Updates from the Medicare Learning Network… [cid:[email protected]]
§ “Annual Wellness Visit, Including Personalized Prevention Plan Services” MLN Matters Article § “Glucose Testing Supplies: Complying with Documentation & Coverage Requirements” Fact Sheet § “ACA-Mandated Collection of FQHC Data and Updates to Preventive Services Provided by FQHCs” MLN Matters Article § Two MLN Publications Now Newly-Available in Print Format § December Flu Shot Reminder >From the Medicare Learning Network: “Annual Wellness Visit, Including >Personalized Prevention Plan Services” MLN Matters Article [↑] The Medicare Learning Network(r) (MLN) has released “Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)” (MLN Matters Article #MM7079) to summarize the coverage and billing requirements of the Annual Wellness Visit with Personalized Prevention Plan Services, as outlined in section 4103 of the Affordable Care Act of 2010. Effective on or after Sat Jan 1, 2011, the AWV will cover several screening and preventive services to help promote a healthy lifestyle and coordinate those services that may already be covered and paid for under Medicare Part B. This article is based on Change Request 7079 and is available at http://www.cms.gov/MLNMattersArticles/downloads/MM7079.pdf. >From the Medicare Learning Network: “Glucose Testing Supplies: Complying with >Documentation & Coverage Requirements” Fact Sheet [↑] The Medicare Learning Network(r) (MLN) would like to remind you that it has developed a “Glucose Testing Supplies: Complying with Documentation & Coverage Requirements” fact sheet to provide education on common Comprehensive Error Rate Testing (CERT) Program errors related to glucose testing supplies, which is currently one of the highest sources of CERT error rates. This fact sheet includes a checklist of the documentation needed to support claims submitted to Medicare for glucose testing supplies and is currently available in downloadable format at http://www.cms.gov/MLNProducts/downloads/GlucSup_DocCvge_FactSheet_ICN905104.pdf. Please visit the MLN Provider Compliance web page at http://www.cms.gov/MLNProducts/45_ProviderCompliance.asp for additional resources that educate Fee-For-Service providers about common billing errors and other improper activities identified through CMS’ claim review programs, including CERT. >From the Medicare Learning Network: “ACA-Mandated Collection of FQHC Data and >Updates to Preventive Services Provided by FQHCs” MLN Matters Article [↑] The Medicare Learning Network(r) (MLN) has released “Affordable Care Act Mandated Collection of Federally Qualified Health Center (FQHC) Data and Updates to Preventive Services Provided by FQHCs” (MLN Matters Article #MM7038) targeted at FQHCs billing Medicare contractors (Fiscal Intermediaries and/or Part A/B MACs) for services provided to Medicare beneficiaries. This article is available at http://www.cms.gov/MLNMattersArticles/downloads/MM7038.pdf. >From the Medicare Learning Network: Two MLN Publications Now Newly-Available >in Print Format [↑] The publications listed below are 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.” § “Hospice Payment System” (September 2010), which 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. § “Comprehensive Outpatient Rehabilitation Facility” (July 2010), which 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. December Flu Shot Reminder 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 whom are 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 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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