Updates from the Medicare Learning Network… [cid:[email protected]]
§ “End-Stage Renal Disease Prospective Payment System” § “End-Stage Renal Disease Composite Payment Rate System” Publication Revised § “5010: Taking Electronic Billing and Electronic Data Interchange to the Next Level” § Written Transcript of ESRD PPS 2011 Conference Call >From the Medicare Learning Network: “End-Stage Renal Disease Prospective >Payment System” [↑] The new publication titled “End-Stage Renal Disease Prospective Payment System” (September 2010) provides information about the Medicare End-Stage Renal Disease Prospective Payment System that will be implemented on Jan 1, 2011, including the one-time election and transition period, payment rates for adult and pediatric patients, home dialysis, laboratory services and drugs, and beneficiary deductible and coinsurance. This fact sheet is now available in print format from the Medicare Learning Network(r). 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: “End-Stage Renal Disease Composite Payment >Rate System” Publication Revised [↑] The revised publication titled “End-Stage Renal Disease Composite Payment Rate System” (September 2010) (previously titled “Outpatient Maintenance Dialysis - End-Stage Renal Disease”) provides information about the Medicare End-Stage Renal Disease composite payment rate system, the one-time election and transition period, and separately billable items and services. This fact sheet is now available in print format by visiting http://www.cms.gov/MLNGenInfo<http://www.cms.gov/MLNGenInfo/>, scrolling to “Related Links Inside CMS” and selecting “MLN Product Ordering Page.” >From the Medicare Learning Network: “5010: Taking Electronic Billing and >Electronic Data Interchange to the Next Level” [↑] Now available to order in hardcopy! The new Medicare Learning Network(r) product titled “5010: Taking Electronic Billing and Electronic Data Interchange (EDI) to the Next Level” is now available in both downloadable and hardcopy formats. This educational tool is designed to provide education on the upcoming implementation of Versions 5010 and D.0, which will replace the current version that covered entities must use when conducting electronic HIPPA transactions. It includes a timeline and list of resources related to the implementation and is suggested for all Medicare Fee-For-Service Providers. To order a hardcopy, free of charge, please visit http://www.cms.gov/MLNGenInfo<http://www.cms.gov/MLNGenInfo/> and click on “MLN Product Ordering Page” under the “Related Links Inside CMS” section at the bottom of the page. This product is also available in downloadable format at http://www.cms.gov/MLNProducts/downloads/5010EDI_RefCard_ICN904284.pdf. >From the Medicare Learning Network: Written Transcript of ESRD PPS 2011 >Conference Call [↑] The written transcript of the Medicare Program End-Stage Renal Disease Prospective Payment System (ESRD PPS) 2011 Conference Call, which provides an overview of the ESRD PPS that will be effective on Jan 1, 2011, is now available at http://www.cms.gov/ESRDPayment/10_CMS_Sponsored_Calls.asp --------------------------------------------------------------------------------------------------------------------------- November Flu Shot Reminder Each Office Visit is an Opportunity. Medicare patients give many reasons for not getting their annual flu vaccination, but the fact is that there are 36,000 flu-related deaths in the United States each year, on average. More than 90% of these deaths occur in people 65 years of age and older. Please talk with your Medicare patients about the importance of getting their annual flu vaccination. This Medicare-covered preventive service will protect them for the entire flu season. And remember, vaccination is important for health care workers too, 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 the following CMS websites http://www.cms.gov/MLNProducts/Downloads/Flu_Products.pdf and 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.gov/ContactCMS). Thank you. 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