Jurisdiction J Transition General Information
On September 7, 2017, the Centers for Medicare & Medicaid Services (CMS) selected Palmetto GBA as the A/B Medicare Administrative Contractor (MAC) for Jurisdiction J (JJ), which includes the states of Alabama, Georgia and Tennessee. Palmetto GBA is pleased to be selected as the contractor for the JJ A/B MAC. We anticipate a smooth transition and assure you that we are taking measures that will provide the least disruptive impact to day-to-day operations of the provider community.
The chart below details each segment’s implementation effective date and may change at the direction of CMS.
|Medicare Line of Business||
Implementation Effective Date
|AL, GA and TN Part A||1/29/2018|
|AL, GA and TN Part B||2/26/2018|
As detailed in the chart, the full implementation of the JJ A/B MAC is segmented by Medicare line of business and is scheduled for completion in February 2018. Palmetto GBA and CMS are working together to ensure that an effective implementation occurs and access to quality service is maintained.
Palmetto GBA’s goal is to communicate early, often and continually throughout the implementation to ensure all stakeholders, providers, medical and hospital associations and Members of Congress, are well-informed with consistent, open and clear information. Our communication activities for the implementation are tailored to address each segment’s transition to Palmetto GBA and the actions the provider community must take to ensure no interruption in claims processing.
Be sure that you register for listserv email updates from Palmetto GBA. To register simply select listserv at the top of their web page, www.palmettogba.com. This is a must so you can stay updated with the latest information from CMS and Palmetto GBA including:
- Implementation information
- Policy changes
- LCD updates
- Educational opportunities
- Claims processing and payment issue
this article was copied from the www.palmettogba.com website on Sept 27, 2017 and pasted on the TACVPR website by Allan Lewis, administrator.
Debbie Baker, RN goes to Washington, D.C. March 5-6, 2018
This was my second year attending DOH as representative from Tennessee. I had the opportunity to network with other AACVPR members from many states, developed contacts for future AACVPR events, and it was exciting to see so many members attending DOH for the first time.
I appreciate that Karen Lui and other AACVPR staff members planned the webinar and the Monday night prep meeting to review our objectives and provide materials for us to leave with each staffer. The support from Karen and others who have been to DOH for several years is very helpful.
Below is a list of the Senate and Congressional members/staffers offices I had the opportunity to meet with and provide materials and obtaining new contacts to continue communications.
The focus for this year’s visit was two-fold (1) to thank those Congressmen and Senators who assisted with passing HR 1155 and S 3355 allowing non-physician providers to supervise cardiac and pulmonary rehabilitation programs (2) provide verbal and written information about section 603 of the 2015 Bipartisan bill addressing “site of service” for outpatient services located more than 250 yards from the hospital. Our packet of information included strong evidence based data showing positive benefits for providing cardiac and pulmonary rehabilitation services to patients, the negative impact the current law has on expansion/relocation of cardiopulmonary rehab centers and the need for congressional sponsorship for legislation that would exempt hospitals. My specific objective was to communicate this information to all 9 Tennessee Congressional and 2 Senate offices, obtain staffer contact information that I could follow up within 2 weeks of my visit and stay in contact for next year’s visit.
I did not have an appointment reply from all of the offices I contacted prior to my visit but I dropped by to meet with anyone available and I found each office very receptive. I did not have a scheduled appointment time with Congressman Blackburn or anyone on her staff but as I was introducing myself to the receptionist in her office, telling her I was from Cookeville Tennessee, being in the medical field for 40 years as a registered nurse and I was representing AACVPR and cardiac patients, before I could finish about the specific CMS bill I wanted to address, the staffer came from her office telling me she overheard me and wondered if I had time to meet with her. She was knowledgeable about the site specific bill and is interested in pursuing further conversation and possible sponsorship discussions.
After attending DOH attending members pass this information on to state board members encouraging continued correspondence with their representatives in addition to providing details to our cardiopulmonary rehab staff and encouraging them to become involved as a member of AACVPR.
Here is a list of offices I visited/provided written materials. I will also send electronic version to staffers this week.
Senator Alexander – Left information packet and received the attached email
Senator Corker- Left information packet
Congressman Roe- Left information packet with Aaron Bill Legislative Director
Congressman Duncan- Left information packet and e-mail correspondence with Caroline DeBerry, Senior Legislative Assistant
Congressman Fleishman- Introduction but he had a full schedule but accepted information packet. Conner Ingram, Senior Legislative Assistant
Congressman Desjarlais- Left information packet with James Locke, Legislative Counsel
Congressman Cooper- Left information packet, including a thank you certificate for supporting HR 1155 with Vic Goetz, Senior Legislative Assistant
Congressman Black- Met with Hillary Lassiter, Legislative and Press Assistant again this year for approx. 40 minutes. Reviewed the information packet. Hillary is knowledgeable of the bill, very receptive, interested in working with Congressman Blackburn’s staffer Megan Stringer regarding our need for sponsorship.
Congressman Blackburn- Met with Megan Stringer and reviewed information packet. Megan had been with Congressman Blackburn for 6 months and very interested in pursuing further communication regarding the need for bill sponsorship and also will work with Congressman Black’s legislative assistant. (see above details)
Congressman Kustoff- Left information packet with Andrew Hogin –Senior Legislative Assistant
Congressman Cohen- Met with Lauren Citron, Legislative Aide. Reviewed information packet, including a thank you certificate for supporting HR 1155. Lauren is aware if the bill and wants to continue correspondence for Congressman Cohen as she is aware we are looking for bill sponsorship and Congressman Cohen was instrumental in passing HR 1155.
Debbie Baker R.N.
Director of Cardiopulmonary Rehabilitation
Cookeville Regional Medical Center
228 West Fourth Street, Suite 100
Cookeville TN 38501
Thank You Letter from Senator Alexander
March 11, 2018
Mrs. Deborah Baker
228 West Fourth Street Suite 100
Cookeville, TN 38501-2491
Thanks for making me aware of your support for the Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017. I appreciate hearing from medical professionals, such as yourself, about ways to improve our health care system. Your suggestions help me know what priorities I need to focus on, and those that will help the most Tennesseans.
The Improving Access to Cardiac and Pulmonary Rehabilitation Act would allow nurse practitioners, clinical nurse specialists, certified midwives and physician assistants to directly certify rehabilitative services for Medicare recipients. The legislation is being considered by the Senate Finance Committee and has not yet been considered by the full Senate.
It is important that our nation’s Medicare beneficiaries are able to receive the care that they need, including rehabilitation services. As Chairman of the Senate Health, Education, Labor and Pensions Committee, I will continue to work with my colleagues, and the Senate Finance Committee, to come up with solutions that enable America’s patients to get the access to health care services they need in a timely manner.
Our country has serious problems to solve, and I will continue to work hard in the Senate to get things done for Tennesseans.