RCPA - Rehabilitation and Community Providers Association


Federal Updates
August 9, 2013

OIG Reminder: August Brings Final Transition for Exclusions Changes
The Office of the Inspector General (OIG) is transitioning to an upgraded Online Exclusions Database and List of Excluded Individuals and Entities (LEIE) Downloadable Database. Since June, the OIG has made files available with the upgraded changes, e.g. National Provider Identifier (NPI), and without the new fields. In September only files with the new fields will be available. OIG strongly encourages users to download the entire LEIE database with the three new fields at least once during the transition period from June to August. The monthly supplement files only contain information about new exclusions or reinstatements that occurred in a single month, do not include NPI and waiver information prior to the June changes, and are archived for 12 months. The LEIE database contains current information on excluded individuals and entities. Instructional videos explaining how to use the online database and the downloadable files are available.

MLN Connects Calls Available: Register at MLN Connects Upcoming Calls

  • Medicare EHR Incentive Program Call - Payment Adjustments and Hardship Exceptions
    Beginning in 2015, Medicare eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) that do not successfully demonstrate meaningful use will experience payment adjustment. Payment adjustments for EPs start at one percent and increase each year up to five percent if the provider does not demonstrate meaningful use of electronic health record (EHR) technology. A conference call August 15, 1:30 – 3:00 p.m., with Centers for Medicare and Medicaid Services (CMS) staff will discuss who is affected, how to apply for an exception, and how the adjustment will be implemented.CMS notes that providers and professionals not eligible for the Medicare EHR incentive program or who successfully attest to the Medicaid EHR incentive program are not subject to payment adjustments. 
  • Medicare ICD-10 Basics Conference Call Available
    On August 22, 1:30 – 3:00 p.m., ICD-10 Basics, will be presented by Sue Brown, American Health Information Management Association. The call will include an implementation update by CMS representatives.

CMS Adds FAQs for EHR Incentive Program and Meaningful Use
CMS has updated Frequently Asked Questions (FAQs) regarding the Medicare and Medicaid EHR incentive programs, meaningful use of health information, and health information exchanges. The FAQs are found on page 7 of the August 8 edition of the MLN Connects Provider eNews.

FAQs for Incarcerated Individual Medicare Claim Denials
FAQs regarding claim denials for Medicare beneficiaries who were incarcerated are available on the Medicare Fee-for-Service web site.

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