Updates from the Medicare Learning Network

>From the MLN:  "Durable Medical Equipment, Prosthetics, Orthotics, and 
>Supplies (DMEPOS) Competitive Bidding Program Expansion Announced" MLN Matters 
>Article Released

MLN Matters(r) Special Edition Article #SE1127 titled, "Durable Medical 
Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding 
Program Expansion Announced," which provides important information about the 
next phase (Round 2 and National Mail-Order) of Medicare's Competitive Bidding 
Program for DMEPOS, is now available at 
http://www.cms.gov/MLNMattersArticles/Downloads/SE1127.pdf.



>From the MLN:  "Contractor Entities At A Glance" Educational Tool Released



The Medicare Learning Network(r) (MLN) has released a new product titled 
"Contractor Entities At A Glance: Who May Contact You About Specific Centers 
for Medicare & Medicaid Services (CMS) Activities" to provide education about 
the definitions and responsibilities of entities involved in various claims 
adjudication activities.  This educational tool, which is available in 
downloadable format at 
http://www.CMS.gov/MLNProducts/downloads/ContractorEntityGuide_ICN906983.pdf<http://www.cms.gov/MLNProducts/downloads/ContractorEntityGuide_ICN906983.pdf>,
 includes a chart that outlines each entity by type, definitions, 
responsibilities, and reasons for contacting providers.  This product will be 
available in hard copy format from the MLN(r) at a later date.



>From the MLN: "Contractor Entities at a Glance" MLN Matters Article Released



MLN Matters(r) Special Edition Article #SE1123 titled, "Contractor Entities at 
a Glance: Who May Contact You About Specific Centers for Medicare & Medicaid 
Services (CMS) Activities," which describes the current Medicare contracting 
environment and lists the entities responsible for CMS activities, is available 
at 
http://www.CMS.gov/MLNMattersArticles/downloads/SE1123.pdf<http://www.cms.gov/MLNMattersArticles/downloads/SE1123.pdf>.
  This article also explains why certain entities may contact providers and 
announces the availability of a new Medicare Learning Network(r) publication 
titled "Entities At A Glance: Who May Contact You About Specific Centers for 
Medicare & Medicaid Services (CMS) Activities."



>From the MLN: "Medicare Pilot Project for Electronic Submission of Medical 
>Documentation (esMD)" MLN Matters Article Released



MLN Matters(r) Special Edition Article #SE1110 titled, "Medicare Pilot Project 
for Electronic Submission of Medical Documentation (esMD)," which provides 
information about Medicare's Electronic Submission of Medical Documentation 
(esMD) pilot project, is available at 
http://www.CMS.gov/MLNMattersArticles/Downloads/SE1110.pdf<http://www.cms.gov/MLNMattersArticles/Downloads/SE1110.pdf>.
  The esMD project is designed to reduce provider costs and cycle time by 
minimizing and eventually eliminating paper processing and mailing of medical 
documentation to review contractors.





Revised Products



Revised-Advance Beneficiary Notice of Noncoverage (ABN) Part A and Part B 
http://cms.meridianksi.com/kc/pfs/pfs_lnkfrm_fl.asp?lgnfrm=reqprod&function=pfs,
 Booklet, 006266, hard copy.

This booklet is designed to provide education on the ABN. It includes 
information on when an ABN should be used and how it should be completed.



Revised-Preventive Immunizations 
http://cms.meridianksi.com/kc/pfs/pfs_lnkfrm_fl.asp?lgnfrm=reqprod&function=pfs,
 brochure, 006435, hard copy.

This brochure is designed to provide education on Medicare's Influenza Vaccine, 
Pneumococcal Vaccine, and Hepatitis B Vaccine benefits.



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Vaccinate Early to Protect Against the Flu. The Centers for Disease Control and 
Prevention (CDC) recommends a yearly flu vaccination as the first and most 
important step in protecting against flu viruses. Remind your patients that 
annual vaccination is recommended for optimal protection. Medicare pays for the 
flu vaccine and its administration for seniors and other Medicare beneficiaries 
with no co-pay or deductible. Take advantage of each office visit and start 
protecting your patients as soon as your 2011-2012 seasonal flu vaccine 
arrives. And, don't forget to immunize yourself and your staff. Get the Flu 
Vaccination -- 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/35_PreventiveServices.asp.


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