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


§  “Comprehensive Outpatient Rehabilitation Facility”

§  “Rural Health Clinic” Publication Revised

§  MLN Matters Article #MM7133:  “Counseling to Prevent Tobacco Use”

§  National Diabetes Awareness Month and Diabetic Eye Disease Month

§  October Flu Shot Reminder


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>From the Medicare Learning Network:  “Comprehensive Outpatient Rehabilitation 
>Facility” [↑]

A new Medicare Learning Network(r) publication titled “Comprehensive Outpatient 
Rehabilitation Facility” is now available in downloadable format at 
http://www.cms.gov/MLNProducts/downloads/Comprehensive_Outpatient_Rehabilitation_Facility_Fact_Sheet_ICN904085.pdf.
 This fact sheet provides information about basic, core and optional 
Comprehensive Outpatient Rehabilitation Facility (CORF) services; place of 
treatment requirements; rehabilitation plan of care requirements; and CORF 
payments.



>From the Medicare Learning Network:  “Rural Health Clinic” Publication Revised 
>[↑]


A revised Medicare Learning Network(r) publication titled “Rural Health Clinic” 
is now available in downloadable format at 
http://www.cms.gov/MLNProducts/downloads/RuralHlthClinfctsht.pdf. This fact 
sheet provides information about Rural Health Clinic (RHC) services, Medicare 
certification as a RHC, RHC visits, RHC payments, cost reports, and annual 
reconciliation.




>From the Medicare Learning Network:  MLN Matters Article #MM7133:  “Counseling 
>to Prevent Tobacco Use” [↑]



The Medicare Learning Network(r) (MLN) has released MLN Matters Article #MM7133 
to inform providers that the Centers for Medicare & Medicaid Services (CMS) 
will cover counseling services to prevent tobacco use for outpatient and 
hospitalized beneficiaries.  Effective for claims with dates of service on and 
after August 25, 2010, CMS will cover tobacco cessation counseling for 
outpatient and hospitalized Medicare beneficiaries [1] who use tobacco, 
regardless of whether they have signs or symptoms of tobacco-related disease, 
[2] who are competent and alert at the time that counseling is provide, and [3] 
whose counseling is furnished by a qualified physician or other 
Medicare-recognized practitioner.  This article is based on Change Request (CR) 
#7133 and is available at 
http://www.cms.gov/MLNMattersArticles/downloads/MM7133.pdf.



>From the Medicare Learning Network:  National Diabetes Awareness Month and 
>Diabetic Eye Disease Month [↑]


November is National Diabetes Awareness Month and Diabetic Eye Disease Month. 
Diabetes can lead to severe complications such as heart disease, stroke, and 
kidney failure.  It is also a significant risk factor for developing glaucoma.



The Centers for Medicare & Medicaid Services (CMS) asks the provider community 
to keep their patients with Medicare healthy by encouraging eligible patients 
to take advantage of Medicare-covered diabetes-related services.  Medicare 
provides coverage of several diabetes-related preventive services for eligible 
beneficiaries, including:

§  Diabetes Screening Tests,

§  Diabetes Self-Management Training,

§  Medical Nutrition Therapy,

§  Diabetes-Related Supplies, and

§  Glaucoma Screening.



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 
diabetes-related services, that are appropriate for them.



For More Information - CMS has developed several educational products related 
to Medicare-covered diabetes-related 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.  Visit 
http://www.cms.hhs.gov/MLNProducts/35_PreventiveServices.asp.
 *   The Diabetes-Related Services brochure - provides information on coverage 
for Medicare-covered diabetes-related services. This product is available in 
hardcopy or as a downloadable PDF.  Visit 
http://www.cms.gov/MLNProducts/downloads/DiabetesSvcs.pdf.
 *   The Glaucoma Screening brochure - provides information on coverage for 
Medicare-covered glaucoma screening. This product is available in hardcopy or 
as a downloadable PDF.  Visit 
http://www.cms.gov/MLNProducts/downloads/glaucoma.pdf.
 *   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. Available 
as a downloadable PDF only. 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.  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 diabetes-related services.  To 
access the course, please visit the MLN home page at 
http://www.cms.gov/mlngeninfo.  Scroll down to “Related Links Inside CMS” and 
click on “Web Based Training (WBT) Modules.”
 *   The Medicare Preventive Services Series: Part e Web-Based-Training (WBT) 
course - this WBT includes lessons on coverage, coding, and billing for 
Medicare-covered preventive services, including glaucoma screening.  To access 
the course, please visit the MLN home page at http://www.cms.gov/mlngeninfo.  
Scroll down to “Related Links Inside CMS” and click on “Web Based Training 
(WBT) Modules.”



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 National Diabetes Awareness Month, please 
visit the American Diabetes Association’s official page at 
http://www.diabetes.org/in-my-community/programs/american-diabetes-month.  For 
additional information on National Diabetes Awareness Month, please visit the 
National Diabetes Education Program (NDEP) website at 
http://ndep.nih.gov/whats-new/posting.aspx?id=23.  For more information on 
diabetic eye disease, please visit the Prevent Blindness America website at 
http://www.preventblindness.org<http://www.preventblindness.org/>.  For more 
information to share with your patients about diabetes, please visit the NDEP 
website at http://www.ndep.nih.gov<http://www.ndep.nih.gov/>.



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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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