National Colorectal Cancer Awareness Month, the month of March, is almost over 
- but that doesn't mean that the colorectal cancer awareness messages to your 
patients should stop until next year.  Remind patients who have taken home a 
fecal occult blood test kit to use it.  Follow up with patients on all 
screening results, even negative ones - everyone likes to hear good news.  
Remember, the appropriate follow-up for a positive fecal occult blood test 
result is a colonoscopy, not another fecal occult blood test.

Guidelines to Guide Next Steps When Polyps Are Found:
A recent survey by the National Cancer Institute found that gastroenterologists 
and surgeons are performing surveillance colonoscopies at more frequent 
intervals than those recommended by evidence-based guidelines.  For example, 
24% of gastroenterologists and 54% of surgeons recommended a colonoscopy, 
either alone or with another procedure, at least every five years after the 
identification of a small, benign, hyperplastic polyp.  Medical guidelines do 
not recommend any follow-up colonoscopy for hyperplastic polyps because their 
presence has not been shown to increase the risk of colorectal cancer.  Review 
the evidence-based Colorectal Cancer Screening and Surveillance 
Guidelines<http://www.cancer.org/Healthy/InformationforHealthCareProfessionals/ColonMDClinicansInformationSource/ColorectalCancerScreeningandSurveillanceGuidelines/index>
 from the American Cancer Society.

For More Information for Healthcare Providers:

 *   MLN Guide to Medicare Preventive Services for Healthcare 
Professionals<http://www.CMS.gov/MLNProducts/downloads/mps_guide_web-061305.pdf>
 (see Chapter 11)
 *   MLN Preventive Services Educational Products 
webpage<http://www.cms.hhs.gov/MLNProducts/35_PreventiveServices.asp>
 *   MLN Cancer Screenings 
Brochure<http://www.cms.gov/MLNProducts/downloads/Cancer_Screening.pdf>
 *   MLN Quick Reference Information:  Medicare Preventive 
Services<http://www.cms.gov/MLNProducts/downloads/MPS_QuickReferenceChart_1.pdf>
 *   National Colorectal Cancer Roundtable<http://nccrt.org/>
 *   National Colorectal Cancer Awareness Month 
website<http://preventcancer.org/prevention/preventable-cancers/colorectal-cancer/>
 *   The National Cancer Institute 
website<http://www.cancer.gov/cancertopics/types/colon-and-rectal>

Thank you for helping CMS spread the word regarding the importance of 
colorectal cancer screening.


________________________________

CMS.gov Website Upgrade:  Please take note that CMS is in the process of making 
upgrades to the www.CMS.gov<http://www.CMS.gov> website.  If you encounter 
problems accessing information while on the site, please refresh the page or 
check back later.  We appreciate your understanding and apologize for any 
inconvenience.

________________________________

It's Not too Late to Give and Get the Flu Vaccine. Take advantage of each 
office visit and protect your patients against the seasonal flu. Medicare will 
continue to pay for the seasonal flu vaccine and its administration for all 
Medicare beneficiaries through the entire flu season. The Centers for Disease 
Control and Prevention (CDC) also recommends that patients, 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.

________________________________
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