Provider Outreach and Education Advisory Group (POE-AG) Minutes: November 18, 2020

Jurisdiction J Part B Provider Outreach and Education Advisory Group Minutes for November 18, 2020

Palmetto GBA welcomed all POE-AG Members

Carol Aiken Smith Family Clinic
Debbi Hogg PCM
Patty Douglas Tennessee Oncology
Peggy Palmer TPC
Stephanie Smith Southern Wellness
Terri Loew Georgia Cancer Specialist
Dee Pratt Dietician Association
Fran Sorrell American Esoteric
Joann Cook The Allergy Asthma Sinus Center

Palmetto GBA Associates
Swandra Miller

Goals and Purpose

Our Goals

  • Establish and maintain strong relationships with Palmetto GBA staff and the provider community
  • Meet with Palmetto GBA and the provider community on a quarterly basis
  • Provide the communication tools to facilitate thorough and prompt transfer of information to and from each representative
  • Coordinate the issues within the provider community to adequately reflect the concerns of the majority

Palmetto GBA’s Intent

  • Promote an atmosphere that facilitates an exchange of ideas and information to service the best interests of Medicare providers and Palmetto GBA’s Medicare program administration
  • Provide educational forums that address various global provider concerns
  • Allow the provider community an opportunity to communicate with Palmetto GBA’s staff on any areas that may need additional education activities
  • Assist in making the Medicare program more understandable for providers
  • Enhance providers’ understanding of the role and responsibilities of Palmetto GBA as their A/B Medicare Administrative Contractor (MAC)

Special Agenda Topics/Hot Topics

Improve Beneficiary Care Deficits Initiative Pilot
Medical Affairs and POE Part B have implemented the Innovation to Improve Beneficiary Care Deficits Initiative Pilot. The project’s goal is to increase Annual Wellness Visits (AWV) and Annual Depression Screenings in professional (Part B) practices.

Currently, there are two related articles published on the JJ/JM B websites:

  • Annual Depression Screening: HCPCS Code G0444
  • Cardiovascular Disease (CVD) and Intensive Behavioral Therapy (IBT)

These screenings are important for our beneficiaries. Under this pilot we have several main objectives. They are to:

  • Increase rate of CVD risk-reduction visits over 12 months in JJ and JM
  • Increase rate of AWV at the JJ and JM level
  • Increase the rate of depression screening
  • Reduce the percent of PCPs reporting no CVD risk-reduction visits JJ and JM

Our goal is to increase services and awareness by utilizing multi-tiered layers of education to include:

  • Advanced Communication Engine (ACE) eCompare messages
    • An ACE Editing Option will be set to fire on beneficiaries with no recent AWV or screening. The edits will be informational only and will provide educational messages and links to eCBR stats.
  • Electronic Comparative Billing Reports (eCBRs)
    • eCBR will link to the appropriate educational materials
  • Webinars and teleconferences
  • Direct provider contacts
    • We have incorporated targeted education as there are some states that we will need to target more where the numbers are lower
  • Website articles

Agenda Items Submitted by Members

Public Health Emergency (PHE) Extension
The Secretary of Health and Human Services renewed the PHE on October 2, 2020, effective October 23, 2020: while the PHE remains effective all provisions set up will remain in place. CMS has not provided any guidance on how long they expect the PHE to remain or whether it will be renewed in the future.

Evaluation and Management (E/M) 2021 Updates
We are waiting on final guidance from CMS. Once we receive it, additional information will be provided on the E/M changes for 2021. We currently have the OnDemand session from MACtoberfest that can be viewed by providers until further guidance is issued. E/M 2021 updates were provided in the first Part B session on day one of MACtoberfest.

Calendar of Events

  • Scheduled Events
    • Jurisdiction J an M Part B Medicare Diabetes Prevention Program (MDPP) webinar — December 1, 2020, at 11 a.m. ET
    • Jurisdiction J and M Part B Quarterly Updates, Changes and Reminders webinar — December 2, 2020, at 10 a.m. ET
    • Jurisdiction J and M Improving Beneficiary Care Deficits Initiative Webinar: Annual Depression Screening webinar — December 3, 2020, at 11 a.m. ET
    • Jurisdiction J and M Surgical Services: 66984 — Extracapsular Cataract Removal with Insertion webinar — December 8, 2020, at 11 a.m. ET
    • Jurisdictions J and M Medicare Part A/B Intensive Behavioral Therapy (IBT) for Cardiovascular Disease (CVD) webinar — December 10, 2020, at 11 a.m. ET
    • Jurisdiction J and M Part B Medical Review Top Denials and Review of Critical Care Evaluation and Management Services (99291–99292) webinar — December 15, 2020, at 11 a.m. ET
    • Jurisdiction J and M Part B Webinar on the Medicare Coverage and Billing Requirements of Echocardiography CPT® Code 93306 webinar — December 22, 2020, at 11 a.m. ET
  • Past Events
    • MACtoberfest OnDemand Playback: Providers can view MACtoberfest sessions on our website. You will find the sessions under the Education tab, Self-Paced Learning, and Webcast Library.

Announcement of Next Meeting Date
February 17, 2021.

Last Updated: 11/30/2020