>From the Medicare Learning Network: "Claims Modifiers for Use in the DMEPOS >Competitive Bidding Program" Revised
The Medicare Learning Network(r) (MLN) has revised MLN Matters Special Edition Article #SE1035, "Claims Modifiers for Use in the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program," to add language regarding the use of the KY modifier for purchased, covered accessories or supplies furnished for use with rented grandfathered equipment. This article informs providers about new Healthcare Common Procedure Coding System (HCPCS) modifiers that have been developed for use in the Medicare DMEPOS Competitive Bidding Program. It is important that all providers and suppliers who provide DMEPOS affected by the Competitive Bidding Program use the appropriate modifiers when submitting claims to the Centers for Medicare & Medicaid Services. For more details, please read the article at http://www.cms.gov/MLNMattersArticles/downloads/SE1035.pdf. >From the Medicare Learning Network: "Sole Community Hospital" Fact Sheet >Available in Hard Copy 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 print format from the Medicare Learning Network(r). To place an 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: "Home Health Face-to-Face Encounter: New >Home Health Certification Requirement" The Medicare Learning Network(r) (MLN) has released MLN Matters Special Edition Article #SE1038, "Home Health Face-to-Face Encounter: A New Home Health Certification Requirement," to remind physicians who certify a patient's eligibility for home health benefits that the Affordable Care Act mandates that they, or an allowed non-physician practitioner (NPP), document that they have had a face-to-face encounter with the patient. Documentation regarding these encounters must be present on certifications for patients whose care started on and after Sat Jan 1. This article is informational in nature and supports the Home Health Prospective Payment System (HHPPS) Final Rule (CMS-1510-F), as published in the Federal Register on Wed Nov 17, 2010. For more details, please read the article at http://www.cms.gov/MLNMattersArticles/downloads/SE1038.pdf. --------------------------------------------------------------------------------------------------------------------------------------------- January Flu Shot Reminder Flu Season is Here! While seasonal flu outbreaks can happen as early as October, flu activity usually peaks in January. This year's vaccine will protect against three different flu viruses, including the H1N1 virus that caused so much illness last flu season. 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. Health care workers, who may spread the flu to high risk patients, should get vaccinated too. 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. 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