Please review the following information.

• CMS is delaying the launch of the NPI Registry and the dissemination of FOIA-disclosable health care provider data from the National Plan and Provider Enumeration System (NPPES). 

• Some providers are having increased denials secondary to clearinghouses stripping the NPI number from their claims. You are advised to contact your clearinghouse to assure that this is not causing increased denails for your office.

• Submit Medicare claims with NPI and legacy numbers. At this point the process is still quite new and the legacy facilitates appropriate processing.

• A mass adjustment for the KX modifier denials has been initiated as of July 16th for VA.  Claims with the KX modifier should process appropriately now.

• The "Five State Ad-Hoc Committee" that has been referenced numerous times on this listserv received notice from Traiblazer Health that they are not going to retire the procedure to diagnosis crosswalk as requested. They are, however, willing to discuss specific diagnosis/procedure omissions in the crosswalk of which there are many.

• Trailblazer Health has modified their website. Check it out!

Please contact me at angelasbrooks@... if you have any questions regarding the information posted here. Also, you are encouraged to register for the listserv on the Trailblazer website. This can be accomplished by going to www.trailblazerhealth.com and selecting listserv.

Thanks.

Angela S. Brooks, PT

VPTA Payer Relations Specialist