Provider Outreach and Education Advisory Group (POE AG) Meeting Minutes - December 11, 2018

Roll Call

Noridian Attendees

Claire Anderson, Elizabeth Barton, Kimberly Behrens, Tammy Ewers, Carynne Godfrey, Lu Newell, Annessa Schjeldrup, Krystal Silvers, Tana Williams

POEAG Member Attendance

Angela Amey, Cheryl Bradley, Mitchel Kaye, Greg Labow, Susan LaPadula, Dawn Silva

POEAG Mission and Goals

During each meeting, the Mission and Goals are reviewed.

Prior Meeting Minutes

The September 11, 2018 meeting minutes were distributed to POEAG members and published to the website October 10, 2018.

Prior Suggestions and Recommendations

There POEAG meeting recommendations and/or suggestions from the prior event with updates are reflected below.

Suggestion Date Description Resolution
12/12/17 Part A Remits on Portal Noridian kicked off our project for this functionality in November. We will share information by March 2019 regarding the implementation timeline.
9/11/18 ESRD and AKI webinars Noridian is hosting a Part A webinar on AKI December 12. We are scheduling additional Part A and Part B ESRD and AKI webinars in 2019.
9/11/18 Compliance Training A member asked for more compliance training. Noridian has a Part A/B compliance webpage and Part B has a compliance program education on demand tutorials online. A compliance webinar will be planned for 2019. Learn More: Part A and Part B.
9/11/18 Noridian Medicare Portal (NMP) webinar A member encouraged Noridian to adjust the NMP webinars to draw more attention to what changed by offering an event specific to the new features. Moving forward, there will be a quarterly functionality webinar, quarterly enrollment webinar, and a webinar when new functionality is launched. We have also added Education on Demand tutorials during August and November 2018 to showcase to functionality for Part A and Part B.
11/19/18
email
Part A SNF Payment Model To address the Member request for the December agenda, total transformation of the SNF PART A Payment Model. At this time, the final rule has not been published. In the meantime, watch our website for updates or see attached link: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/therapyresearch.html
and https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/PDPM.html

 

New Agenda Items

Prior to the meeting, Noridian solicited agenda topics from members and evaluated significant program changes to discuss.

  1. New Medicare Card / Medicare Beneficiary Identifier (MBI) Updates: CMS has finished wave six card mailings. All states included in Jurisdiction E mailings is complete. Providers do you know what to do with the beneficiary who states, "I am still waiting for my card?" CMS has resources to help, these resources are available:
  2. 2018-2019 Influenza (Flu) Resources for Health Care Professionals: All health care professionals who order, refer or provide flu vaccines and vaccine administrations to Medicare beneficiary here are some tips from CMS.
    • Take advantage of each office visit as an opportunity to encourage patients to protect themselves from the flu and serious complications by getting a flu shot.
    • Continue to provide the flu shot if you have vaccine available, even after the new year.
    • Remember to immunize yourself and your staff.
    • Annual Part B deductible and coinsurance amounts do not apply.
    • Learn More: CMS Medicare Learning Network (MLN) Matters Special Edition (SE)18015
  3. Review of Opioid Use during the Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV): CMS strongly encourages the review of opioid use during review of the medical and family history while performing the IPPE or the AWV. Providers are encouraged to pay close attention to opioid use to help in the reduction of misuse. It is important that providers introduce prevention, education and treatment to beneficiaries that are possibly at risk.
    Learn more:
  4. Self Service Enhancements
    • Noridian Medicare Portal (NMP) Enhancements:
      • Eligibility Denial Details: When a claim denies for one of the below eligibility-related reasons, select the link under Claim Status in the "Related Inquiries" portion of the page to access the details to assist with determining your next step. Options available are provided below, including an example that is also available within the NMP User Manual.
        • Alien
        • End Stage Renal Disease (ESRD)
        • Incarcerated
        • Skilled Nursing Facility (SNF)/ Inpatient
      • 1099 Functionality – Noridian is working to make 1099 tax information available on our portal. While the goal is to offer this in December, we will advertise the availability when launched via our website, listserv, and education events.
    • Foresee Customer Satisfaction Survey: Continue to encourage peers to improve our website by completing the Foresee website satisfaction survey. We promote this on our website, email signature lines, and events. Recommendations received via the survey allow Noridian to make specific website and portal improvements. Survey Results of all Medicare Administrative Contractors
  5. Medicare Secondary Payer (MSP) – Provider Outreach and Education (POE) A/B MAC Collaboration Group: The POE A/B MAC collaboration group is looking for input on MSP information.  Where do you see denials?  What type of information do you find helpful? What education would be best for your providers?  Here is an idea that we have added to our website for Part A MSP: Diagnosis Driven MSP Claim Rejections
  6. Provider Enrollment: CMS National Provider Enrollment Conference - March 12 and 13, 2019 hosted at the Nashville Music City Center in Nashville Tennessee. Take advantage of this opportunity to interact directly with CMS and Medicare Contractor provider enrollment experts. This event will be hosted by National Supplier Clearinghouse. Register now.
    Topics include:
    • New and Proposed Provider Enrollment Regulations
    • Maintaining Compliance with Enrollment Requirements
    • Setting up Your Access to PECOS and much more

Upcoming Events

Providers can view trainings and seminars available by visiting the "Education and Outreach / Schedule of Events" section of our website.

New POEAG Suggestions and Recommendations

During each meeting, all POEAG members are asked to provide suggestions on ways to increase education, improve training methods, or elaborate on topics discussed during the meeting.

  1. A member asked will MIPS and QPP program going into effect for outpatient PT. What plans do we have for therapists?  Noridian shared the QIO partnership opportunities are being pursued; providers need to be more aware of these opportunities.
  2. Thank you and your team for the Part A Remittance Advices in the portal in advance! Does the 1-800-Medicare take phone calls from attorneys? Noridian will have to research website, 1-800-Medicare, and COBC expectations. Possibly this would help w/ the national outreach.

Next Meeting

Prior to the next meeting Kimberly will be emailing a survey on:
Please respond to the following questions at POEAG@Noridian.com

  1. Why do you attend the POEAG?
  2. What are your suggestions to make the POEAG more successful?
  3. Are you open to change?
  4. What type of education are you looking for? 
    • Webinars?
    • Education on Demand tutorials?
    • Website pages and updates?
    • What works best for your providers?

The next scheduled meeting is March 12, 2019.

Thank you for attending today's meeting, we look forward to working with all of you again.

Last Updated Jan 08, 2019