Volume 6 |  June 2018
Be the first to earn your certification!
Exclusive, first-time course offering
Charleston, WV | July 26 & 27
West Virginia State Medical Association is committed to bringing you the educational opportunities you've asked for. The Certified Medical Chart Auditor course answers the call for all of you who have shown an interest in certification. This course will take place in Charleston, WV at the WVSMA headquarters at 2018 Kanawha Blvd., E.


West Virginia State Medical Association is hiring!

QUALITY PAYMENT PROGRAM
The Centers for Medicare & Medicaid Services (CMS) has discovered an issue with the 2018 Quality performance category specialty measure sets within the updated “Explore Measures” tool on the Quality Payment Program website . We have temporarily removed the 2018 Quality performance category measures from this tool to improve the accuracy of the specialty measure sets. We appreciate your patience as we work to resolve this issue as quickly as possible. We will send a notification when the issue is resolved.
In the meantime, please visit the 2018 QPP Resource Library on CMS.gov to view additional details on the 2018 Quality measures. You can download the Claims and Registry Measures , Web Interface Measures , and Quality Measure Specifications Supporting Documents to learn more.
If you have any questions, please contact the Quality Payment Program Service Center by:
Phone: 1-866-288-8292/TTY: 1-877-715-6222 
MIPS Eligibility
The Centers for Medicare and Medicaid Services (CMS) has announced that physician practices/groups may now log into the CMS  QPP website  to check their 2018 eligibility for Medicare’s Merit-based Incentive Payment System (MIPS). After groups log in, they will be able to click into a details screen to see the eligibility status of every clinician in the group ( based on their National Provider Identifier or NPI) to find out whether they need to participate during the 2018 performance year for MIPS. Unfortunately, CMS will not be sending out letters to advise physicians of their eligibility status this year so checking on the QPP participation status look-up tool is the only way to determine or verify eligibility status. Eligibility rules in 2018 are different than in 2017 so status this year may be different than last. Also as is indicated in the look-up tool, exempt individual clinicians still will need to report if their group is eligible and chooses to report as a group. The look-up tool can be found here .
MSP claims editing with an identified reason code are suspended to S MOSU1. The correction for this issue will be installed into production on July 2, 2018, and suspended claims will be released to continue processing. Palmetto GBA will override timeliness when necessary to process these claims. No provider action is required. It is not necessary to call the Provider Contact Center (PCC).
Applies to:
JJ Part A//General
JM Home Health and Hospice//General
JM Part A//General

Palmetto GBA will host a Medical Review Hot Topic Teleconference regarding the Targeted Probe and Educate (TPE) Process.
Registration Deadline: 06/19/2018   10:00 AM - 11:00 AM Teleconference

Join us for the Part A Inpatient Rehabilitation Facility (IRF) Coverage and Documentation webcast on June 27, at 10 a.m. ET. Registration Deadline: 06/27/2018
MEDICARE PHYSICIAN FEE SCHEDULE PART B - 2018 (JULY)
Our Palmetto GBA Medicare Physician Fee Schedule (MPFS) tool allows you to display or download fees, indicators, and indicator descriptors. Start by selecting your fee's year in the box below. As you answer questions, new ones will appear to guide your search. Use the "Clear" button to change the year or contractor. For more assistance with this tool, visit our  Help page   or fill out the  Feedback form . . You can find additional information on the  CMS Physician Fee Schedule page
SAVE THE DATES!
KMS Picnic / WVSMA Open House / Celebration of Mona Thevenin's life
June 22 | 2 - 6pm @ WVSMA Headquarters, 2018 Kanawha Blvd. East, Charleston, WV

WV Pain Care Meeting,  July 14th in Huntington.  AGENDA   REGISTER HERE    SERIES FLYER

2018 Healthcare Summit & Annual Business Meeting at the Greenbrier! August 24-25, 2018. REGISTRATION IS OPEN

Appalachian Addiction & Prescription Drug Abuse Conference,
October 18-20, 2018 at the Embassy Suites, Charleston, WV
Axicabtagene Ciloleucel to Require Prior Authorization, Effective July 16, 2018
PRESCRIPTIVE PRESCRIBER AUTHORITY ENHANCEMENTS BEING IMPLEMENTED SEPT. 11, 2018
Need to get the word out? Have content suggestions? Please contact angie@wvsma.org.