6/22/2023 J6/JK Part B POE Advisory Group Meeting
Meeting Minutes
Meeting Time: 10:00 a.m.‒12:00 p.m. ET
Member Attendees: Trisha Anderson, Jennifer Asencio, Aurelia Barraco, Madelon Berger, Todd Bergstrom, Mary Casaburri, Ilka Collier, Eileen Conlan, Renay Coonan, Danielle DeCarlo, Tracy Essling, Liz Fitzgerald, Deb Gregoire, Elaine Guppy, Martha Harris, Christie Hewson, Stephanie Hirst, Kevin Kile, Cindy Kisselburgh, Jenny Kovich, Dr. Lloyd Kupferman, Maud Lawrence, Vera Loftin, Jessica Mardon, Sheila Mulka, Joyce Neurenberg, Mark Polge, Louise Reist, Karen Rhyner, Ken Ryan, Maria Rivera, Dr. Gilbert Rosenblum, Keely Rosario, Debra Rossi, Joe Scialdone, Ekaterina Spirin, Stephanie Thebarge, Susan Tucker, Traci Watson, Katie Werner (5 additional members joined by telephone only)
National Government Services Associates: James Bavoso, Laura Brown, Rita Cohen, Michelle Coleman, Madeline Collins, Cathy Delli Carpini, Melissa Cooper, Michael Dorris, Dr. Marc Duerden, Arlene Dunphy, Sam Fisher, Heather Fitzmaurice, Nathan Kennedy, Linda Klug, Lori Langevin, Jen Lee, Yvette Lester, Ashley Liddick, Phyllis McAdams, Julia Meehan, Christine Obergfell, Carleen Parker, Michele Poulos, Paul Root, Susan Stafford, Carmen Styczynski, Gail Toussaint
Agenda
- Welcome and Introductions
- Opening Remarks
- End of Public Health Emergency
- Virtual Conference Feedback
- Open Discussion
- POE Advisory Meeting Schedule
I. Welcome and Introductions
Lori Langevin, POE Consultant, NGS
Lori welcomed the members and advised most members liked the new meeting format (MS Teams), so we are continuing with that format for these meetings. Members received an invite with the agenda and link to the meeting previously. Two additional documents were sent this morning for review and to provide feedback during todays’ meeting. Members can call in or use the computer audio, but please remember to mute your phone lines if not speaking to avoid any unnecessary background noise. If joining by phone only, please send an email to let us know you attended.
Our meeting today will include an end of the PHE chart developed by NGS, along with a short presentation on end of PHE billing telehealth services. We will ask for feedback on our next virtual conference to be held later this year and possible topics. During the open discussion, we will also talk about the CAC Invitation and the update to dental coverage in 2023. Then we will discuss other items you might want to bring to our attention.
II. Opening Remarks
James Bavoso, POE Manager, NGS
Jim gave a few opening remarks and reminded the group that on the right side of your meeting screen is a participants list. If you only see your telephone number and not your name, please be sure to send us an email to let us know you were in attendance.
Jim reminded members to look over the POE Advisory Group meeting minutes and took them out to the website to show them where they are located on our website. The link to the minutes was provided in the meeting chat box as well, J6 JK POE Advisory Group Meeting Minutes. Please be sure you review these and let us know if we missed anything.
III a. End of Public Health Emergency (Chart)
James Bavoso, POE Manager, NGS
Jim shared a draft document that was developed by NGS POE staff, Carleen Parker and Cathy Delli Carpini due to the number of changes with the end of the PHE and certain services or instructions ending 5/11/2023, some continuing on through 12/31/2023, and others through the end of 2024. This document contains subjects, end dates or indicates if specific topics are not affected by the end of PHE and includes resource links.
The document was sent to members this morning. We would like everyone to review it, share it with others in your organization and provide feedback to us. We receive a lot of questions on the end dates, what is continuing to the end of the year, what is permanent and so on. Cathy stated, as you see, we've broken it down by issues that were more or less general, those for physicians and those for teaching physicians, those for hospitals and an overall capture of the telehealth issues, which as you know were many. I think we are now at the point where we're anxious to get it out there because we are receiving so many questions. Nathan added, when reviewing this., keep in mind this is based off information provided by CMS and/or the Department of Health and Human Services. Carleen also recommended that once this is published on our website, you should use the electronic version to be sure you have the most current version.
The proposed rule for 2024 will be out sometime in July. We’ve heard many of the items from the PHE will be extended and will be permanent. So once that does come out, like it did last year when the proposed rule came out, Jim will send the members a link so that you could go in there and take a look at it and send any comments to CMS.
There may be additional changes to this once the Final Rule is finalized, which is sometime in November. At that time, we’ll update links and information where needed. When this is posted and changes occur, revised dates where information was changed or updated will be added to the document.
Member Feedback: A number of members indicated they did not receive the documents this morning. After the meeting we will resend them. We will also post the documents from today in the POE Advisory Group Hidden link as well.
III b. End of Public Health Emergency/Telehealth Services Billing
Lori Langevin, POE Consultant, NGS
Lori shared a short presentation NGS has been presenting with facts and highlights on the end of the PHE and telehealth billing. We'll keep providing updates right through the end of the year because we feel it's important if we get updated information from CMS or things change to make sure that we're reaching out to our provider community.
The next webinar is July 13th and July 20th is a Let’s Chat. There are a number of reminders and changes beginning 5/12/2023, in particular modifiers CR and CS will no longer be used and if the CS is appended to procedures on claims, it will be bypassed. C9803, which is on the Part A side, was only active during the PHE and those did end on 5/11/2023 along with the P 9603 and the P 9604. Please note for C9803, the code can still be billed but depending on the additional services billed it will often be packaged into other services rendered. Resources and links to fact sheets were also included. The presentation is also on the hidden link.
Remember place of service 02 is used for your traditional telehealth services, meaning how it was billed before COVID-19. CMS is also allowing providers alternate billing to bill for the place of service that the service would have been provided in if it were administered in person, along with the modifier 95. This allows the provider to receive the whole allowance instead of being allowed at the lower facility rate, and that waiver will continue through 12/31/2024.
For the telehealth service slides, the latest list of telehealth services is on the CMS website and was last updated May 9th (CMS Telehealth Services).
The telehealth list will change for 2024 with additions and deletions as it usually does each year. Slide 16 of the presentation talks about audio only codes. Make sure you look at the telehealth list once updated for 2024. It has specific columns with codes, effective, yes or no if allowed with audio only.
Lori also had a few slides including FAQs. Members did receive the presentation to share and all the documents from today are on the hidden link provided earlier.
Member Feedback
Member: What about telehealth in the home?
NGS: We have an article on our website for Documentation Required for Home Visits . CMS also has an article CR 13004 Home and Residence Services.
Member: Can you go back to the slide on mental health and talk briefly about the 95 and FQ modifiers please? Are you saying that if we're doing mental health, we should continue to use the 95 modifier?
NGS: Correct, modifier 95 because those services would be on the list of telehealth services. And then the FQ is to indicate that you're using one of those exceptions because remember, you can do mental health services and it could be on a code from that CMS list that doesn't say audio only, but because it's a mental health service and that patient has told you either they don't feel comfortable or they don't have the capability. Modifier 95 is through the end of 2023, but CMS also indicated that they are continuing to look at it. Just remember that FQ modifier there is no end date to that. Just make sure you're indicating in the medical record the reason, so even if it's just they don't feel comfortable with the audio it still needs to be indicated.
Member Question: We've had our own internal audit to the public health emergency work group and one of our areas, our rehab area, had noticed some inconsistencies. Through the American Physical Therapy Association, a question was sent that was responded by Virginia Muir, who's a medical policy consultant for NGS. “I'm writing to alert you to an error in your interpretation of Medicare policy as it relates to physical therapy and telehealth. Your FAQ page states that physical therapy telehealth services must be billed on a CMS-1500 and cannot be billed on UB-04. This is incorrect. CMS has made clear that hospital outpatient providers can bill physical therapy telehealth services the same way they have done so during the PHE until the end of 2023. They have this CMS FAQ 21 and 22 linked, which states through the end of calendar year 2023 should continue to bill for these services when furnishing remotely in the same way they have been during the PHE. Accordingly, as we have confirmed with CMS, the type of claim form used by the facility should have no bearing on whether or not a provider could bill for telehealth.” Virginia from NGS responded to our group. “Thank you for the email. Our FAQ page will be corrected on the website shortly.” Based on what you said earlier in the meeting, Jim, is Virginia’s statement accurate? Do you still have to go back to CMS to validate this?
NGS: Jim indicated the answer is both. And I am going to let my staff talk a little bit about this because there was confusion with this.
Nathan answered in the following manner. I worked with Virginia on that. It is one of those confusing things that's going around. The key is you mentioned those questions 21 and 22 on CMS FAQ and Question 22 is where CMS goes into a little more detail and indicates that rehabilitation agencies and CORFs not including those that are receiving payment under part A will continue, and they identify within there that it's services that are billed under the Medicare Physician Fee Schedule. So, within the two questions and the information that's put there together, its Part B billed services, not Part A services. They clarify not including those receiving payment under the Part A payment systems. So that's where we think a lot of confusion is and also CMS clarified it. Emily Yoder at CMS clarified it very clearly on the open-door forums, that CMS had in regard to this as well, so that's why we went back to CMS to get that final clarification to make.
We are saying the therapy that's billed under Medicare Part A, any Medicare Part A payment system is not continuing through the end of the year. It's only things that fall under the Medicare physician fee schedule when furnished remotely that continues the same as it has during the PHE.
Member: OK, so our physical therapist then would it need to not be billing as hospital outpatient providers. We would have to set up the organization that they're individually enrolled in Part B and then bill on a CMS-1500. And as long as they're not.
NGS: Yes, as long as they're not. I don't work as much at all, with Part A within the realm that's allowed if the patients an inpatient then you get into some of the rules where any Medicare beneficiary that's an inpatient, their services are always billed as an inpatient.
Member: But if the patient is, an outpatient and we have providers, physical therapists, who are both practicing as they're employed, obviously, and they do outpatient physical therapy services in person, but they're also set up as Part B providers on the physician fee schedule, then they would be able to do telehealth and bill on a CMS-1500?
NGS: Correct. Louise, I would recommend don't do anything right now to make any changes. Just keep an eye on this. We get this question a couple of times a day so that's why we've asked CMS to give us a little bit better guidance on this and I do know they've been getting the question also from other providers, other Medicare administrative contractors as well. So, I think they're looking at a little closely and then hopefully we will have a definitive answer. The way we interpret it and the way it was mentioned at the Open Door Forum that CMS conducted in the end of April was that it is a CMS-1500 Part B benefit, not a Part A benefit. So that's the way we've been interpreting this. I know that some organizations say no but we need to get a clear-cut definition on it, and that's what we're looking for from CMS. We've sent it off again this morning to see what the status is on our question.
Member: So, if the guidance is such that the practice of the telehealth outpatient services ended May 11th, should we be holding our claims or should we be submitting them the way that we've interpreted them as the CMS-1500? And then you'll just send us a denial. How is that going to work? You will send us a denial if we put it on a UB04?
NGS: I am going to ask my Part A staff. Jean are you available? Can I ask you if Louise submits this on the UB04 after May 11th, do we know what will happen with those claims?
NGS Part A Staff: I'm not positive, but if they're billing it as telehealth, it should deny. I don't know if we have a specific edit in the system. Otherwise, Part A agrees with what you have heard this morning that those physical therapy, remote telehealth are no longer allowed because the hospital without walls provision during the PHE that allowed for that ended with the end of the PHE, and that's why for hospitals, they can't bill for the telehealth and the remote like they were during the PHE.
Member: Then they would have to be Part B providers, correct?
NGS: That's correct.
Member: There was some discussion that if our providers or hospital outpatient PT provider locations were their home address where they were conducting the telehealth out of, then that would be considered a hospital location, but if that's under the hospital without walls, not as a way of to continue service and I may have that totally screwed up. But does that ring a bell at all about using the PT providers location at the time of the telehealth visit as a billing location or as a service location?
NGS: That would apply to a CMS-1500 claim for that scenario. Louise, like I said, still hold on this until we get further guidance. Once we do, we will get in touch with you. Then, if you have additional questions send them off to us and let us take a look. We can send an addendum off to CMS if we don't have answers on it.
Jim noted: I just wanted to make sure we got that out of the way with this physical therapy question because we've had it so often and it's gone back and forth.
IV. Virtual Conference Feedback
Jim Bavoso, POE Manager, NGS
First a little bit of history on this. Those that have been around the Medicare program for some time, know that we used to do in-person events. We'd go in hotels and rent out the space for day, sometimes two, sometimes three days, and do day long conferences, a number of sessions a day both on part A, Part B, Home Health, Hospice and FQHC. Prior to the PHE, we wanted to continue these, but attendance started to dwindle. The cost became a little prohibited for all of us then providers told us they could not leave the office for that period of time, couldn’t travel. Then it was found these could be done virtually, so we moved to that process. What we've been doing is we've been doing twice a year virtual conferences and we try to pick a topic and stick to that topic. We’ve done a one or two-day program i.e., MSP, appeals, care management, and preventive services. We’ve done a number of topics. And when I say a virtual conference, we usually spend a full day on a particular topic, and we do anywhere from four to five to six sessions in a given day. They usually are linked somehow, someway and that's what we try to do, and we plan it far in advance, so offices have enough time to plan to attend whatever sessions they need to. We like to ask you for topics that you think would make for a good training program either a one day or two day program and at the same time we would like to know is one day better or two days, what about the length of each session, are they too short, too long.
We're now in the planning of our Fall Virtual conference, you know in our world and the provider outreach world, we do about 40 different programs a month. Yes, there's a lot of repeats because they're actually needed depending on the topic. Are there any topics that you would like to see us conduct, either in a virtual conference or even during a regular time frame that we can utilize? I don't know how many of you may have attended previously, but I'd just like to ask you for your feedback.
Member Feedback:
- APPs: Incident to, split-shared, credentialling
- Appeals process, levels of appeals
- Audits (RAC CERT)
- E/M services for TPE/CERT take backs
- Part B hot compliance topics (OIG hot topics)
- Critical care and shared visits (neonatal)
- Data mining and bell curve data (residents included in outpatient or clinic settings) CBRs and using actual taxonomy codes, there are a number of specialties that don’t have a code and get thrown into the group.
- 2023 inpatient changes
- Remote evaluations, virtual check-ins, e-visits
- 2023 E/M coding changes
- Telehealth changes
- No Surprises ACT
- Eligibility and NGSConnex (we currently do these)
- Copying/pasting electronic medical record documentation (Who documented it. There are scribes and artificial intelligence out there now)
- ABNs and partially covered services
- Teaching physicians: Student documentation requirements, medical students for NPs/PAs, who can oversee? Services that can or cannot be ordered by a PA.
- We are interested in services that can or can’t be ordered by a CNP or PA. Or services they can or cannot perform.
NGS: We will look at these. They may be added to the virtual or may just be added as regular education/articles.
Members Feedback on Timeframes: Some like two days of sessions, others one day. Repeat a session if two-day.
NGS: Do you or are you seeing and hearing of a lot of new billing people that are coming into practices? Maybe basic billing sessions that we've done, is there more of a need for that? We've heard from folks that we've talked to that that there's a lot of new billers with the transition from COVID-19 coming back into post COVID-19 and during the COVID-19 time? Curious to see if you heard that as well.
We're also finding that some people work in such a silo that they're blind to services, they don't have all the information about how to bill the insurance companies and they say, I was just told, or I just came back from after the PHE, or I am new. So, we hear about less people, less knowledge on billing.
Member Feedback: No, we are not hearing this.
NGS: We also have Medicare University courses and do quarterly or bimonthly Medicare 101. So again, if you think of anything else, let us know.
V. Open Discussion
Jim Bavoso, POE Manager, NGS
Jim mentioned the following items before open discussion:
Currently, NGS is working on the development of a LCD for the KidneyIntelX™ test which is used in the medical management of adult patients with type 2 diabetes and chronic kidney disease stages 1-3b, who are at low, intermediate or high risk for rapid progressive decline in kidney function. Given the unique topic, we are seeking your assistance in identifying SME to participate in a CAC panel to evaluate the published evidence related to the use of the KidneyIntelX test. The specialties of nephrology, internal medicine, endocrinology and family medicine would be of particular interest.
Once the SMEs have been identified from your Society membership, if you could send the contact information of potential SMEs to stephanie.ernspiker@elevancehealth.com that would be ideal. Alternatively, if you would like to forward the attached invitation to potential participants directly from the Society, that would be welcome and appreciated.
If anyone has a physician who may be interested, just let us know. You know the current advisory committee process is a little bit different than it was years ago, but we still ask for physicians of different specialties to weigh in about local and national coverage decisions.
Update to Dental Coverage:
This is a draft that we are getting ready to post to our website. CMS is expanding coverage of dental services as of January 1st and there's been some back and forth on this. Normally we pay dental services only for accidents and a trauma to the jaw or mouth. As you can see, it's now being expanded for other provisions. Please take a look at this.
I don't know how many of you may be dealing with dentists. In the new world of health systems taking over practices and so on, even some dental practices are being taken over, and dentists for the most part are not used to dealing what we call fee-for-service billing for actual medsurge billing, they are used to dealing with dental services and dental billing. So, they don't have an understanding of the Part A, Part B program and how it works. What we're trying to do is the first push of information that we're allowed to get out there that will talk a little bit about the changes, about the provisions and the enrollment process and how you become a Medicare provider because most of them are not Medicare providers.
I would like to get your take on this as well about the new dental services and what your feelings may be towards that and if you have any expertise, you could provide us as we prepare to get this out to the provider community so you may have a little bit more knowledge there. Does anybody have anything that they may want to add on this?
Chris, NGS added: I just wanted everyone as well to know that our CMDs worked on this with the other six MACs, so they're trying to get the same education out with all the Medicare contractors.
Jim, NGS: But you know we try to get more information to the provider community as quickly as possible, so that's why we're asking for your assistance on this. Does anyone have anything you'd like to add about dental?
Member Feedback
Member: This is perfect timing for us as we're starting to explore dental providers. The question that we've had and that we've been trying to research and it's funny because it it's printed here as well. On page four it says medical and dental providers should bill using the CDT or the CPT codes where applicable. So, our question has been, “Do we use the D HCPCS codes, or do we actually use like E/M codes and procedure codes?”
NGS: It does say you can use CDT or CPT, however, if you look under the claim’s guidance on this draft document, the second paragraph says currently NGS is not able to accept the CDT dental claims form. The Part B processing system does not accept the CDT codes right now so you would use the CMS-1500 form and the current CPT codes. We will see an update coming about Implementing those into the Medicare processing system. It's going to take CMS some time to come up with a system upgrade to include those CDT codes. When will that take place? We don't know. We'll take this back that this is a concern for you right now.
Member: The dentist is saying they're familiar with the CDT code. We were thinking about having them use the CDT code and then we would have to map it to the CPT code. We were hoping we could just use the D code and done with it. It's not hard. It's just a lot of codes that they're going to have to learn where they thought they were just going to need to learn D1234. An oral exam is now an oral exam, and what setting? They must have it mapped to different codes and different levels.
NGS: We may be reaching out when we learn more about this. Let me ask the rest of the attendees today if anyone else has any more comments on this? Everybody else, I would ask you to just take a look at this and send back any comments you have on it.
That's what we're looking for, because down the road we will have to do training programs for dentists, for dental billing and we just want to make sure that we do it right.
CMS is working on additional education; we just don't have any additional Medlearn articles or anything out yet. As we get something from them, we will share it for sure.
Medicare Fraud Awareness
Michael Dorris, Jurisdiction Affairs Lead, NGS
Michael discussed an article that we sent out for Medicare Fraud Awareness Week from June 5th through June the 10th. We sent the article “Billing Original Fee-for-Service Medicare? You can Help STOP Assignment Violations” on 6/6/2023. Michael shared some background about why we sent the article out.
NGS has an opportunity to work with CMS’ sister agency, the Administration for Community Living. They are part of the Division of US Health and Human Services with a program called Senior Medicare Patrol, or SMP.
We have been working with them for quite a few years, but more directly lately and we've been sharing data on what kind of trends they have been seeing and what we have been seeing from Medicare beneficiaries specifically, we get trends from 1- 800 Medicare referrals.
They receive inquiries from the local AAAs across the nation, our congressional offices and other senior Medicare related partners. Senior Medicare Patrol's mission is to help to attack and prevent fraud. We look at what we can do about educating or bringing more awareness about some assignment violations that we've been experiencing. We looked at our data and found some trends. An example is mandatory claim submissions collecting more than the 20% and improper billing practices exceeding the limit charge. Now we know it's not a big issue as providers across the board are doing the right thing in terms of their participation agreements, but we and the Senior Medicare Patrol are seeing a spike in these types of inquiries, that's why we shared the article.
We are excited that this could lead to a new opportunity for our provider community to work with SMP. We are not ready to release yet, but we are trying to work with them to get a relationship where if you're working with a Medicare beneficiary and they're just not understanding their bills or they're not understanding the charge that was on their bill and they're questioning that with you, we're going to be able to share in a pilot with some of our states first and hopefully with all our states down the road where you can refer those patients to the Senior Medicare Patrol in your local area. This is going to serve beneficial from a Medicare beneficiary standpoint and more particularly a provider standpoint when you run into those situations, and you refer them properly to the SMP in your state.
Volunteers will work with the beneficiary to explain the charges, or explain what's going on, and particularly if they say to you, well, I didn't have that service or I didn't see that physician, they can be an unbiased source to help with that, but this is a two-step project.
Phase one was the assignment violations, which we sent out to support for Fraud Awareness Week. Phase two will bring in more resources for our provider community to share with their patients that might be struggling and not understanding their bills. We believe that's going to reduce burden on the provider and beneficiary side. So, we're not getting a bunch of frivolous type of fraud complaints coming in. That could slow things down significantly. We also posted this article on our website. As more information comes, we'll share through our communication channels, future POE Advisory Group Meetings, and post the information on our website.
These articles and links can be found on the POE POE AG link that was shared with members.
All: Other Topics for Discussion
Member: Going back to the topic that I had mentioned for the conference, I'm wondering if there was any way I could get some assistance with services that can or cannot be ordered by a nurse practitioner or PA. The CMS site just says contact your MAC if you are looking for that information. We are getting some denials and we can’t really resolve the issue. We just get told they can't order.
NGS: Here is the link on CMS site for Ordering and Certifying: Ordering & Certifying
Member: Also, I was wondering if you still have a list of services that the APRNs and PAs in the emergency room setting are allowed to perform. The surgical procedures, they had a few years ago, but I haven't seen it recently.
NGS: We are not sure but will take a look. Nathan added that we still have the article that's out on our website that contains a list of or description of services and there's a list that nonphysician practitioners are not allowed to do major surgery procedures. There are exceptions to that, those exceptions are listed in that article.: Nonphysician Practitioners Billing for Surgical Procedures
NGS: Cathy added: I've gone back and forth with the policy area on that topic, and there's always that question of how we define major from minor and many providers, I believe it to be the global period as defining whether it's a 10 or 90 day global or zero day global. But that is not really directly tied to the major or minor definition, and that's where it gets a little bit hazy. I've had many discussions that you may have a 10-day global or zero global, that a medical director may feel is still not within the scope of practice of a nonphysician practitioner. So, it's not always that clear cut to say, well, OK, this has no global and they can do this. There are some nuances to what exactly the procedure is. For example, we had one about doing cranial burr holes, had a zero global. The medical directors were clear that that was beyond the scope of practice of a nonphysician practitioner. That's just an example and certainly you can look at the article that Nathan referenced but there are rules about that really based on how the medical directors interpret this. You know the complexity of the procedure and certainly then the state scope of practice rules as well for those practitioners, And quite frankly, there are rules within some of the state scope of practice guidelines that will say well yes, but this is also within the discretion of the supervising physician and that's pretty nebulous as well, and that's an example now of how far this can be taken based on a global period. So global is not really the guidelines for it.
Member: Where could I find information that would give me something more solid for that? I just remember thinking to myself that it was some sort of a repair done in emergency room and it would make sense to me that if the person came in and they had this repair that needed to be done, that it could be done, but it was denied. I think it has a 90 Day Global and they probably aren't allowed to perform that. I'm glad you're mentioning that global days doesn't really count so much, but is there anywhere where I can get something definite?
Cathy, NGS: It's not totally, I don't want to say it doesn't count, but it's not really the parameter by which you can differentiate between a major and a minor procedure.
Member: Is there any description of major and minor where CMS says this is what we see as major. This is what we see as minor?
Cathy, NGS: No. There's nothing that I'm aware of that's definitive. CMS does refer to it in the IOM.
Nathan, NGS: No, there's nothing CMS has indicated. I know the AMA has provided some guidance because they've referred to that in the E/M guidelines for 2023 and they've indicated a few times that they don't always agree with CMS on some of the definitions of major and minor. So, within the E/M guidelines, they've specifically indicated major and minor surgeries do not necessarily apply to the global days. It was just updated in April.
Jim, NGS: Just a couple of quick items. We will send the documents out again and a link to the POE AG Meeting materials. Again, I'd ask you to take a look at our publich health emergency waiver handout and If you see any things that we need to clarify on that or if there is any questions about the end of the public health emergency or the telehealth changes that are out there, come back to us, let us know the sooner the better. We really do appreciate it.
Any topics that you can think of for any sort of training and for a virtual conference, please get them over to us. Also with the dental coverage, if there's anything you see in there.
I really appreciate all of your time today and your feedback, not just today, but throughout the course of the year. We rely on you to help us get the information out to the provider community. Please let us know if there's anything that we can do to improve upon what we're doing.
Thank you all very much for attending. I'm sure we will be in touch, but if not, I hope you all have a wonderful summer. Enjoy it. I hope you get some time with your friends and family! We will definitely talk again in September.
VI. POE Advisory Meeting Schedule
Lori Langevin, POE Consultant, NGS
Members were reminded of the 2023 meeting dates:
- 9/13/2023 and 12/14/2023
Meeting adjourned
Posted 7/19/2023