Provider Outreach and Education Advisory Group (POE-AG) Minutes: April 13, 2021

Published 04/21/2021

JM Part A POE Advisory Group (POE-AG) Minutes
April 13, at 10 a.m. ET

Facilitator
Wendy Weary, POE, Supervisor

Palmetto GBA Members
Belinda Marin, POE, Manager
Areka Freeman, POE Senior Provider Relations Representative
Marlene Frierson, POE Senior Provider Relations Representative
Janae Garnett, POE Senior Provider Relations Representative
Judy Brown, Senior Provider Education Consultant
Sandra Booker, Senior Provider Education Consultant
Tamika Woodard, Senior Provider Education Consultant

Palmetto GBA Welcomed POE-AG Members

Name

Company

David Sweet

Cape Fear Valley Medical Center

Debbie Lee

Mary Washington Healthcare

Diane Paschal

South Carolina Hospital Association

Drucilla Boddie

Sentara Halifax

Jill Fountain

Carilion Clinic

Matilda Jarrett-Davis

Sentara Health

Melanie Parks

Self Regional Health

Michael Womack

Lexington Medical Center

Natalie Hefner

Mercury/Mary Washington Hospital

Rob Sikorski

Davita Inc.

Samuel Clark

North Carolina Health Care Facilities Association

Stephanie Elliott

Sentara Halifax Regional

Timarlo Chestnut (guest)

Cape Fear Valley Medical Center

Welcome
Review of Goals and Purpose — Part A POE-AG Charter.

Old Business: Prior POE-AG Suggestions/Recommendations 

Action Taken

Feedback
Members had no further feedback.

New Business
POE-AG Education Suggestions and Recommendations
 

Feedback
A member stated that a Part A article similar to the Palmetto GBA — JM Part B — Services and Circumstances that Require Additional Documentation would be beneficial education. 

Website Enhancements

Web Based Trainings (WBTs): The most viewed WBTs

March

First

Second

JM Part A

Medical Necessity of Therapeutic Exercise Module with 134 views

DDE Module 3 - Claims with 92 views.

Facebook:

37 posts, 10 user comments/questions and 5,466 followers (increase of 32 from previous month). 

Feedback
POE-AG members agreed that the new website is much more user-friendly and visually pleasing. Navigation is much easier, as well.

Upcoming Part A Education Events

  • Acute Respiratory Failure On-Demand — available April 15, 2021 in the Webcast Library
  • Ask the Contractor Teleconference (ACT) — May 12, 2021
  • 2021 MayFest on May 18, 2021
    • Acute Inpatient Prospective Payment System (IPPS) Inpatient Stay Billing
    • CERT A/B Taskforce: Caring for Medicare Patients is a Partnership
    • SNF PPS: Patient Driven Payment Model (PDPM) Updates
    • Integrated Outpatient Claim Editor & Medicare Code Editor Review
  • Part A Quarterly Medicare Updates — June 16, 2021

CMS Initiatives 

Feedback
Members had no additional feedback.

Open Discussion
A member questioned when the mass adjustment will be initiated for the Claims Payment Issues Log (CPIL) alert entitled ”Outpatient Echocardiography for Myocardial Perfusion Services Denying in Error. "

Yes, it is current. Palmetto GBA continues to isolate affected claims affected and will initiate a mass adjustment for claims submitted on or after February 7, 2021, once the issue has been corrected.

Feedback
Members had no further suggestions or recommendations. 

Next POE-AG teleconference is July 13, 2021, at 10 a.m.


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