Practice Tools for the California Chapter of the ACC

ACC California Chapter

Noridian Medicare Portal: Seminars, News and Updates

[March 24, 2016]
The Noridian Medicare Portal will be replacing Endeavor Effective May 1st of this year. You may register for the new portal at any time. There are currently multiple webinar trainings being offered on the new portal as well as a self-paced training. All of the functions we offer in Endeavor will be in the new portal, and those include eligibility, claim status, financial information, appeal submission and status inquiry and finally, claim-specific remittance advices with Part B providers also having access to full remits.

Advance Care Planning (ACP) Effective January 1, 2016, when ACP services are provided as a part of an AWV, practitioners would report CPT code 99497 (plus add-on code 99498 for each additional 30 minutes, if applicable) for the ACP services in addition to either of the AWV codes G0438 and G0439. CPT codes 99497 and 99498 used to describe ACP are separately payable under the Medicare Physician Fee Schedule (MPFS). When voluntary ACP services are furnished as a part of an AWV, the coinsurance and deductible would not be applied for ACP. Under that circumstance, both the ACP and AWV must also be billed together on the same claim. In order to have the deductible and coinsurance waived for ACP when performed with an AWV, the ACP code(s) must be billed with modifier 33 (Preventive services). Since payment for an AWV is limited to only once a year, the deductible and coinsurance for ACP billed with an AWV can only be waived once a year.
Low Dose Computed Tomography (LDCT) Effective October 15, 2015, Medicare Covers lung cancer screening with Low Dose Computed Tomography (LDCT) if all eligibility requirements listed in the National Coverage Determination (NCD) are met.

Make sure that your billing staffs are aware of these changes.
* In-person Seminars week of May 2, 2016
Noridian will be offering 8 In-person seminars in the state of California the week of May 2, 2016. Locations are San Diego, Glendale and Sacramento. Half day general session titled Getting Paid and Keeping It will be conducted in San Diego and Sacramento. Additional topics during this week include Chiropractic Services, Outpatient Therapies and Ambulance Services. Please visit our Education and Outreach web site for more details.
The Noridian Medicare Portal
For a list of upcoming workshops review our web addresses below and register now online!
JE providers:
JF providers:

URQR-PQRS and Public Reporting

[February 25, 2016] Getting your QRUR or Supplemental QRUR
1) This is a multi step process
2) In order to get your QRUR or your supplemental QRUR as well as your PQRS report card you MUST first obtain an ID from EDIM – here is that link
   b. There will be multiple security questions
   c. If you are employed by a system – they most probably have an EDIM account and password and you may need to work with them
   d. For independent practices you can follow this process to get your password which will then allow you access to the 3 reports
3) Once you have this user name and password (and it is always recommended that you have at least 2 individuals as your security sign ins
4) Protect these passwords and make sure you have systems in place to change when people leave
5) Then you go to this website and choose whether you want the mid year QRUR, your QRUR, or your PQRS report card
  b. Then – poof you enter your new EDIM user name and password and you can download your reports

Review the detailed methodology, tips sheet, FAQs, fact sheets, and other QRUR supporting documents here.

Other good resources

2016 MPFS Final Rule
PQRS Website
PQRS Payment Adjustment Information

ACC California Chapter

Free ACC On-Demand Webinars Whenever You Want

[April 29, 2014]
ACC has archived all of the webinars they’ve conducted over the years. To access an archived webinar, register using your ACC login or any other contact information. You will receive an email with your confirmation code and webinar access link.
> Search On-Demand Webinars
> On-Demand Webinar Index

Gold Coast Wants to Help Your Practice

[August 8, 2013] Take advantage of Gold Coast's subsidized technical assistance services while they are still available.

Gold Coast is one of a select group of organizations throughout the U.S. designated as having the experience and capacity necessary to assist health care providers with the task of modernizing their practices with certified EHRs. We have been selected by the U.S. Department of Health and Human Services (HHS) Office of the National Coordinator (ONC) for Health Information Technology to serve California providers.

For eligible providers who already have an EHR system, Gold Coast can help you meet the criteria for incentive payments from Medicare or Medi-Cal for the meaningful use of EHRs.

> Read Gold Coast Fact Sheet for Details

American College of Cardiology | CardioSource Practice Management

[2012] Take your practice to the next level with the tools offered by ACC in collaboration with MedAxiom and the Medical Group Management Association.  > Visit CardioSource Practice Management page

Clinical Aides

[2012] We present here a series of aids for your practice. They consist of standard forms for a variety of procedures that you might use in your daily practice and also some patient teaching aids. Though we are starting small, with your help, we will slowly increase these pages.

We envision these as a series of "standard: pages that may or may not be helpful to a "mature" practice but might be helpful to someone just beginning practice. They are designed so that you can download them and add your practice name and address to "personalize them. We hope they are helpful. Please click on the title of the selection in which you are interested.

Physician Quality Reporting System (PQRS)

[2012] PQRIwizard is an easy to use online tool to help physicians and other eligible professionals quickly and easily participate in PQRI. Similar to online tax preparation software, the PQRIwizard helps guide professionals through a few easy steps to rapidly collect, validate, report, and submit their results to CMS for payment. PQRIwizard is powered by the CECity registry, a CMS Qualified Registry for PQRI reporting.

Purpose of our California Chapter

The purpose of the Chapter shall be to contribute to the prevention of cardiovascular diseases, to ensure optimal quality care for the individuals with such diseases and to foster the highest professional ethical standards. In carrying out these purposes the Chapter shall function in consultation with the leadership of the College and as an advisor to local and state governmental and professional organizations concerning issues related to cardiovascular disease.

The Chapter shall, in the interests of patients, physicians, and the public in general, maintain a high level of social consciousness and involvement with socioeconomic issues which may influence access to high quality cardiovascular health care for all individuals.

The Chapter has been formed as a 501(c)(6) not-for-profit corporation underthe federal and California state tax codes. The Chapter maintains an Executive Office with a full time Executive Director and support staff. The Chapter also maintains a full time lobbyist and staff in Sacramento.

ACC Advocacy Hotline

"He who has health has hope; and he who has hope has everything."
- Arabian Proverb