On November 15, 2011, the Centers for Medicare & Medicaid Services (CMS) 
announced the Prepayment Review and Prior Authorization for Power Mobility 
Devices (PMD) demonstration and the Recovery Audit Prepayment Review 
demonstration. These demonstrations were scheduled to begin on January 1, 2012. 
However, the CMS received many comments/suggestions regarding these 
demonstrations and the CMS is carefully considering these comments. Therefore, 
CMS will delay implementation of these demonstrations.  CMS will provide at 
least 30 days notice before the demonstrations begin.

The Part A to Part B rebilling demonstration remains on schedule and will begin 
on January 1, 2012.

Please continue to check http://go.cms.gov/cert-demos for updated information.

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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.



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(FFS) provider listserv, go to 
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appropriate listserv.



Please DO NOT respond to this email. This email is a service of CMS and routed 
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CMS personnel. Inquiries may be sent by going to 
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