November is National Diabetes Month and Diabetic Eye Disease Month

Please join the Centers for Medicare & Medicaid Services (CMS) this November 
during National Diabetes Month and Diabetic Eye Disease Month in raising 
awareness about diabetes, diabetic eye disease, the importance of early disease 
detection, and the related preventive health services covered by Medicare.

Diabetes can lead to severe complications such as heart disease, stroke, vision 
loss, kidney disease, nerve damage, and amputation among others, and it’s a 
significant risk factor for developing glaucoma. People with diabetes are more 
susceptible to many other illnesses such as pneumonia and influenza and are 
more likely to die from these than people who do not have diabetes.  Among U.S. 
residents aged 65 years and older, 10.9 million (or 26.9%) had diabetes in 
2010.  Currently, 3.6 million Americans age 40 and older suffer from diabetic 
eye disease.  Education and early detection are major components to combating 
this disease.

What Can You Do?
Help protect the health of your Medicare-covered patients by informing them 
that Medicare covers several diabetes-related preventive services for eligible 
beneficiaries including diabetes screening tests, diabetes self-management 
training, medical nutrition therapy, diabetes supplies, glaucoma screening, and 
vaccinations for pneumonia and influenza.  Advise them that the early detection 
and treatment of diabetes can prevent or delay many associated illnesses and 
complications.  Encourage utilization of these important preventive services as 
appropriate. And remember, many of these services require an order or referral 
for coverage by Medicare. Please ensure that you provide your Medicare patients 
with the appropriate documentation so they can receive the services needed to 
help prevent, treat, and manage the disease.

For More Information:

 *   The Guide to Medicare Preventive 
Services<http://www.cms.gov/MLNProducts/downloads/mps_guide_web-061305.pdf> 
(see Chapter 6)
 *   Medicare Preventive Services Quick Reference Information 
Chart<https://www.cms.gov/MLNProducts/downloads/MPS_QuickReferenceChart_1.pdf>
 *   The Diabetes-Related Services Fact 
Sheet<http://www.cms.gov/MLNProducts/downloads/DiabetesSvcs.pdf>
 *   The Glaucoma Screening 
Brochure<http://www.cms.gov/MLNProducts/downloads/glaucoma.pdf>
 *   Medicare.gov – Diabetes Screening, Supplies and Self Management Training 
Website<http://www.medicare.gov/(X(1)S(3cljdd55q5q1unakbasrqc45))/navigation/manage-your-health/preventive-services/diabetes-screening.aspx>
 *   National Diabetes Fact Sheet, 
2011<http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf>
 *   National Diabetes Education Program (NDEP) Healthcare Professionals 
Website<http://ndep.nih.gov/hcp-businesses-and-schools/HealthCareProfessionals.aspx>


Thank you for joining with CMS to help increase awareness and educate about 
diabetes and diabetic eye disease, and the diabetes-related preventive health 
services now covered by Medicare.

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Each Office Visit is an Opportunity. Medicare patients give many reasons for 
not getting their annual flu vaccination, but the fact is that flu seasons are 
unpredictable and can be severe. Each year, it is estimated that 90 percent of 
seasonal flu-related deaths and more than 60 percent of seasonal flu-related 
hospitalizations occur in people 65 years and older. Please talk with your 
Medicare patients about the importance of getting their annual flu vaccination. 
And remember, vaccination is important for healthcare workers too, 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 Vaccine—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.




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