanted spinal neurostimulators, and facet joint interventions. This webinar will review the PAR process review decision timeframes, common avoidable reasons for non-affirmations and documentation guidelines highlighting cervical fusion with disc removal and facet joint interventions. Members of our PA team will be available for your questions relating to the PA program.

1.5

Wednesday, December 11

Start:

10:00 a.m.

End

11:30 a.m.

Skilled Nursing Facility (SNF) Series: SNF 5-Claim Probe and Educate and Understanding the Patient Driven Payment Model (PDPM)

The next webinar in our Skilled Nursing Facility (SNF) series will review the SNF 5-Claim Probe and Educate initiative and how it relates to the Patient Driven Payment Model (PDPM). In this session, we will explore SNF payment resources and self-service tools available.

1.5

Wednesday, December 11

Start:

11:30 a.m.

End

1:00 p.m.

Preparing Your Patients for a Healthy Future

Prepare your patients for the future by understanding which preventive services may have been part of their past. Utilize Novitasphere which is our free, secure internet portal available for use by our providers, facilities, billing services, clearinghouses and support staff. This webinar will review some available preventive services, the next eligible date for a patient, and provide an overview of the portal including eligibility and how it is used when billing for preventive services.

1.5

Wednesday, December 11

Start:

1:00 p.m.

End

2:30 p.m.

Modifier of the Month: Fundamentals of Global Surgery - Part 1

During this two-part series, you'll discover the global surgery concept, as well as the correct use of modifiers for visits and other procedures within the global surgical period. We'll examine the basics of global surgery and explore evaluation and management modifiers (24, 25, 57 and FT) while demonstrating how to appropriately apply these modifiers, as we guide you through billing scenarios and reimbursement methodologies for surgical situations.

1.5

Thursday, December 12

Start:

10:00 a.m.

End

11:30 a.m.

Skilled Nursing Facility (SNF) Series: Consolidated Billing

This webinar in our Skilled Nursing Facility (SNF) series is designed to educate Medicare providers on SNF consolidated billing (CB). We will discuss the inclusions and exclusions with an explanation of the major categories. We will review the annual coding files and highlight tips for successful billing. We will conclude with SNF CB scenarios and examine the resources available.

1.5

Friday, December 13

Start:

10:00 a.m.

End

11:30 a.m.

Modifier of the Month: Fundamentals of Global Surgery Surgical Modifiers - Part 2

During this two-part series, you'll discover the global surgery concept, as well as the correct use of modifiers for visits and other procedures within the global surgical period. We'll examine the basics of post-operative and surgical modifiers (54, 55, 58, 78, 79, 50, and LT/RT,) while demonstrating scenarios to appropriately apply these modifiers, guiding you through billing scenarios and reimbursement methodologies for various surgical situations.

1.5

Friday, December 13

Start:

1:00 p.m.

End

2:00 p.m.

Novitasphere Redesign Overview Part A

Novitasphere is our free, secure internet portal available for use by our JH and JL providers, facilities, billing services, clearinghouses and support staff. Novitas released a redesigned new user interface (UI) for Novitasphere on December 9. This webinar will introduce Part A Novitasphere users to the redesigned screens for current features and several feature enhancements. Join us to learn more.

1.0

Tuesday, December 17

Start:

12:00 p.m.

End

1:00 p.m.

A/B MAC Collaborative Lower Limb Orthoses Webinar

This is your opportunity to hear directly from the Medicare contractors regarding Medicare’s criteria necessary for the coverage of lower limb orthoses. Representatives from all four DME MAC jurisdictions will join the Part A/B education staff to explain what is required in the medical records, orders, and related documentation to support the coverage. Plenty of time will be allowed for questions during this webinar so we hope you will join the Medicare Administrative Contractors on December 17, 2024, for this valuable education opportunity.

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Tuesday, December 17

Start:

1:00 p.m.

End

2:30 p.m.

Evaluation and Management Services: The Basics

This webinar is designed to provide resources for understanding E/M coding and locating the requirements for Medicare. In addition, we'll provide an overview of recent E/M revisions finalized for 2025. This self-help course will assist you in locating readily available information on our E/M Center.

1.5

Wednesday, December 18

Start:

10:00 a.m.

End

11:30 a.m.

Overview of Medicare Coverage and Guidelines for Ophthalmology Services

This webinar will provide an overview of the Medicare benefit category related to vision services. We will review ophthalmology services and discuss related National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and related Internet Only Manual (IOM) guidelines. We will conclude with on overview of Medicare resources to assist with navigating to and identifying beneficial resources and self-help tools.

1.5

Thursday, December 19

Start:

11:00 a.m.

End

12:30 p.m.

Self Service Tools and You: Navigating the Self Service Tools

The Novitas website offers a variety of tools and resources to help you answer your Medicare questions. Join us as we demonstrate helpful self-service tools and users guides on the website to help you save time and money.

1.5

Thursday, December 19

Start:

1:00 p.m.

End

2:30 p.m.

Inpatient Rehabilitation Facility (IRF) Review Choice Demonstration (RCD): how to Prepare

On May 15, 2023, CMS announced the implementation of a Review Choice Demonstration (RCD) for Inpatient Rehabilitation Facility (IRF) services. The IRF RCD provides flexibility and choice for IRFs, as well as a risk-based approach to reduce burden on providers demonstrating compliance with Medicare IRF rules. IRFs will initially select between pre-claim review (PCR) or postpayment review. The IRF RCD was implemented June 17, 2024, for IRFs located in Pennsylvania and billing to the Novitas JL contract. CMS plans to expand the IRF RCD to other states within the JL and JH contracts over the 5-year RCD implementation period. Join us for an informational webinar to review the program requirements and expectations of the IRF RCD and learn more about how to prepare.

1.5