>From the MLN: "The Medicare DMEPOS Competitive Bidding Program Repairs and >Replacements" Fact Sheet (ICN 905283) Revised - On Monday, December 12, 2011, >CMS announced a revised repairs and replacement policy for the DMEPOS >Competitive Bidding Program. The revised policy continues to allow any >Medicare enrolled supplier to repair medically necessary, beneficiary-owned >equipment when necessary to make the equipment serviceable. The policy now >considers repair parts to include components that are needed to repair the >base equipment, including batteries and tires. Additionally, the revised fact >sheet provides guidance on billing the labor component and parts for the >repair for beneficiaries who reside in competitive bid areas.
The revised "The Medicare DMEPOS Competitive Bidding Program Repairs and Replacements<https://www.cms.gov/MLNProducts/downloads/DME_Repair_Replacement_Factsheet_ICN905283.pdf>" fact sheet (ICN 905283) is designed to provide education on repairs and replacements under the DMEPOS competitive bidding program. It includes information on which items and services can be provided by contract versus non-contract suppliers. >From the MLN: "Medicare Disproportionate Share Hospital" Fact Sheet (ICN >006741) Revised - The revised "Medicare Disproportionate Share Hospital<http://www.cms.gov/MLNProducts/downloads/Disproportionate_Share_Hospital.pdf>" fact sheet (ICN 006741) includes the following information: background; methods to qualify for the Medicare disproportionate share hospital (DSH) adjustment; Medicare Prescription Drug, Improvement, and Modernization Act of 2003 and Deficit Reduction Act of 2005 provisions that impact Medicare DSHs; number of beds in hospital determination; and Medicare DSH payment adjustment formulas. >From the MLN: "2012 Electronic Prescribing (eRx) Payment Adjustment: >Assessment and Application" MLN Matters® Article Released - The new MLN >Matters® Special Edition Article "2012 Electronic Prescribing (eRx) Payment >Adjustment: Assessment and >Application<http://www.cms.gov/MLNMattersArticles/Downloads/SE1141.pdf>" >(#SE1141) is designed to provide education on how the 2012 eRx payment >adjustment was calculated and applied for individual eligible professionals, >and group practices participating in eRx Group Practice Reporting Option >(GPRO). It includes guidance on how eligible providers should assess and >apply the 2012 eRx payment adjustment. >From the MLN: New Podcast on the Medicare Overpayment Collection Process >Released - The MLN has released the next in a series of podcasts designed to >provide education on how to avoid common billing errors and comply with >requirements of the Medicare Program. The new "Medicare Overpayment >Collection >Process<http://www.cms.gov/MLNProducts/MLM/itemdetail.asp?itemID=CMS1254707>" >podcast (ICN 907563), posted Thursday, December 8, 2011, is designed to >provide education on the Medicare Overpayment Collection Process. It includes >information from the MLN fact sheet titled "The Medicare Overpayment >Collection Process," which describes the collection of Medicare physician and >supplier overpayments. Please visit the MLN Multimedia webpage<http://www.cms.gov/MLNProducts/MLM/list.asp> to download this and other podcasts from the MLN. We also encourage you to visit the MLN Provider Compliance webpage<http://www.cms.gov/MLNProducts/45_ProviderCompliance.asp> for the latest educational products designed to help Medicare FFS providers understand-and avoid-common billing errors and other improper activities identified through claim review programs. Stay tuned for future podcasts from the MLN! Clarification: "Medicare Shared Savings Program: Notice of Proposed Rulemaking Fact Sheets" Booklet (ICN 907663) Has Been Discontinued - In order to alleviate confusion, the Medicare Learning Network® has decided to discontinue our recently published booklet that contained previously-released fact sheets issued at the time that the Medicare Shared Savings Program (MSSP) Notice of Proposed Rulemaking was released. However, the MLN has released several fact sheets on the final rule: § "Accountable Care Organizations: What Providers Need to Know<http://www.cms.gov/MLNProducts/downloads/ACO_Providers_Factsheet_ICN907406.pdf>" § "Improving Quality of Care for Medicare Patients: Accountable Care Organizations<http://www.cms.gov/MLNProducts/downloads/ACO_Quality_Factsheet_ICN907407.pdf>" § "Advance Payment Accountable Care Organization (ACO) Mode<http://www.cms.gov/MLNProducts/downloads/ACO_Advance_Payment_Factsheet_ICN907403.pdf>," § "Medicare Shared Savings Program and Rural Providers<http://www.cms.gov/MLNProducts/downloads/ACO_Rural_Factsheet_ICN907408.pdf>" § "Summary of Final Rule Provisions for Accountable Care Organizations under the Medicare Shared Savings Program<http://www.cms.gov/MLNProducts/downloads/ACO_Summary_Factsheet_ICN907404.pdf>" § "Methodology for Determining Shared Savings and Losses under the Medicare Shared Savings Program<http://www.cms.gov/MLNProducts/downloads/ACO_Methodology_Factsheet_ICN907405.pdf>." It's a Busy Time of Year. Make each office visit an opportunity to talk with your patients about the importance of getting the seasonal flu vaccination and a one-time pneumococcal vaccination. Remember, Medicare pays for these vaccinations for all beneficiaries with no co-pay or deductible. The seasonal flu and invasive pneumococcal disease kill thousands of people in the United States each year, most of them 65 years of age and older. The Centers for Disease Control and Prevention (CDC) also recommends that healthcare workers and caregivers be vaccinated against the seasonal flu. 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.
