Attention Ambulance Services in Novitas Jurisdictions!

ICD-10 codes aren't the only new challenge confronting many ambulance providers beginning October 1, 2015. Novitas Solutions ("Novitas") just revised its local coverage guidelines for billing ground ambulance services. So what does this "significant change" mean for your agency?

This affects providers in Novitas' Jurisdictions as listed below:

Arkansas Delaware Mississippi Oklahoma
Colorado Louisiana New Jersey Pennsylvania
District of Columbia Maryland New Mexico Texas

If you're enrolled with Novitas, or billing for a provider who is, join us for a crucial and timely webinar event:

Your Quick Start Guide to: Understanding the Novitas ICD-10 Ambulance Local Coverage Rules

Wednesday, September 9, 2015

3:00pm - 4:00pm ET

What Exactly is Novitas Doing?

Medicare administrative contractors sometimes issue Local Coverage Determinations or "LCDs" outlining specific procedures for billing a particular service.  Novitas issued an LCD for billing Ground Ambulance Services (L32606), but their existing LCD reflects IDC-9 codes.  In light of ICD-10 implementation, Novitas just issued: (1) Future Local Coverage Determination (LCD) for Ground Ambulance (L35162), and (2) Future Local Coverage Article (LCA) for Ground Ambulance (A54574).  Both documents outline major new mandatory rules for billing ambulance services furnished on and after October 1, 2015.    

What Do Providers Need to Do?

If you bill Novitas, you must acquaint your billers and coders with the LCD and LCA requirements ASAP.  There are some big changes from Novitas' current ICD-9 LCD, and Novitas jettisoned a key modifier that it was going to include in this new LCD. 

We've Got You Covered - Just Give Us an Hour

The trusted experts at Page, Wolfberg & Wirth are presenting this webinar and will outline it all in Understanding the Novitas ICD-10 Ambulance Local Coverage Rules: Your Quick Start Guide.  In this interactive session, you'll learn about:

  • Why Novitas dropped the proposed "KX" modifier, and why that's great news
  • Dual diagnosis codes - how Novitas will require 2 ICD-10 codes - primary and secondary - on ALL ambulance claims
  • Your best options for primary diagnosis codes
  • Ways the new coverage guidelines grant more flexibility
  • The 4 secondary diagnosis codes that must be used on all medically necessary claims
  • The ICD-10 code that should be reported for non-medically necessary transports
  • Why crew narratives must address patient mobility status in much more detail
  • A suggested "crosswalk" for ICD-10 codes for providers
  • Key compliance risks with the new secondary modifier requirement

This is also your opportunity to have your questions answered.  Novitas scheduled a Webinar on the new local coverage guidelines on September 30, 2015 - the day before the new guidelines go into effect!  You have questions NOW and we have the answers.  

Wednesday, September 9, 2015

3:00pm - 4:00pm ET

Price:  $129/site*

*Special pricing is available for those in Novitas' Jurisdictions through their State Ambulance Association

This critically important webinar is presented by the attorneys and consultants of Page, Wolfberg & Wirth LLC, the nation's leading firm for ambulance industry compliance and reimbursement issues.