>From the MLN: "Reminder - Beneficiary Cost-Sharing for Medicare-Covered >Preventive Services Under the Affordable Care Act" MLN Matters(r) Special >Edition Article( #SE1129) Released - The new MLN Matters(r) Special Edition >Article (#SE1129) "Reminder-Beneficiary Cost-Sharing for Medicare-Covered >Preventive Services Under the Affordable Care >Act"<http://www.cms.gov/MLNMattersArticles/Downloads/SE1129.pdf> is designed >to provide education on the changes to deductibles, copayments, and >coinsurance for several Medicare-covered preventive services. It includes a >comprehensive list of preventive services and their respective >copayment/coinsurances, and deductibles.
>From the MLN: "Predictive Modeling Analysis of Medicare Claims" MLN >Matters(r) Special Edition Article (#SE1133) Available - The new MLN Matters(r) Special Edition Article (#SE1133) "Predictive Modeling Analysis of Medicare Claims"<http://www.cms.gov/MLNMattersArticles/Downloads/SE1133.pdf> is designed to provide education on the predictive modeling system that CMS uses to analyze Medicare FFS claims for potentially fraudulent activity. It includes an overview of the predictive analytics system that CMS implemented on Thu Jun 30. This system uses algorithms and models to examine Medicare claims in real time to flag suspicious billing. >From the MLN: "Medicare Pilot Project for Electronic Submission of Medical >Documentation" MLN Matters(r) Special Edition Article (#SE1110) Revised - The >revised MLN Matters(r) Special Edition Article (#SE1110)"Medicare Pilot >Project for Electronic Submission of Medical Documentation >(esMD)"<http://www.cms.gov/MLNMattersArticles/Downloads/SE1110.pdf> is >designed to provide education on Medicare's Electronic Submission of Medical >Documentation pilot project. It includes information about the project, which >is designed to reduce provider costs and cycle time to minimize and eventually >eliminate paper processing and mailing medical documentation to review >contractors. >From the MLN: "Items and Services That Are Not Covered Under the Medicare >Program" Booklet (ICN 906765) Available in Downloadable Format - The new >"Items and Services That Are Not Covered Under the Medicare >Program"<http://www.cms.gov/MLNProducts/downloads/Items_and_Services_Not_Covered_Under_Medicare_BookletICN906765.pdf> > booklet (ICN 906765) includes information about the four categories of items >and services that are not covered under the Medicare Program and applicable >exceptions to exclusions and the Advance Beneficiary Notice of Noncoverage. >From the MLN: "Advance Beneficiary Notice of Noncoverage Part A and Part B" >Booklet (ICN 006266) Available in Downloadable and Hardcopy Format - The >"Advance Beneficiary Notice of Noncoverage (ABN) Part A and Part >B"<https://www.cms.gov/MLNProducts/downloads/ABN_Booklet_ICN006266.pdf> >booklet (ICN 006266) is designed to provide education on the Advanced >Beneficiary Notice (ABN). It includes information on when an ABN should be >used and how it should be completed. ------------------------------------------------- Vaccination is the Best Protection Against the Flu The Centers for Disease Control and Prevention is encouraging everyone 6 months of age and older to get vaccinated against the seasonal flu. 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. And remember, vaccination is particularly important for healthcare workers, who may spread the flu to high-risk patients; don't forget to immunize yourself and your staff. Protect your patients. Protect your family. Protect yourself. Get the Flu Vaccination - Not the Flu. Remember - The flu vaccine plus its administration are covered Part B benefits. CMS has posted the 2011-2012 seasonal flu vaccine payment limits at http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp. Note that the flu vaccine is NOT a Part D-covered drug. For more information on coverage and billing of the flu vaccine and its administration, as well as related educational provider resources, visit http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp and http://www.cms.gov/immunizations. ------------------------------------------------------ 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. Inquiries may be sent by going to (http://www.cms.gov/ContactCMS). Thank you.
