JW drugs----ONLY G and K SI? or all SDV? | Forum

Topic location: Forum home » Pharmacy » PHA
Jan 6 '17
2017-01-06 16:49:07
Please does anyone know where it is documented by CMS that JW is only for G & K SI? I found it in some FAQs from August 26, 2016 from my coworkers are convinced that CR9603 means all drugs...

Thanks in advance.

Lynette Phillips
Business Analyst II
Morehead Memorial Hospital
Eden HC 27288

________________________________
Jan 6 '17
2017-01-06 16:51:30
PLEASE SHARE
[Russell Medical]<http://www.russellmedcenter.com/>;
Janet Austin | Clinical Systems Analyst
3316 US-280 // Alexander City, Alabama 35010
256-329-7310 // russellmedcenter.com<http://www.russellmedcenter.com/>;

Jan 6 '17
2017-01-06 17:17:51
I'm an RN who supports pharmacy and billing, this video really helped me.
BIG THANK YOU to Chuck Bedel!!!!
I copied this from an earlier thread, this video is really easy to follow and he does a great job at explaining information, and shows where you can find the G and K codes!!!

I made a 28 minute video/screencast which can be viewed at
theingroup.com/blog
about some of the issues with this whole waste thing and describing my thoughts and processes on analyzing how to approach this whole JW Modifier thing. It's the 11th hour now I know, but it may help some that are still struggling.
Happy new year everyone!
Chuck
Chuck Bedel PharmD, RPh
Senior Consultant
The IN Group, A division of DrFirst
cbedel@drfirst.com<mailto:cbedel@drfirst.com>
(513) 348-4961<tel:(513)%20348-4961>

Jan 6 '17
2017-01-06 17:57:50
Couldn't get it to play.
[Russell Medical]<http://www.russellmedcenter.com/>;
Janet Austin | Clinical Systems Analyst
3316 US-280 // Alexander City, Alabama 35010
256-329-7310 // russellmedcenter.com<http://www.russellmedcenter.com/>;

Jan 6 '17
2017-01-06 18:01:58
Me either.
Is there another way to access this?
Thanks,

Dawn Blandford
The pessimist sees difficulty in every opportunity. The optimist sees the opportunity in every difficulty.- Winston Churchill
"Supporting our Patients, Staff and World-Class Health Care Professionals"
Director
Information Technology
Twin Lakes Regional Medical Center
910 Wallace Ave
Leitchfield, KY 42754
Ext 9473 or (270)259-9473
blandford@tlrmc.com<mailto:blandford@tlrmc.com>
This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the e-mail address or telephone number above and delete this email from your computer. Thank you.


Deleted user
Deleted user Jan 6 '17
2017-01-07 03:05:25
Try https://drfirst.wistia.com/medias/kytx96em8k
<https://drfirst.wistia.com/medias/kytx96em8k>;
That’s the direct link.
Chuck

Chuck Bedel PharmD, RPh
Senior Consultant
The IN Group, A division of DrFirst
cbedel@drfirst.com<mailto:cbedel@drfirst.com>
(513) 348–4961

On January 6, 2017 at 13:03:40, Dawn Blandford (blandford@tlrmc.com<mailto:blandford@tlrmc.com>) wrote:
Me either.
Is there another way to access this?
Thanks,

Dawn Blandford
The pessimist sees difficulty in every opportunity. The optimist sees the opportunity in every difficulty.- Winston Churchill
"Supporting our Patients, Staff and World-Class Health Care Professionals"
Director
Information Technology
Twin Lakes Regional Medical Center
910 Wallace Ave
Leitchfield, KY 42754
Ext 9473 or (270)259-9473
blandford@tlrmc.com<mailto:blandford@tlrmc.com>
This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the e-mail address or telephone number above and delete this email from your computer. Thank you.


Jan 9 '17
2017-01-09 13:28:41
Lynette:

The only place that I found the where the drugs listed with specific Payment Status Indicators is spelled-out is in the FAQ. However, if you review the CMS list of OPPS Payment Status Indicators, the only ones which refer to "Drugs/Biologicals" is G and K. Therefore, I too believe that the CMS FAQ is accurate and that only CPTs listed as either SI G or K apply to the JW Modifier reg.

Gary J. Ring
President
RINGCONSULTING
11 Jones Road
Peabody, MA 01960
978-807-1573
http://www.ringconsultinginc.com/
www.linkedin.com/pub/gary-ring/7/741/43b http://www.linkedin.com/pub/gary-ring/7/741/43b

> On January 6, 2017 at 11:49 AM Lynette Phillips <lynette.phillips@morehead.org> wrote:
>
>
>
Jan 10 '17
2017-01-10 17:48:19
I am told here this is true for hospitals billing via OPPS but the exception is that for critical access hospitals these are all reimbursed separately. So generally for us, all SDV J code drugs on MCR outpt claims need to have waste reported if billing for >1 J code unit, which may be causing some confusion.
- Joel
Joel Sanford, PharmD
Androscoggin Valley Hospital
Berlin, NH