>From the MLN:  "Federally Qualified Health Center" Fact Sheet Revised - The 
>revised "Federally Qualified Health 
>Center<http://www.cms.gov/MLNProducts/downloads/fqhcfactsheet.pdf>" fact sheet 
>(ICN 006397) includes the following information: background; FQHC designation; 
>covered FQHC services; FQHC preventive primary services that are not covered; 
>FQHC Prospective Payment System; FQHC payments; and Medicare Prescription 
>Drug, Improvement, and Modernization Act of 2003 provisions that impact FQHCs.

>From the MLN:  Medicare Preventive Services Series: Part 2, Web-Based-Training 
>Course (WBT) Revised - This WBT is designed to provide education on Medicare 
>Preventive Services.  It includes information on Medicare's coverage for the 
>initial preventive physical exam (IPPE), ultrasound screening for abdominal 
>aortic aneurysm (AAA), screening electrocardiogram (EKG), Annual Wellness 
>Visit (AWV), cardiovascular screening blood tests, diabetes-related services, 
>human immunodeficiency virus (HIV) screening and smoking and tobacco-use 
>cessation counseling services.

To access the WBT, visit the MLN 
Products<http://www.cms.gov/MLNProducts/01_Overview.asp> page, scroll to the 
"Related Links Inside CMS," and select the "Web-Based Training (WBT) Courses."

>From the MLN:  MLN Guided Pathways (Basic, A, and B) Provider-specific 
>Resource Booklets Revised - The revised MLN Guided Pathways curriculum is 
>designed to allow learners to easily identify and select resources by clicking 
>on topics of interest.  The curriculum begins with basic knowledge for all 
>providers and then branches to information for either those enrolling on the 
>855B, I, and S forms or on the 855A form (or Internet-based PECOS 
>equivalents).  The resource booklets are:

 *   MLN Guided Pathways to Medicare Resources - Basic Curriculum for Health 
Care Professionals, Suppliers, and 
Providers<http://www.cms.gov/MLNEdWebGuide/Downloads/Guided_Pathways_Basic_Booklet.pdf>
 *   MLN Guided Pathways to Medicare Resources Intermediate Curriculum for 
Health Care 
Providers<http://www.cms.gov/MLNEdWebGuide/downloads/Guided_Pathways_Intermediate_PartA_Booklet.pdf>
 (Part A)
 *   MLN Guided Pathways to Medicare Resources Intermediate Curriculum for 
Health Care Professionals and 
Suppliers<http://www.cms.gov/MLNEdWebGuide/Downloads/Guided_Pathways_Intermediate_PartB_Booklet.pdf>
 (Part B)

>From the MLN:  "MLN Guided Pathways Provider-specific" Resource Booklet 
>Revised - The Revised MLN Guided Pathways to Medicare 
>Resources<http://www.cms.gov/MLNEdWebGuide/Downloads/Guided_Pathways_Provider_Specific_Booklet.pdf>
> provider-specific resource booklet provides various specialties of healthcare 
>professionals, (physicians, chiropractors, optometrists, podiatrists), nurses 
>(APN, RNCNS, NP, Midwife) PAs, social workers, psychologists, therapists (OT, 
>PT, SLP), dietitians, nutritionists, suppliers (ambulance, ASC, DMEPOS, FQHC, 
>RHC, Labs, mammography, radiation therapy, portable x-ray), and providers 
>(CMHC, CORF, ESRD, HHA, hospice, OPT, pathology and SNF) with resources 
>specific to their specialty including Internet-Only Manuals (IOMs), Medicare 
>Learning Network(r) publications, CMS webpages, and more.  This version 
>includes the addition of pathways for Anesthesiology Assistant/Certified 
>Registered Nurse Anesthetist, Anesthesiologist, Ophthalmologist, and 
>Optometrist, along with a fully developed pathway for Mass Immunization Roster 
>Biller.

All of the MLN Guided Pathways booklets above are available at 
http://www.CMS.gov/MLNEdWebGuide/30_Guided_Pathways.asp<http://www.cms.gov/MLNEdWebGuide/30_Guided_Pathways.asp>.

>From the MLN: "Preventive Services Educational Resources for Health Care 
>Professionals" MLN Matters(r) Article Released - The new "Preventive Services 
>Educational Resources for Health Care 
>Professionals<http://www.cms.gov/MLNMattersArticles/Downloads/SE1142.pdf>" MLN 
>Matters(r) Special Edition Article (#SE1142) is designed to provide education 
>on available educational resources related to Medicare-covered preventive 
>services.  It includes a list of MLN products that can help Medicare FFS 
>providers understand coverage, coding, reimbursement, and billing requirements 
>related to these services.

>From the MLN:  "Advanced Payment Accountable Care Organization Model" Fact 
>Sheet Available - The new "Advanced Payment Accountable Care Organization 
>Model<https://www.cms.gov/MLNProducts/downloads/ACO_Advance_Payment_Factsheet_ICN907403.pdf>"
> fact sheet (ICN 907403) is designed to provide education on the advance 
>payment model for Accountable Care Organizations (ACOs).  It includes a 
>summary of the Advance Payment ACO Model, background, and information on the 
>structure of payments, recoupment of advance payments, eligibility, and the 
>application process.

>From the MLN:  "Summary of Final Rule Provisions for Accountable Care 
>Organizations Under the Medicare Shared Savings Program" Fact Sheet Available -
The new "Summary of Final Rule Provisions for Accountable Care Organizations 
Under the Medicare Shared Savings 
Program<https://www.cms.gov/MLNProducts/downloads/ACO_Summary_Factsheet_ICN907404.pdf>"
 fact sheet (ICN 907404) is designed to provide education on the provisions of 
the final rule that implements the Medicare Shared Savings Program with ACOs.  
It includes background, information on how ACOs impact beneficiaries, 
eligibility requirements to form an ACO, and information on monitoring and 
tying payment to improved care at lower costs.

>From the MLN:  "Improving Quality of Care for Medicare Patients: Accountable 
>Care Organizations" Fact Sheet Available - The new "Improving Quality of Care 
>for Medicare Patients: Accountable Care 
>Organizations<https://www.cms.gov/MLNProducts/downloads/ACO_Quality_Factsheet_ICN907407.pdf>"
> fact sheet (ICN 907407) is designed to provide education on improving quality 
>of care under ACOs. It includes a table of quality measures under the program.

>From the MLN:  "Medicare Shared Savings Program and Rural Providers" Fact 
>Sheet Available -
The new "Medicare Shared Savings Program and Rural 
Providers<https://www.cms.gov/MLNProducts/downloads/ACO_Rural_Factsheet_ICN907408.pdf>"
 fact sheet (ICN 907408) is designed to provide education on how the Medicare 
Shared Savings Program impacts rural providers.  It includes information on 
federally qualified health centers, rural health clinics, critical access 
hospitals, and how this program impacts them.



________________________________

Flu Season is Here! While seasonal flu outbreaks can happen as early as 
October, flu activity usually peaks in January. Remind your patients that 
annual vaccination is recommended for optimal protection. Medicare pays for the 
seasonal flu vaccine and its administration for seniors and others with 
Medicare with no co-pay or deductible. Healthcare workers, who may spread the 
flu to high risk patients, should get vaccinated too. 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 
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