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MDPP Supplier Learning Series- Billing Workshop Part 2 - Gallery view
Kelly McCracken (she/her)
31:50
The recordings and slide deck from this webinar will be sent to all those that registered. An FAQ is also being compiled to include questions from the Billing Workshop Part 1 as well as this Billing Workshop Part 2 and when finalized, will be sent to all those that registered for either webinar.
Kelly McCracken (she/her)
36:10
MDPP PFS FAQ: https://www.cms.gov/newsroom/fact-sheets/final-policies-medicare-diabetes-prevention-program-mdpp-expanded-model-calendar-year-2022-medicare
Kelly McCracken (she/her)
36:32
MDPP PFS: https://www.federalregister.gov/public-inspection/2021-23972/medicare-program-cy-2022-payment-policies-under-the-physician-fee-schedule-and-other-changes-to-part
Joanna DiBenedetto
37:40
That is amazing news!
Kelly McCracken (she/her)
38:04
For questions directly for CMS, visit the Medicare Diabetes Prevention Program (MDPP) Supplier Support Center: https://cmsorg.force.com/mdpp/)
Kelly McCracken (she/her)
46:21
Please type any questions that you have into chat or in the Q&A.
Kelly McCracken (she/her)
46:26
The recordings and slide deck from this webinar will be sent to all those that registered. An FAQ is also being compiled to include questions from the Billing Workshop Part 1 as well as this Billing Workshop Part 2 and when finalized, will be sent to all those that registered for either webinar.
Cindy Brooks
51:26
Does it matter whether typing in all caps or mixed as you have?
Lisa Kocak
52:32
so box #4 is incorrect? says last name, first name....
Kelli DeLong
01:00:03
So in that case we would use both codes?
Patricia Jaworski
01:04:01
As a FQHC would we use the FQHC pos 50?
Jacqueline Dawes
01:06:01
Can we submit these services via UB format?
Letia Castro
01:06:21
where can I find the mdpp fee schedule? is there one? we are new MDPP providers
Brea Cole
01:07:28
I have been directed not to log G-Code G9891 alone because there is no charge. Is that something I should discuss with my MAC?
Arlene Guindon
01:08:15
added and approved
Cindy Brooks
01:08:31
We do not need to put a name?
Kelly McCracken (she/her)
01:08:45
Thank you for all of the great questions! Keep them coming. If we are unable to answer them during this webinar we will send them out in an FAQ that will be distributed to all registrants. You can enter questions in chat or Q&A.
Lisa Kocak
01:09:10
why wouldn't you put in ythe DPP actual charge for service, because that is the 'actual' charge?
Stephanie Henry
01:10:04
Is there a template of the informed consent form?
Jacqueline Dawes
01:11:45
Can we submit these services via UB or should we bill them on HCFA
Bonnie Berkley
01:11:46
2, 3, 4 need to be on the same claim?
Kelly McCracken (she/her)
01:12:57
Billing and Claims Webinar Slides Link: https://innovation.cms.gov/media/document/mdpp-model-getting-started-billing-claims-fs
Patricia Jaworski
01:16:46
box 26 is not the internal system account #
Jordan Breckon
01:18:40
If you use a thrid-party biller do they use their address? for 33?
Patricia Jaworski
01:22:31
so box 26 is our internal account # for the client. Not the Medicare policy # correct
Jordan Breckon
01:23:36
If one coach leads for Session 2 but a different coach leads for 3 or 4, which NPI number should we use?
Patricia Jaworski
01:26:42
So when payment comes in we have to locate the claim in our internal system by name. This will be difficult for electronic posting.
Annette McClenahan
01:34:11
On #33 we put the RD as the billing provider like we do with DSMT. I'm guessing after learning today that claim will be rejected because we need to change it to our MDPP NPI?
Kelly McCracken (she/her)
01:35:20
CMS Billing and Claims Webinar Link: https://innovation.cms.gov/media/document/mdpp-model-getting-started-billing-claims-fs
Amanda Allen
01:37:01
How do you verify that your coach is updated in PECOS
Maggie Kougl
01:37:11
So if a beneficiary is unable to make it to the 2nd session you would be unable to bill for any classes the rest of the series?
Lisa Muras
01:38:17
Do you still include a previous HCPC code on subsequent billing with no payment cost attached? For example, if you previously submitted a claim for attending 1 session, then on the next claim, submitted for attending 4 sessions, do you still list the session 1 code + date?
Arlene Guindon
01:38:27
you receive a verification notice from your MAC, or Pecos, if the updated app us approved
Joanna DiBenedetto
01:41:23
To repeat, box 22 should state 7 (not 9)
Ana Almeida-DoRosario
01:42:05
Under box 21, the worksheet states that we enter "10" for ICD. Your example shows that we enter "0". Which is correct?
Kelly McCracken (she/her)
01:45:12
Use of a Vendor/Third Party Billing Agent: Many providers and suppliers use a billing agent to manage billing and payment processes on their behalf. If an MDPP supplier uses a billing agent, the billing agent’s information must be listed on the MDPP Enrollment Application: https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS20134.pdf
Kelly McCracken (she/her)
01:45:25
Self-Submit Claims: If an MDPP supplier does not use a billing agent, the MDPP supplier can submit claims to its MAC directly. The MDPP supplier must install claims software and obtain a submitter ID from the MAC(s). Organizations may obtain PC-Ace Pro 32 claims submission software http://www.edissweb.com/cgp/software/pcace.html or other recommended software from their MACs.
Patricia Jaworski
01:46:26
Will we be able to status these claims through FSS0 or ConneX ?
Cindy Brooks
01:48:36
If Self-Submit, how do we submit Medicare Advantage plans?
Kelly McCracken (she/her)
01:49:29
Thank you for all of the great questions! Keep them coming. If we are unable to answer them during this webinar we will send them out in an FAQ that will be distributed to all registrants. You can enter questions in chat or Q&A.
Kelly McCracken (she/her)
01:50:05
A reminder the slides, webinar recording link, and FAQ will be sent after the webinar (not right after, but soon) to all registrants.
Kelly McCracken (she/her)
01:54:49
Searchable link for CARCs: https://x12.org/codes/claim-adjustment-reason-codes
Kelly McCracken (she/her)
01:56:34
2022 PFS (MDPP starts on page 961): https://www.federalregister.gov/public-inspection/2021-23972/medicare-program-cy-2022-payment-policies-under-the-physician-fee-schedule-and-other-changes-to-part
Priscilla Thomas
01:57:28
This was very helpful. Thank you.
Lana Kunik
01:57:44
You are awesome Cass! Thank you so much
Kathy LaPierre
01:57:46
Thank you!
Jacqueline Dawes
01:57:49
Are submitting this service on HFCA or UB
Jordan Breckon
01:57:50
Thank you Cassi!
Sarah Grant
01:57:53
Thank you!
Anna Parker
01:58:08
This was very helpful. Thank you.
Priscilla Thomas
01:58:43
What is the best way to verify beneficiary eligibility for MDPP.
Nanc Slizewski
01:58:51
Thanks. Nanc
Micaela M Rodriguez
01:58:58
Thank you so much!
Kelly McCracken (she/her)
01:59:08
Remember, the slides, webinar link, and the FAQ will be coming to all registrants. THANK YOU for attending!
Amy Sagendorf
01:59:18
Thanks!