Updates from the Medicare Learning Network (r) (please note: hyperlinks in each bullet will redirect you to the article below)
§ “Medicare Physician Guide” Revised and CD ROM Available § “Medicare Fraud & Abuse: Prevention, Detection, and Reporting” Fact Sheet Revised § “Guidance on Completing the CMS-855A Enrollment Form” MLN Matters(r) Article Released § “Advanced Diagnostic Imaging Accreditation Enrollment Procedures” MLN Matters(r) Article Revised § “Important Reminders about HIPAA 5010 & D.0 Implementation” MLN Matters(r) Article § “Important Update Regarding 5010 Implementation - Action Needed Now” MLN Matters(r) Article Available § “Power Mobility Devices” Fact Sheet Revised § “Contractor Entities At A Glance” Educational Tool Available in Hard Copy § “Medicare Information for Advanced Practice Registered Nurses, Anesthesiologist Assistants, and Physician Assistants” Booklet Available § New Fast Fact on MLN Provider Compliance Webpage § Medicare Billing Certificate Programs Coming Soon to the Medicare Learning Network(r) >From the MLN: “Medicare Physician Guide” Revised and CD ROM Available The “Medicare Physician Guide” (ICN 005938) has been revised and is available in CD ROM format. This guide includes the following information: an introduction to the Medicare Program, becoming a Medicare provider or supplier, Medicare reimbursement, Medicare services, protecting the Medicare Trust Fund, Medicare overpayments and Fee-For-Service appeals, and provider outreach and education. To place your order, visit the “MLN Products page<https://www.cms.gov/mlnproducts/>,” scroll to the “Related Links Inside CMS,” and select the “MLN Product Ordering Page<http://cms.meridianksi.com/kc/main/kc_frame.asp?kc_ident=kc0001&loc=5>.” >From the MLN: “Medicare Fraud & Abuse: Prevention, Detection, and Reporting” >Fact Sheet Revised [↑] The “Medicare Fraud & Abuse: Prevention, Detection, and Reporting<http://www.cms.gov/MLNProducts/downloads/Fraud_and_Abuse.pdf>” Fact Sheet (ICN 0006827) is designed to provide education on preventing, detecting and reporting Medicare fraud and abuse. It includes definitions, as well as, information on laws, partnerships with other organizations and resources for additional information. >From the MLN: “Guidance on Completing the CMS-855A Enrollment Form” MLN >Matters(r) Article Released [↑] The new MLN Matters(r) Special Edition Article (#SE1135) “Guidance on Completing the CMS-855A Enrollment Form<http://www.cms.gov/MLNMattersArticles/Downloads/SE1135.pdf>” is designed to provide education on how to complete the Medicare Enrollment Application for Institutional Providers, Form CMS-855A. It provides a brief guide that providers may use when completing the CMS-855A application. Please note, use of this guide is not mandatory and does not ensure Medicare enrollment. >From the MLN: “Advanced Diagnostic Imaging Accreditation Enrollment >Procedures” MLN Matters(r) Article Revised [↑] The MLN Matters(r) Article (#MM7177) “Advanced Diagnostic Imaging Accreditation Enrollment Procedures<http://www.cms.gov/MLNMattersArticles/Downloads/MM7177.pdf>” is designed to provide education on the accreditation requirements for providers who submit claims for advanced diagnostic imaging services, as outlined in Change Request (CR) 7177. It was revised to add a reference to MLN Matters Article #SE1122 for additional information about these requirements. >From the MLN: “Important Reminders about HIPAA 5010 & D.0 Implementation” MLN >Matters(r) Article [↑] The MLN Matters(r) Special Edition Article (#SE1106) “Important Reminders about HIPAA 5010 & D.0 Implementation<http://www.cms.gov/MLNMattersArticles/Downloads/SE1106.pdf>” is designed to provide education on how to prepare for the Health Insurance Portability and Accountability Act (HIPAA) 5010/D.0 implementation. It includes a list of assessment questions and educational materials to help providers prepare for the implementation. >From the MLN: “Important Update Regarding 5010 Implementation - Action Needed >Now” MLN Matters(r) Article Available [↑] The MLN Matters(r) Special Edition Article (#SE1131) “Important Update Regarding 5010 Implementation - Action Needed Now<http://www.cms.gov/MLNMattersArticles/Downloads/SE1131.pdf>” is designed to provide education on the actions providers must take NOW to prepare for the Health Insurance Portability and Accountability Act (HIPAA) 5010/D.0 implementation. It includes important action steps and a list of questions that providers can use to determine whether they are at risk of not being able to meet the January 1, 2012, deadline and submit claims. >From the MLN: “Power Mobility Devices” Fact Sheet Revised [↑] The “Power Mobility Devices (PMDs): Complying with Documentation & Coverage Requirements<http://www.cms.gov/MLNProducts/downloads/PMD_DocCvg_FactSheet_ICN905063.pdf>” Fact Sheet (ICN 905063) is designed to provide education on common Comprehensive Error Rate Testing Program errors related to power mobility devices. It includes a checklist of the documentation needed to support a claim submitted to Medicare for PMDs. >From the MLN: “Contractor Entities At A Glance” Educational Tool Available in >Hard Copy [↑] The “Contractor Entities At A Glance: Who May Contact You About Specific Centers for Medicare & Medicaid Services (CMS) Activities<http://www.cms.gov/MLNProducts/downloads/ContractorEntityGuide_ICN906983.pdf>” Educational Tool (ICN 906983) is designed to provide education on the definitions and responsibilities of entities involved in claims adjudication activities. It includes a chart that outlines each entity by type, definitions, responsibilities, and reasons for contacting providers, especially Fee-For-Service providers. To place an order for a hard copy version, go to http://www.CMS.gov/MLNProducts<http://www.cms.gov/MLNProducts> and click on “MLN Product Ordering Page” under “Related Links Inside CMS” at the bottom of the page. >From the MLN: “Medicare Information for Advanced Practice Registered Nurses, >Anesthesiologist Assistants, and Physician Assistants” Booklet Available The revised “Medicare Information for Advanced Practice Registered Nurses, Anesthesiologist Assistants, and Physician Assistants” Booklet (ICN 901623) provides education on services furnished by advanced practice registered nurses, anesthesiologist assistants, and physician assistants. This booklet includes the following information about Medicare requirements for these provider types: required qualifications, coverage criteria, billing, and payment. To place your order, visit the MLN Products<http://www.cms.gov/MLNProducts/01_Overview.asp> page, scroll to the “Related Links Inside CMS,” and select the “MLN Product Ordering Page.” >From the MLN: New Fast Fact on MLN Provider Compliance Webpage [↑] A new fast fact on MLN Provider Compliance<http://www.cms.gov/MLNProducts/45_ProviderCompliance.asp> is now available. This webpage provides the latest educational products designed to help Medicare Fee-For-Service providers understand-and avoid -common billing errors and other improper activities. Please bookmark this page and check back often as a new “fast fact” is added each month. Medicare Billing Certificate Programs Coming Soon to the Medicare Learning Network(r) (MLN) [↑] “The Medicare Billing Certificate Program for Part A Providers,” and “The Medicare Billing Certificate Program for Part B Providers” are coming soon to the MLN. Learn about the Medicare Program with a special focus on Medicare Billing specific to your billing or provider type, and receive a certificate in Medicare Billing from CMS. Look for these programs to become available in early 2012. ------------------------------------------------- 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. ------------------------------------------------------ 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.
