Updates from the Medicare Learning Network… [cid:[email protected]]
§ “Physicians and Non-Physician Practitioners Excluded from Deactivation in Medicare Due to Inactivity with Medicare” MLN Matters Article § “Quick Reference Information, Medicare Immunization Billing” Chart § “Hospital Acquired Conditions in Acute Inpatient Prospective Payment System Hospitals” Fact Sheet § “Present on Admission Indicator Reporting by Acute Inpatient Prospective Payment System Hospitals” Fact Sheet § “Physician Quality Reporting Initiative and Electronic Prescribing and Medicare Advantage Plans” Fact Sheet § “Physician Quality Reporting Initiative Reporting periods for 2010” Fact Sheet § “Medicare Information for Advanced Practice Nurses and Physician Assistants” Booklet Available in Hardcopy § “Acute Care Hospital Inpatient Prospective Payment System” Fact Sheet Available in Hardcopy § Have a Healthy Holiday Season by Taking Advantage of Medicare-Covered Preventive Services >From the Medicare Learning Network: “Physicians and Non-Physician >Practitioners Excluded from Deactivation in Medicare Due to Inactivity with >Medicare” MLN Matters Article [↑] The Medicare Learning Network(r) (MLN) has released MLN Matters Special Edition Article #SE1034 - “Physicians and Non-Physician Practitioners (NPPs) Excluded from Deactivation in Medicare Due to Inactivity with Medicare” - to inform providers that certain physicians and non-physician practitioners employed by the Department of Veterans Affairs (DVA), Department of Defense (DOD), or the Public Health Service (PHS) are excluded from the Medicare enrollment deactivation process. This article is informational in nature and supports existing policy. For more information, please read the article at http://www.cms.gov/MLNMattersArticles/downloads/SE1034.pdf. >From the Medicare Learning Network: “Quick Reference Information, Medicare >Immunization Billing” Chart [↑] The “Quick Reference Information, Medicare Immunization Billing” chart, which includes coding, coverage, and billing information for the seasonal influenza, pneumococcal, and hepatitis B vaccines, has been updated and is now available for download, free of charge, from the Medicare Learning Network(r) at http://www.cms.gov/MLNProducts/downloads/qr_immun_bill.pdf. Additionally, hard copies will be available at a later date. >From the Medicare Learning Network: “Hospital Acquired Conditions in Acute >Inpatient Prospective Payment System Hospitals” Fact Sheet [↑] The “Hospital Acquired Conditions (HAC) in Acute Inpatient Prospective Payment System (IPPS) Hospitals” fact sheet (revised October 2010) is now available in downloadable format at http://www.cms.gov/HospitalAcqCond/downloads/HACFactsheet.pdf from the Medicare Learning Network(r). This fact sheet provides an overview of the Deficit Reduction Act of 2005, lists affected hospitals, a table of HACs and Codes, and 10 categories of HAC to help providers learn more about the HAC program. >From the Medicare Learning Network: “Present on Admission Indicator Reporting >by Acute Inpatient Prospective Payment System Hospitals” Fact Sheet [↑] The “Present on Admission Indicator Reporting by Acute Inpatient Prospective Payment System (IPPS) Hospitals” fact sheet (revised October 2010) is now available in downloadable format at http://www.cms.gov/MLNProducts/downloads/wPOAFactSheet.pdf from the Medicare Learning Network(r). This fact sheet will clarify for providers how to apply POA indicators to diagnosis codes for certain healthcare claims and clarify if the diagnosis was present at the time of admission. >From the Medicare Learning Network: “Physician Quality Reporting Initiative >and Electronic Prescribing and Medicare Advantage Plans” Fact Sheet [↑] A new Medicare Learning Network(r) publication titled “Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (eRx) and Medicare Advantage (MA) Plans” is now available in downloadable format at http://www.cms.gov/MLNProducts/downloads/wPQRIMAPlansTS.pdf. This fact sheet provides PQRI and eRx Incentive Program payment information to eligible professionals (physicians/non-physicians) who provide Medicare services to beneficiaries enrolled in Medicare Advantage (MA) plans. >From the Medicare Learning Network: “Physician Quality Reporting Initiative >Reporting periods for 2010” Fact Sheet [↑] A new Medicare Learning Network(r) publication titled “Physician Quality Reporting Initiative (PQRI) Reporting periods for 2010” is now available in downloadable format at http://www.cms.gov/MLNProducts/downloads/PQRI904323.pdf. This fact sheet is designed to provide information for 2010 eligible professionals who satisfactorily report PQRI measures for the two reporting periods. This fact sheet also describes the incentive for eligible professionals who meet the requirements for the 6-month reporting period. >From the Medicare Learning Network: “Medicare Information for Advanced >Practice Nurses and Physician Assistants” Booklet Available in Hardcopy [↑] The new Medicare Learning Network(r) booklet titled “Medicare Information for Advanced Practice Nurses and Physician Assistants” (September 2010) is now available in print format from the Medicare Learning Network. This publication provides information about required qualifications, coverage criteria, billing, and payment for Medicare services furnished by advanced practice nurses, anesthesiologist assistants, and physician assistants. 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.” Additionally, an Errata Sheet, which provides corrections or changes that have been identified since implementation of the publication, is available at http://www.cms.gov/MLNProducts/downloads/Errata.pdf. >From the Medicare Learning Network: “Acute Care Hospital Inpatient >Prospective Payment System” Fact Sheet Available in Hardcopy [↑] The revised fact sheet titled “Acute Care Hospital Inpatient Prospective Payment System” (November 2010) is now available in downloadable format from the Medicare Learning Network(r) at http://www.cms.gov/MLNProducts/downloads/AcutePaymtSysfctsht.pdf. This publication provides information about the basis for Acute Care Hospital Inpatient Prospective Payment System payment, payment rates, and how payment rates are set. >From the Medicare Learning Network: Have a Healthy Holiday Season by Taking >Advantage of Medicare-Covered Preventive Services [↑] The Centers for Medicare & Medicaid Services asks the provider community to help their patients with Medicare have a healthy holiday season by encouraging eligible patients to take advantage of Medicare-covered preventive services. Medicare provides coverage of a variety of preventive services and screenings to help providers detect illnesses early, when treatment works best. 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, during the holiday season and into the new year. For More Information: CMS has developed several educational products related to Medicare-covered preventive services. They are all available, free of charge, from the Medicare Learning Network(r): o 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. o MLN Matters Provider Educational Articles Related to Medicare-covered Preventive Benefits - provides links to educational articles with the latest information on changes to Medicare-covered preventive services, including the latest coverage and coding information, and changes due to the Affordable Care Act. Visit http://www.cms.gov/MLNProducts/Downloads/MLNPrevArticles.pdf. o 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. o Quick Reference Information: Medicare Immunization Billing - this newly-updated chart provides coding, coverage, and billing information on the seasonal influenza virus, pneumococcal, and hepatitis B vaccines. Visit http://www.cms.gov/MLNProducts/downloads/qr_immun_bill.pdf. o 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. 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. December It’s a Busy Time of Year. Make each office visit an opportunity to talk with your patients about the importance of getting the seasonal flu vaccination and a one-time pneumococcal vaccination. Remember, Medicare pays for these vaccinations for all beneficiaries with no co-pay or deductible. The seasonal flu and invasive pneumococcal disease kill thousands of people in the United States each year, most of them 65 years of age or older. The Centers for Disease Control and Prevention (CDC) also recommends that health care workers and caregivers be vaccinated against the seasonal flu. 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. If you know someone who would like to subscribe to a Medicare Fee-For-Service (FFS) provider listserv, go to (http://www.cms.gov/prospmedicarefeesvcpmtgen/downloads/Provider_Listservs.pdf). If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/wa.exe?INDEX) to unsubscribe or to leave the appropriate listserv. 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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