Medicare Learning Network: REVISED Special Edition MLN Matters Article #MM7021 - Guidance on Implementing Section 3109 of the Patient Protection and Affordable Care Act (ACA)
The Centers for Medicare & Medicaid Services (CMS) has revised Special Edition MLN Matters Article #MM7021 (Guidance on Implementing Section 3109 of the Patient Protection and Affordable Care Act) to add an updated hyperlink to the DMEPOS Accreditation webpage and to update the article's associated newsflash to be relevant to DMEPOS Competitive Bidding. This article is informational in nature and reinforces existing policy; it does not present new policy. For more details, please read the article at http://www.cms.gov/MLNMattersArticles/downloads/MM7021.pdf on the CMS website. Medicare Learning Network: MLN Matters Article #MM7064 - End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services The Centers for Medicare & Medicaid Services (CMS) has released MLN Matters Article #MM7064 to announce the implementation of an ESRD bundled prospective payment system (PPS). The ESRD PPS is effective for services on or after January 1, 2011; therefore, it is important that providers not submit claims spanning dates of service in 2010 and 2011. However, ESRD facilities may make a one-time election to be excluded from the transition period and have their payment based entirely on the payment amount under the ESRD PPS. Facilities wishing to exercise this option must do so on or before November 1, 2010. This article is based on Change Request (CR) 7064 and is available at http://www.cms.gov/MLNMattersArticles/downloads/MM7064.pdf on the CMS website. Medicare Learning Network: September is Prostate Cancer Awareness Month The Centers for Medicare & Medicaid Services (CMS) is asking the provider community to keep their patients with Medicare healthy by encouraging them to take advantage of Medicare-covered prostate cancer screenings. Medicare provides coverage for digital rectal exams (DREs) and prostate specific antigen tests (PSAs) for qualified beneficiaries. What Can You Do? As a health care professional who provides care to patients with Medicare, you can help protect the health of your Medicare patients by encouraging them to take advantage of Medicare-covered screenings, including prostate cancer screenings, that are appropriate for them. For More Information: CMS has developed several educational products related to Medicare-covered prostate cancer screenings. They are all available, free of charge, from the Medicare Learning Network(r): o The MLN Preventive Services Educational Products Web Page~ provides descriptions and ordering information for Medicare Learning Network(r) (MLN) educational products for health care professionals related to Medicare-covered preventive services, including prostate cancer screening. http://www.cms.hhs.gov/MLNProducts/35_PreventiveServices.asp o The Guide to Medicare Preventive Services for Physicians, Providers, Suppliers, and Other Health Care Professionals ~ provides coverage and coding information on Medicare-covered preventive services and screenings, including prostate cancer screening. http://www.cms.hhs.gov/MLNProducts/downloads/mps_guide_web-061305.pdf o Quick Reference Information: Medicare Preventive Services ~ this chart provides coverage and coding information on Medicare-covered preventive services, including prostate cancer screenings. http://www.cms.hhs.gov/MLNProducts/downloads/MPS_QuickReferenceChart_1.p df o The Medicare Preventive Services Series: Part 3 Web-Based-Training (WBT) course~ this WBT includes lessons on coverage, coding, and billing for Medicare-covered preventive services, including prostate cancer screenings. To access the course, please visit the MLN home page at http://www.cms.gov/mlngeninfo on the internet. Scroll down to "Related Links Inside CMS" and click on "Web Based Training (WBT) Modules". o The Cancer Screenings brochure~ this brochure provides information on coverage for Medicare-covered cancer screenings, including prostate cancer screenings. http://www.cms.hhs.gov/MLNProducts/downloads/cancer_screening.pdf Please visit the Medicare Learning Network <http://www.cms.hhs.gov/MLNGenInfo/> for more information on these and other Medicare fee-for-service educational products. For more information on Prostate Cancer Awareness Month, please visit Zero- The Project to End Prostate Cancer at http://www.zerocancer.org/index.html on the internet. ------------------------------------------------------------------------ ------------------------------------------------------------------------ Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser. 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.hhs.gov/ContactCMS <http://www.cms.hhs.gov/ContactCMS> ). Thank you. 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