Updates from the Medicare Learning Network... 
[cid:[email protected]]

§  Medicare Quarterly Provider Compliance Newsletter - First Edition Released!

§  New Product titled "Medicare Outpatient Therapy Billing"

§  "Skilled Nursing Facility Prospective Payment System" Fact Sheet (revised 
July 2010)

§  World Osteoporosis Day and National Mammography Day

§  October Flu Shot Reminder


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>From the Medicare Learning Network:  Medicare Quarterly Provider Compliance 
>Newsletter - First Edition Released!

Just a reminder that the Medicare Learning Network® (MLN) has developed a new 
educational tool, the Medicare Quarterly Provider Compliance Newsletter, to 
advise physicians, suppliers, and other FFS providers about how to avoid common 
billing errors and other erroneous activities when dealing with the Medicare 
Program.  The newsletter will be updated and issued on a quarterly basis to 
highlight the "top" issues of that particular quarter.  In this first edition, 
a number of issues that impact a variety of provider types are presented in 
order to introduce the newsletter to a wide audience of providers.  For more 
information, please read the first edition of the newsletter at 
http://www.cms.hhs.gov/MLNProducts/downloads/MedQtrlyComp_Newsletter_ICN904943.pdf
 on the CMS website.  Stay tuned for the second edition, which will be released 
in January 2011!



>From the Medicare Learning Network:  New Product titled "Medicare Outpatient 
>Therapy Billing"

A new publication titled "Medicare Outpatient Therapy Billing" (August 2010) is 
now available in downloadable format from the Medicare Learning Network® at 
http://www.cms.gov/MLNProducts/downloads/Medicare_Outpatient_Therapy_Billing_ICN903663.pdf.
 This publication provides information about Medicare outpatient physical 
therapy, occupational therapy, and speech-language pathology (therapy services) 
coverage requirements; calendar year 2010 therapy codes and dispositions; and 
billing measures for therapy services.



>From the Medicare Learning Network:  "Skilled Nursing Facility Prospective 
>Payment System" Fact Sheet (revised July 2010)

The "Skilled Nursing Facility Prospective Payment System" Fact Sheet (revised 
July 2010), which provides the elements of the Skilled Nursing Facility 
Prospective Payment System, is now available in print format from the Medicare 
Learning Network®. To place your order, visit 
http://www.cms.gov/MLNGenInfo<http://www.cms.gov/MLNGenInfo/>, scroll down to 
"Related Links Inside CMS" and select "MLN Product Ordering Page."






>From the Medicare Learning Network:  World Osteoporosis Day and National 
>Mammography Day



October 20 is World Osteoporosis Day and October 22 is National Mammography 
Day. The Centers for Medicare & Medicaid Services (CMS) is asking the provider 
community to keep their patients with Medicare healthy by encouraging eligible 
patients to take advantage of Medicare-covered bone mass measurements and 
screening mammograms.



Medicare provides coverage for bone mass measurements for qualified Medicare 
patients once every two years.  Medicare also provides coverage for an annual 
screening mammogram for all female beneficiaries age 40 or older, and coverage 
for one baseline mammogram for female beneficiaries between the ages of 35 and 
39.



What Can You Do?  As a health care professional who provides care to patients 
with Medicare, you can help protect the health of your Medicare patients by 
encouraging them to take advantage of Medicare-covered screenings, including 
bone mass measurements and screening mammographies, that are appropriate for 
them.



For More Information:  CMS has developed several educational products related 
to Medicare-covered bone mass measurements.  They are all available, free of 
charge, from the Medicare Learning Network®:

 *   The MLN Preventive Services Educational Products Web Page - provides 
descriptions and ordering information for Medicare Learning Network® (MLN) 
educational products for health care professionals related to Medicare-covered 
preventive services, including bone mass measurements and screening mammograms. 
 Visit http://www.cms.hhs.gov/MLNProducts/35_PreventiveServices.asp.
 *   The Guide to Medicare Preventive Services for Physicians, Providers, 
Suppliers, and Other Health Care Professionals - provides coverage and coding 
information on Medicare-covered preventive services and screenings, including 
bone mass measurements and screening mammograms.  Visit 
http://www.cms.hhs.gov/MLNProducts/downloads/mps_guide_web-061305.pdf.
 *   Quick Reference Information: Medicare Preventive Services - this chart 
provides coverage and coding information on Medicare-covered preventive 
services, including bone mass measurements and screening mammograms.  Visit 
http://www.cms.hhs.gov/MLNProducts/downloads/MPS_QuickReferenceChart_1.pdf.
 *   The Medicare Preventive Services Series: Part 3 Web-Based-Training (WBT) 
course - this WBT includes lessons on coverage, coding, and billing for 
Medicare-covered preventive services, including bone mass measurements and 
screening mammograms.  To access the course, please visit the MLN home page at 
http://www.cms.gov/mlngeninfo on the internet.  Scroll down to "Related Links 
Inside CMS" and click on "Web Based Training (WBT) Modules."
 *   The Bone Mass Measurements brochure - this brochure provides information 
on coverage for Medicare-covered bone mass measurements.  Visit 
http://www.cms.gov/MLNProducts/downloads/bone_mass.pdf.
 *   The Cancer Screenings brochure - this brochure provides information on 
coverage for Medicare-covered cancer screenings, including screening 
mammograms.  Visit 
http://www.cms.hhs.gov/MLNProducts/downloads/cancer_screening.pdf.



Please visit the Medicare Learning Network<http://www.cms.hhs.gov/MLNGenInfo/> 
for more information on these and other Medicare fee-for-service educational 
products.  For more information on World Osteoporosis Day, please visit the 
International Osteoporosis Foundation website at 
http://www.iofbonehealth.org/about-iof/iof-programs/outreach-education/world-osteoporosis-day.html
 on the internet.  For more information on National Mammography Day, please 
visit American Cancer Society at http://www.cancer.org<http://www.cancer.org/> 
on the internet.


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October Flu Shot Reminder



Vaccination is the Best Protection Against the Flu. This year, the Centers for 
Disease Control and Prevention (CDC) is encouraging everyone 6 months of age 
and older to get vaccinated against the seasonal flu. The risks for 
complications, hospitalizations and deaths from the flu are higher among 
individuals aged 65 years and older. Medicare pays for the seasonal flu vaccine 
and its administration for seniors and others with Medicare with no co-pay or 
deductible. And remember, vaccination is particularly important for health care 
workers, who may spread the flu to high risk patients. Don't forget to immunize 
yourself and your staff. Protect your patients. Protect your family. Protect 
yourself. Get Your Flu Vaccine - Not the Flu.



Remember - Influenza vaccine plus its administration are covered Part B 
benefits. Note that influenza vaccine is NOT a Part D covered drug. For 
information about Medicare's coverage of the influenza vaccine and its 
administration, as well as related educational resources for health care 
professionals and their staff, please visit 
http://www.cms.gov/AdultImmunizations.



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