Updates from the Medicare Learning Network(r)
§ New “Annual Wellness Visit” Brochure § “Correct Provider Billing of Admission Date and Statement Covers Period” MLN Matters Article Released § “Recovery Audit Program Diagnosis Related Group Coding Vulnerabilities for Inpatient Hospitals” MLN Matters Article Released § Provider-Supplier Enrollment Fact Sheets Revised § “Medicare Billing for Speech-Language Pathologists in Private Practice” Fact Sheet Revised § “Inpatient Psychiatric Facility Prospective Payment System” Fact Sheet Revised § Glaucoma Screening Brochure Revised § “Advance Beneficiary Notice of Noncoverage - Part A and Part B” Booklet Revised § “Expanded Benefits” Brochure Revised § “Quick Reference Information Resources: Medicare Preventive Services” Booklet Available in Hard Copy >From the MLN: New “Annual Wellness Visit” Brochure The new publication titled “Annual Wellness Visit” is now available in downloadable format from the Medicare Learning Network(r) at http://www.CMS.gov/MLNProducts/downloads/Annual_Wellness_Visit.pdf<http://www.cms.gov/MLNProducts/downloads/Annual_Wellness_Visit.pdf>. This brochure is designed to provide education on the Annual Wellness Visit and providing Personalized Prevention Plan Services, at no cost to the beneficiary, so beneficiaries can work with their physicians to develop and update their personalized prevention plan. >From the MLN: “Correct Provider Billing of Admission Date and Statement >Covers Period” MLN Matters Article Released [↑] MLN Matters(r) Special Edition Article #SE1117 - titled “Correct Provider Billing of Admission Date and Statement Covers Period” - which reminds affected providers about the National Uniform Billing Committee’s (NUBC) definition for reporting the ‘admission date’ and ‘statement covers period’ elements on claims submitted on or after Sat Oct 1, 2011, is now available at http://www.CMS.gov/MLNMattersArticles/downloads/SE1117.pdf<http://www.cms.gov/MLNMattersArticles/downloads/SE1117.pdf>. This article is informational and supports existing policy. >From the MLN: “Recovery Audit Program Diagnosis Related Group Coding >Vulnerabilities for Inpatient Hospitals” MLN Matters Article Released [↑] MLN Matters(r) Special Edition Article #SE1121 - titled “Recovery Audit Program Diagnosis Related Group (DRG) Coding Vulnerabilities for Inpatient Hospitals” - which provides information about DRG validation review findings related to an incorrect principal diagnosis, is now available at http://www.CMS.gov/MLNMattersArticles/downloads/SE1121.pdf<http://www.cms.gov/MLNMattersArticles/downloads/SE1121.pdf>. This article is informational and supports existing policy. >From the MLN: Provider-Supplier Enrollment Fact Sheets Revised [↑] The fact sheets below provide education to specific provider types on how to enroll in the Medicare Program and maintain their enrollment information using internet-based PECOS (Provider Enrollment, Chain, and Ownership System). They have been recently updated and are available in downloadable format from the Medicare Learning Network(r): § “Medicare Fee-For-Service (FFS) Physicians and Non-Physician Practitioners: Protecting Your Privacy - Protecting Your Medicare Enrollment Record” advises FFS physicians and non-physician practitioners on how to ensure their enrollment records are secure and up-to-date, and can be found at http://www.CMS.gov/MLNProducts/downloads/MedEnrollPrivcy_FactSheet_ICN903765.pdf<http://www.cms.gov/MLNProducts/downloads/MedEnrollPrivcy_FactSheet_ICN903765.pdf>. § “The Basics of Medicare Enrollment for Physicians and Other Part B Suppliers” explains general Medicare enrollment information relevant to physicians and other Part B suppliers and can be found at http://www.CMS.gov/MLNProducts/downloads/MedEnroll_PhysOther_FactSheet_ICN903768.pdf<http://www.cms.gov/MLNProducts/downloads/MedEnroll_PhysOther_FactSheet_ICN903768.pdf>. § “The Basics of Internet-Based PECOS for DMEPOS Suppliers” describes general Medicare enrollment information relevant to DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) suppliers and can be found at http://www.CMS.gov/MLNProducts/downloads/MedEnroll_PECOS_DMEPOS_FactSheet_ICN904283.pdf<http://www.cms.gov/MLNProducts/downloads/MedEnroll_PECOS_DMEPOS_FactSheet_ICN904283.pdf>. § “The Basics of Medicare Enrollment for Institutional Providers” explains general Medicare enrollment information relevant to institutional providers and can be found at http://www.CMS.gov/MLNProducts/downloads/MedEnroll_InstProv_FactSheet_ICN903783.pdf<http://www.cms.gov/MLNProducts/downloads/MedEnroll_InstProv_FactSheet_ICN903783.pdf>. § “The Basics of Medicare Enrollment for Physicians Who Infrequently Receive Medicare Reimbursement” describes general Medicare enrollment information relevant to those physicians required to enroll in Medicare for the sole purpose of certifying or ordering services for Medicare beneficiaries and can be found at http://www.CMS.gov/MLNProducts/downloads/MedEnroll_Phys_Infreq_Reimb_FactSheet_ICN006881.pdf<http://www.cms.gov/MLNProducts/downloads/MedEnroll_Phys_Infreq_Reimb_FactSheet_ICN006881.pdf>. § “The Basics of Internet-Based PECOS for Physicians and Non-Physician Practitioners” provides an overview of how physician and non-physician practitioners can enroll in Medicare using internet-based PECOS and can be found at http://www.CMS.gov/MLNProducts/downloads/MedEnroll_PECOS_PhysNonPhys_FactSheet_ICN903764.pdf<http://www.cms.gov/MLNProducts/downloads/MedEnroll_PECOS_PhysNonPhys_FactSheet_ICN903764.pdf>. § “The Basics of Internet-Based PECOS for Provider and Supplier Organizations” describes how provider and supplier organizations can enroll in Medicare using internet-based PECOS and can be found at http://www.CMS.gov/MLNProducts/downloads/MedEnroll_PECOS_ProviderSup_FactSheet_ICN903767.pdf<http://www.cms.gov/MLNProducts/downloads/MedEnroll_PECOS_ProviderSup_FactSheet_ICN903767.pdf>. § “Internet-Based PECOS Contact Information” provides contact information for technical assistance with internet-based PECOS and can be found at http://www.CMS.gov/MLNProducts/downloads/MedEnroll_PECOS_Contact_FactSheet_ICN903766.pdf<http://www.cms.gov/MLNProducts/downloads/MedEnroll_PECOS_Contact_FactSheet_ICN903766.pdf>. Please visit http://www.CMS.gov/MedicareProviderSupEnroll/downloads/Medicare_Provider-Supplier_Enrollment_National_Education_Products.pdf<http://www.cms.gov/MedicareProviderSupEnroll/downloads/Medicare_Provider-Supplier_Enrollment_National_Education_Products.pdf> for a complete list of all MLN products related to Medicare provider-supplier enrollment. >From the MLN: “Medicare Billing for Speech-Language Pathologists in Private >Practice” Fact Sheet Revised [↑] The “Medicare Billing for Speech-Language Pathologists in Private Practice” fact sheet has been revised and is now available in downloadable format at http://www.CMS.gov/MLNProducts/downloads/SpeechLangPathfctsht.pdf<http://www.cms.gov/MLNProducts/downloads/SpeechLangPathfctsht.pdf>. This fact sheet is designed to provide education on enrollment and billing procedures specific to speech-language pathologists (SLPs) and includes general billing and enrollment information and what services can be billed directly by an SLP. >From the MLN: “Inpatient Psychiatric Facility Prospective Payment System” >Fact Sheet Revised [↑] The “Inpatient Psychiatric Facility Prospective Payment System” fact sheet has been revised (June 2011) and is now available in downloadable format at http://www.CMS.gov/MLNProducts/downloads/InpatientPsychFac.pdf<http://www.cms.gov/MLNProducts/downloads/InpatientPsychFac.pdf>. This fact sheet is designed to provide education on the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS), including background, coverage requirements, how payment rates are set, and the Rate Year 2012 update to the IPF PPS. >From the MLN: Glaucoma Screening Brochure Revised [↑] The Glaucoma Screening brochure, which is designed to provide education on Medicare-covered glaucoma screening, has been updated and is now available in downloadable format, free of charge, from the Medicare Learning Network(r). To view, download, or print the brochure, visit http://www.CMS.gov/MLNProducts/downloads/glaucoma.pdf<http://www.cms.gov/MLNProducts/downloads/glaucoma.pdf>. >From the MLN: “Advance Beneficiary Notice of Noncoverage - Part A and Part B” >Booklet Revised [↑] The “Advance Beneficiary Notice of Noncoverage (ABN) - Part A and Part B” booklet, which is designed to provide education on the ABN, has been updated and is now available in downloadable format, free of charge, from the Medicare Learning Network(r) (MLN). To view, download, or print the brochure, visit http://www.CMS.gov/MLNProducts/downloads/ABN_Booklet_ICN006266.pdf<http://www.cms.gov/MLNProducts/downloads/ABN_Booklet_ICN006266.pdf>. A hard copy version of this product will be made available at a later date. >From the MLN: “Expanded Benefits” Brochure Revised [↑] The revised publication titled “Expanded Benefits” is now available in downloadable format from the Medicare Learning Network(r) at http://www.CMS.gov/MLNProducts/downloads/Expanded_Benefits.pdf<http://www.cms.gov/MLNProducts/downloads/Expanded_Benefits.pdf>. This brochure is designed to provide education on three preventive services: the Initial Preventive Physical Examination (IPPE) (also known as the Welcome to "Medicare Physical" Exam or the "Welcome to Medicare" visit), Ultrasound Screening for Abdominal Aortic Aneurysms, and Cardiovascular Screening Blood Tests. >From the MLN: “Quick Reference Information Resources: Medicare Preventive >Services” Booklet Available in Hard Copy [↑] The “Quick Reference Information Resources: Medicare Preventive Services” booklet, which is designed to provide education on coverage, coding, and billing criteria for Medicare-covered preventive services, is now available in print, free of charge, from the Medicare Learning Network(r) (MLN). It includes the following four quick reference information charts: Preventive Services, Medicare Immunization Billing, The ABCs of Providing the Initial Preventive Physical Examination, and The ABCs of Providing the Annual Wellness Visit. To order your copy, visit the MLN General information page at http://www.CMS.gov/MLNGenInfo<http://www.cms.gov/MLNGenInfo>, scroll to “Related Links Inside CMS,” and choose “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. 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