Updates from the Medicare Learning Network [cid:[email protected]]
§ “Inpatient Rehabilitation Facility Prospective Payment System” § “Hospice Payment System” § Respiratory Care Week and Lung Health Day § October Flu Shot Reminder --------------------------------------------------------------------------------------------------------------------------------------------- >From the Medicare Learning Network: “Inpatient Rehabilitation Facility >Prospective Payment System” [↑] The revised publication titled “Inpatient Rehabilitation Facility Prospective Payment System” (August 2010) is now available in downloadable format from the Medicare Learning Network(r) at http://www.cms.gov/MLNProducts/downloads/InpatRehabPaymtfctsht09-508.pdf. This fact sheet provides information about Inpatient Rehabilitation Facility Prospective Payment System rates, classification criterion, and reasonable and necessary criteria. >From the Medicare Learning Network: “Hospice Payment System” [↑] The revised Medicare Learning Network(r) publication titled “Hospice Payment System” (September 2010) is now available in downloadable format at http://www.cms.gov/MLNProducts/downloads/hospice_pay_sys_fs.pdf. This publication provides information about the coverage of hospice services, certification requirements, election periods, how payment rates are set, patient coinsurance payments, caps on hospice payments, and the hospice option for Medicare Advantage enrollees. >From the Medicare Learning Network: Respiratory Care Week and Lung Health Day >[↑] Sun Oct 24 through Sat Oct 30 is Respiratory Care Week and Wed Oct 27 is Lung Health 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 smoking and tobacco-use cessation counseling services. Medicare provides coverage of two smoking cessation attempts per year for qualified patients. Each attempt may include a maximum of four counseling sessions. What Can You Do? As a health care professional who provides care to patients with Medicare, you can help protect the health of your patients by encouraging them to take advantage of Medicare-covered preventive services, including smoking and tobacco-use cessation counseling services, that are appropriate for them. For More Information: CMS has developed several educational products related to Medicare-covered smoking and tobacco-use cessation counseling services. They are all available, free of charge, from the Medicare Learning Network(r): * The MLN Preventive Services Educational Products Web Page - provides descriptions and ordering information for Medicare Learning Network(r) (MLN) educational products for health care professionals related to Medicare-covered preventive services, including smoking and tobacco-use cessation counseling services. 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 smoking and tobacco-use cessation counseling services. 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 smoking and tobacco-use cessation counseling services. Visit http://www.cms.hhs.gov/MLNProducts/downloads/MPS_QuickReferenceChart_1.pdf. * The Medicare Preventive Services Series: Part 2 Web-Based-Training (WBT) course - this WBT includes lessons on coverage, coding, and billing for Medicare-covered preventive services, including smoking and tobacco-use cessation counseling services. 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 Smoking and Tobacco-Use Cessation Counseling Services brochure - this brochure provides information on coverage for Medicare-covered smoking and tobacco-use cessation counseling services. Visit http://www.cms.gov/MLNProducts/downloads/smoking.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. --------------------------------------------------------------------------------------------------------------------------------------------- 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. --------------------------------------------------------------------------------------------------------------------------------------------- Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser. Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.hhs.gov/ContactCMS). Thank you. 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