Updates from the Medicare Learning Network(r) § New “Recovery Audit Program Demonstration High-Risk Diagnosis Related Group Coding Vulnerabilities for Inpatient Hospitals” Podcast
§ New “DMEPOS Quality Standards” Fact Sheet § New “The Basics of DMEPOS Accreditation” Fact Sheet § New “DMEPOS New Information for Pharmacies” Booklet § New “Signature Requirements” Fact Sheet § New “Inpatient Rehabilitation Services” Fact Sheet § “Evaluation and Management Services Guide” Available in Print § “Home Health Prospective Payment System” Fact Sheet Available in Print >From the MLN: New “Recovery Audit Program Demonstration High-Risk Diagnosis >Related Group Coding Vulnerabilities for Inpatient Hospitals” Podcast [↑] The Medicare Learning Network(r) has released the second in a series of podcasts designed to educate Fee-For-Service providers about how to avoid common billing errors and other improper activities when dealing with the Medicare Program. This podcast - titled “Recovery Audit Program (RAP) Demonstration High-Risk Diagnosis Related Group (DRG) Coding Vulnerabilities for Inpatient Hospitals” - is based on MLN Matters Article #SE1028 and discusses some of the findings identified by the RAP in an effort to prevent future improper payment issues. To download this podcast, visit the MLN Multimedia webpage at http://www.CMS.gov/MLNProducts/MLM/list.asp<http://www.cms.gov/MLNProducts/MLM/list.asp> and click on ‘Provider Compliance’ from the list of items that contains the title of this podcast. Stay tuned for future podcasts from the MLN! >From the MLN: New “DMEPOS Quality Standards” Fact Sheet [↑] The new publication titled “Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Quality Standards” is now available in downloadable format from the Medicare Learning Network(r) at http://www.CMS.gov/MLNProducts/downloads/DMEPOS_Qual_Stand_Booklet_ICN905709.pdf<http://www.cms.gov/MLNProducts/downloads/DMEPOS_Qual_Stand_Booklet_ICN905709.pdf>. This fact sheet is designed to provide education on DMEPOS quality standards for Medicare deemed Accreditation Organizations (AOs) for DMEPOS suppliers. A hard copy version of this fact sheet will be available at a later date. >From the MLN: New “The Basics of DMEPOS Accreditation” Fact Sheet [↑] A new publication titled “The Basics of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Accreditation” is now available in downloadable format from the Medicare Learning Network(r) at http://www.cms.gov/MLNProducts/downloads/DMEPOS_Basics_FactSheet_ICN905710.pdf. This fact sheet is designed to provide education on the DMEPOS accreditation requirements, the types of providers who are exempt, and the process for becoming accredited. A hard copy version of this fact sheet will be available at a later date. >From the MLN: New “DMEPOS New Information for Pharmacies” Booklet [↑] A new publication titled “Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) New Information for Pharmacies” is now available in downloadable format from the Medicare Learning Network(r) at http://www.cms.gov/MLNProducts/downloads/DMEPOS_Pharm_FactSheet_ICN905711.pdf. This booklet is designed to provide education for new pharmacies on how to obtain a DMEPOS accreditation exemption. In order to supply DMEPOS, pharmacies must be accredited by a CMS-approved independent national Accreditation Organization (AO) or must obtain an accreditation exemption. A hard copy version of this fact sheet will be available at a later date. >From the MLN: New “Signature Requirements” Fact Sheet [↑] A new publication titled “Signature Requirements” is now available in downloadable format from the Medicare Learning Network(r) at http://www.cms.gov/MLNProducts/downloads/Signature_Requirements_Fact_Sheet_ICN905364.pdf. This fact sheet is designed to provide education on Signature Requirements to healthcare providers, and includes information on the documentation needed to support a claim submitted to Medicare for medical services. >From the MLN: New “Inpatient Rehabilitation Services” Fact Sheet [↑] A new publication titled “Inpatient Rehabilitation Services” is now available in downloadable format from the Medicare Learning Network(r) at http://www.cms.gov/MLNProducts/downloads/Inpatient_Rehab_Fact_Sheet_ICN905643.pdf. This fact sheet is designed to provide education on Inpatient Rehabilitation Services to healthcare providers, and includes information on the documentation needed to support a claim submitted to Medicare for inpatient rehabilitation services. >From the MLN: “Evaluation and Management Services Guide” Available in Print >[↑] The publication titled “Evaluation and Management Services Guide” is now available in print format from the Medicare Learning Network(r). 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. To place your order, visit http://www.CMS.gov/MLNGenInfo<http://www.cms.gov/MLNGenInfo>, scroll to ‘Related Links Inside CMS’ and select ‘MLN Product Ordering Page.’ >From the MLN: “Home Health Prospective Payment System” Fact Sheet Available >in Print [↑] The “Home Health Prospective Payment System” fact sheet (revised January 2011) is now available in print format from the Medicare Learning Network(r). This fact sheet is designed to provide education on the Home Health Prospective Payment System (HH PPS), including background information and consolidated billing requirements, coverage of HH services, elements of the HH PPS, and additional requirements. To place your order, visit http://www.CMS.gov/MLNGenInfo<http://www.cms.gov/MLNGenInfo>, scroll to ‘Related Links Inside CMS’ and select ‘MLN Product Ordering Page.’ --------------------------------------------------------------------------------- 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. 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