Updates from the Medicare Learning Network [cid:[email protected]]
§ “Glucose Testing Supplies - Complying with Documentation & Coverage Requirements” Fact Sheet § MLN Matters Article #SE1033: “Partial Code Freeze Prior to ICD-10 Implementation” § Revised: MLN Matters Article #SE1027: Recovery Audit Contractor Demonstration High-Risk Medical Necessity Vulnerabilities for Inpatient Hospitals § “The Medicare Overpayment Collection Process” Publication Now Available in Print § “Sole Community Hospital” Fact Sheet Revised § “Medicare Outpatient Therapy Billing” Publication Now Available in Print § A Message to Our Provider Partners § November Flu Shot Reminder --------------------------------------------------------------------------------------------------------------------------------------------- >From the Medicare Learning Network: “Glucose Testing Supplies - Complying >with Documentation & Coverage Requirements” Fact Sheet [↑] New! The Medicare Learning Network(r) has released a new educational product titled “Glucose Testing Supplies - Complying with Documentation & Coverage Requirements.” This fact sheet is designed to provide education on common Comprehensive Error Rate Testing (CERT) Program errors related to glucose testing supplies, and includes a checklist of the documentation needed to support claims submitted to Medicare for glucose testing supplies. This product is currently available at http://www.cms.gov/MLNProducts/downloads/GlucSup_DocCvge_FactSheet_ICN905104.pdf and is suggested for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) providers. >From the Medicare Learning Network: MLN Matters Article #SE1033: “Partial >Code Freeze Prior to ICD-10 Implementation” [↑] Just released! The Medicare Learning Network(r) has released MLN Matters Special Edition Article #SE1033 to inform affected Fee-For-Service (FFS) providers about the implementation of a partial freeze for both ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes prior to implementation of ICD-10 on October 1, 2013. This decision was announced at the ICD-9-CM Coordination & Maintenance Meeting, held on Wed Sep 15, 2010. For more details, the article can be found at http://www.cms.gov/MLNMattersArticles/downloads/SE1033.pdf. >From the Medicare Learning Network: Revised: MLN Matters Article #SE1027: >Recovery Audit Contractor Demonstration High-Risk Medical Necessity >Vulnerabilities for Inpatient Hospitals [↑] The Medicare Learning Network(r) has revised MLN Matters Special Edition Article #SE1027 to update the list of vulnerabilities found on page two. This article advises inpatient hospitals about 17 RAC demonstration-identified medical necessity vulnerabilities. For more details, please read the updated version of the article at http://www.cms.gov/MLNMattersArticles/downloads/SE1027.pdf. >From the Medicare Learning Network: “The Medicare Overpayment Collection >Process” Publication Now Available in Print [↑] The revised publication titled “The Medicare Overpayment Collection Process” (previously titled “What Physicians and Other Suppliers Should Know About Medicare Overpayments”), which provides the definition of an overpayment and information about the collection of Medicare physician and supplier overpayments, 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: “Sole Community Hospital” Fact Sheet >Revised [↑] The revised fact sheet titled “Sole Community Hospital” (October 2010), which provides information about Sole Community Hospital (SCH) classification criteria and SCH payments, is now available in downloadable format from the Medicare Learning Network(r) at http://www.cms.gov/MLNProducts/downloads/SoleCommHospfctsht508-09.pdf. >From the Medicare Learning Network: “Medicare Outpatient Therapy Billing” >Publication Now Available in Print [↑] A new publication titled “Medicare Outpatient Therapy Billing” (August 2010) is now available in print format from the Medicare Learning Network(r). This publication provides information about Medicare outpatient physical therapy, occupational therapy, and speech-language pathology (therapy services) coverage requirements; calendar years 2010 and 2011 therapy codes and dispositions; and billing measures for therapy services. 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: A Message to Our Provider Partners [↑] Earlier this year when we introduced the “Medicare Learning Network(r) (MLN) Suite of Products and Resources for Billing and Coding Professionals,” we recommended you forward an email to your members and any staff that may have the responsibility for developing and submitting claims (ie. billers, coders, reimbursement specialists, and office practice managers). As part of our ongoing efforts to keep our providers aware of new and improved products, and to remind you that important MLN information is continuously available, we would like you to again recommend this comprehensive range of products to your existing and new reimbursement specialists. The timely and accurate information they need to submit Medicare claims correctly the first time is just a download away! Like all MLN products and resources, the Suite is available at no cost. It contains easy-to-understand and current Medicare information, all prepared by subject-specific experts. We recommend you copy and paste the message below into the body of an email, then forward to your members. The email contains a link to a complete detailed listing of all of the products in the “Medicare Learning Network(r) Suite of Products and Resources for Billing and Coding Professionals.” We very much appreciate your help in spreading the word about this and all other MLN products and hope you find the products beneficial as well. Please contact Valerie Haugen directly (at [email protected]<mailto:[email protected]>) if you have received any feedback about the Suite or have questions or concerns. Thanks! Please copy and paste the message below into the body of e-mail, then forward to your members: Get Accurate Solutions Now to Your Medicare Claim Questions You can find plenty of answers to your Medicare questions. Find the accurate ones from the Medicare Learning Network(r) (MLN). As a billing or coding professional, you need Medicare information at your fingertips. That is why CMS experts developed the “Medicare Learning Network(r) Suite of Products and Resources for Billing and Coding Professionals” just for you. The Suite contains easy-to-understand, accessible, and free Medicare Program information. To access a detailed listing of all of the products you need to correctly submit claims the first time, visit the MLN Educational Web Guides web page at http://www.cms.gov/MLNEdWebGuide and, on the left hand side of the page, click on the “Medicare Learning Network Suite of Products and Resources for Billing and Coding Professionals.” Equip yourself today with critical reimbursement solutions from the official source for Medicare Fee-For-Service Provider information. --------------------------------------------------------------------------------------------------------------------------------------------- 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 an average of 36,000 flu-related deaths in the United States each year, and 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 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.hhs.gov/ContactCMS). Thank you. If you received this message as part of the All FFS Providers listserv, you are currently subscribed to one of eighteen Medicare Fee-For-Service (FFS) provider listservs. If you would like to be removed from all NIH listservs, please go to (https://list.nih.gov/LISTSERV_WEB/signoff.htm) to unsubscribe. If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/show_list_archives) to unsubscribe or to leave the appropriate listserv. If you know someone who would like to subscribe to a FFS provider listserv, go to (http://www.cms.hhs.gov/prospmedicarefeesvcpmtgen/downloads/Provider_Listservs.pdf) .
<<inline: image002.jpg>>
