>From the MLN:  "Skilled Nursing Facility Prospective Payment System" Fact 
>Sheet Revised - The "Skilled Nursing Facility Prospective Payment 
>System<http://www.cms.gov/MLNProducts/downloads/snfprospaymtfctsht.pdf>" Fact 
>Sheet (ICN 006821) has been revised.  It includes the following information:  
>background and elements of the Skilled Nursing Facility Prospective Payment 
>System.

>From the MLN:  The "Medicare Information for Advanced Practice Registered 
>Nurses, Anesthesiologist Assistants, and Physician Assistants" Booklet Revised 
>- The "Medicare Information for Advanced Practice Registered Nurses, 
>Anesthesiologist Assistants, and Physician 
>Assistants<http://www.cms.gov/MLNProducts/downloads/Medicare_Information_for_APNs_and_PAs_Booklet_ICN901623.pdf>"
> booklet (ICN 901623) has been revised.  This publication is designed to 
>provide education on services furnished by advanced practice registered 
>nurses, anesthesiologist assistants, and physician assistants.  It includes 
>the following information about Medicare requirements for these provider 
>types:  required qualifications, coverage criteria, billing, and payment.

>From the MLN:  "The 2010 Physician Quality Reporting Initiative (PQRI)" 
>Booklet Now Available - "The 2010 Physician Quality Reporting Initiative 
>(PQRI)<http://www.cms.gov/MLNProducts/downloads/PQRI_Booklet-ICN907207.pdf>" 
>Booklet (ICN 907207) is now available in downloadable format from the Medicare 
>Learning Network(r).  This booklet is a compilation of CMS' various 
>educational resources relevant to the 2010 Physician Quality Reporting 
>Initiative (PQRI).

>From the MLN: "Medicare Payments for Diagnostic Radiology Services in 
>Emergency Departments" MLN Matters(r) Special Edition Article (#SE1134) 
>Released - The new MLN Matters(r) Special Edition Article (#SE1134) "Medicare 
>Payments for Diagnostic Radiology Services in Emergency 
>Departments<http://www.cms.gov/MLNMattersArticles/Downloads/SE1134.pdf>" is 
>based on a report from the Office of Inspector General (OIG) related to 
>Medicare payments and policy for coverage of radiology services.  It includes 
>information about the key elements of the OIG study and a summary of its 
>findings.

>From the MLN: "2011-2012 Seasonal Influenza (Flu) Resources for Healthcare 
>Professionals" MLN Matters(r) Special Edition Article (#SE1136) Released - The 
>new MLN Matters(r) Special Edition Article (#SE1136) "2011-2012 Seasonal 
>Influenza (Flu) Resources for Healthcare 
>Professionals<http://www.cms.gov/MLNMattersArticles/Downloads/SE1136.pdf>" is 
>designed to provide education on educational resources designed to help 
>Fee-For-Service Providers understand coverage, billing, and reimbursement 
>guidelines for seasonal flu vaccines.  It includes a list of relevant Medicare 
>Learning Network(r) (MLN) educational products and MLN Matters(r) articles.

>From the MLN: "Further Details on the Revalidation of Provider Enrollment 
>Information" MLN Matters(r) Special Edition Article (#SE1126) Revised - The 
>MLN Matters(r) Special Edition Article (#SE1126) "Further Details on the 
>Revalidation of Provider Enrollment 
>Information<http://www.cms.gov/MLNMattersArticles/Downloads/SE1126.pdf>" has 
>been revised.  This article is designed to provide education on the Medicare 
>provider enrollment revalidation process.  It includes information on what 
>providers and suppliers must do when they receive notice from their Medicare 
>Administrative Contractor (MAC) to revalidate their enrollment.

>From the MLN: "Implementation of Provider Enrollment Provisions in 
>CMS-6028-FC" MLN Matters(r) Article (#MM7350) Revised - The MLN Matters(r) 
>Article (#MM7350) "Implementation of Provider Enrollment Provisions in 
>CMS-6028-FC<http://www.cms.gov/MLNMattersArticles/Downloads/MM7350.pdf>" has 
>been revised.  This article is designed to provide education on how Medicare 
>will implement certain provisions cited in CMS-6028-FC, as outlined in Change 
>Request (CR) 7350.  It includes an overview of the effective provisions, which 
>include:  (1) establishment of provider enrollment screening categories; (2) 
>submission of application fees; (3) suspensions of payment based on credible 
>allegations of fraud; and (4) authority to impose a temporary moratorium on 
>the enrollment of new Medicare providers and suppliers of a particular type in 
>a geographic area.

Reminder:  MLN Provider Exhibit Program - The Medicare Learning Network(r) 
(MLN) will be exhibiting at the Gerontological Society of America's 64th Annual 
Scientific Meeting Friday, November 18, 2011 through Tuesday, November 22, 2011 
at the John B. Hayes Memorial Convention Center in Boston, MA, in booth #221.  
Please make a note of the dates and location and add them to your calendar!

If you are interested in having a CMS MLN(r) exhibit at your event, contact us 
at [email protected]<mailto:[email protected]>
-------------------------------------------------

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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