Updates from the medicare learning network § “Publications For Your Medicare Beneficiaries” Factsheet
§ “Guidelines for Teaching Physicians, Interns, and Residents” Factsheet Revised § “HIPAA EDI Standards” Web-Based Training Revised § “Understanding the Remittance Advice: A Guide for Medicare Providers, Physicians, Suppliers and Billers” Publication Revised § “Evaluation and Management Services Guide” Publication Revised § “The 2007 Physician Quality Reporting Initiative” Publication § “CMS Email Subscription Service” Publication Available in Print >From the Medicare Learning Network: “Publications For Your Medicare >Beneficiaries” Factsheet New! The Medicare Learning Network(r) (MLN) has released a new product titled “Publications For Your Medicare Beneficiaries.” This factsheet lists a variety of beneficiary-related publications available to assist providers in responding to patients’ questions related to Medicare, all of which can be printed and provided to patients. This product is available in downloadable format at http://www.CMS.gov/MLNProducts/downloads/BenePubFS-ICN905183.pdf<http://www.cms.gov/MLNProducts/downloads/BenePubFS-ICN905183.pdf> and is suggested for all providers. >From the Medicare Learning Network: “Guidelines for Teaching Physicians, >Interns, and Residents” Factsheet Revised [↑] The “Guidelines for Teaching Physicians, Interns, and Residents” (revised December 2010) is now available in downloadable format at http://www.CMS.gov/MLNProducts/downloads/gdelinesteachgresfctsht.pdf<http://www.cms.gov/MLNProducts/downloads/gdelinesteachgresfctsht.pdf>. This factsheet provides information about payment for physician services in teaching settings, general documentation guidelines, and evaluation and management documentation guidelines. >From the Medicare Learning Network: “HIPAA EDI Standards” Web-Based Training >Revised [↑] The Medicare Learning Network(r) is now offering the revised “HIPAA EDI Standards” web-based training (revised January 2011) for CE credit. The goal of this activity is to provide information to physicians, suppliers, and healthcare professionals regarding electronic billing and other healthcare electronic transactions such as the Administrative Simplification provisions of HIPAA, electronic transaction standards and code sets required by HIPAA, and an overview of the steps involved in the Medicare electronic data interchange process. To take this training, visit http://www.CMS.gov/MLNProducts<http://www.cms.gov/MLNProducts/> and click on “Web-Based Training Modules” under “Related Links Inside CMS.” >From the Medicare Learning Network: “Understanding the Remittance Advice: A >Guide for Medicare Providers, Physicians, Suppliers and Billers” Publication >Revised [↑] The publication titled “Understanding the Remittance Advice: A Guide for Medicare Providers, Physicians, Suppliers and Billers” (revised October 2010) is designed to educate institutional and professional providers who bill Medicare with general remittance advice (RA) information. It includes instructions to help you interpret the RA received from Medicare and reconcile it against submitted claims and provides guidance on how to read Electronic Remittance Advices (ERAs) and Standard Paper Remittance Advices (SPRs), as well as information on balancing an RA. This publication may be downloaded from http://www.CMS.gov/MLNProducts/downloads/RA_Guide_Full_03-22-06.pdf<http://www.cms.gov/MLNProducts/downloads/RA_Guide_Full_03-22-06.pdf>. >From the Medicare Learning Network: “Evaluation and Management Services >Guide” Publication Revised [↑] The publication titled “Evaluation and Management Services Guide” (revised December 2010) is now available in downloadable format from the Medicare Learning Network(r) at http://www.CMS.gov/MLNProducts/downloads/eval_mgmt_serv_guide-ICN006764.pdf<http://www.cms.gov/MLNProducts/downloads/eval_mgmt_serv_guide-ICN006764.pdf>. This guide is designed to provide education on medical record documentation and evaluation and management billing and coding considerations. The “1995 Documentation Guidelines for Evaluation and Management Services” and the “1997 Documentation Guidelines for Evaluation and Management Services” are included in this publication. >From the Medicare Learning Network: “The 2007 Physician Quality Reporting >Initiative” Publication [↑] A new Medicare Learning Network(r) publication titled “The 2007 Physician Quality Reporting Initiative (PQRI)” (November 2010) is now available in downloadable format at http://www.CMS.gov/MLNProducts/downloads/PQRIbooklet012811-ICN905743.pdf<http://www.cms.gov/MLNProducts/downloads/PQRIbooklet012811-ICN905743.pdf>. This booklet is a compilation of CMS’s various educational resources relevant to the 2007 Physician Quality Reporting Initiative. >From the Medicare Learning Network: “CMS Email Subscription Service” >Publication Available in Print [↑] The educational tool titled “CMS Email Subscription Service” (revised October 2010), which provides education on the various CMS Fee-For-Service (FFS) electronic mailing lists, is now available in print format from the Medicare Learning Network(r) (MLN). 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.” --------------------------------------------------------------------------------------------------------------------------------------------- February Flu Shot Reminder It’s Not too Late to Give and Get the Flu Vaccine. Take advantage of each office visit and continue to protect your patients against the seasonal flu. Medicare will continue to pay for the seasonal flu vaccine and its administration for all Medicare beneficiaries through the entire flu season. The Centers for Disease Control and Prevention (CDC) recommends that patients, 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. 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. 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