Updates from the Medicare Learning Network [cid:[email protected]]
§ “Suite of Products and Resources for Inpatient Hospitals” Web Guide § “Claims Modifiers for Use in the DMEPOS Competitive Bidding Program” MLN Matters Article § “Inpatient Rehabilitation Facility Prospective Payment System” Fact Sheet Now Available in Hardcopy § “DMEPOS Competitive Bidding Program Repairs and Replacements” Fact Sheet >From the Medicare Learning Network: “Suite of Products and Resources for >Inpatient Hospitals” Web Guide [↑] A new Educational Web Guide is now available from The Medicare Learning Network(r). The “Suite of Products and Resources for Inpatient Hospitals” provides Medicare Part-A providers with an understanding of the various PPS rates and classification criterion for reimbursement to acute inpatient hospitals, home health agencies, hospice, hospital outpatient, inpatient psychiatric facilities, inpatient rehabilitation facilities, long-term care hospitals, and skilled nursing facilities. It also provides Part-A business office management professionals with accurate, timely, and easy-to-understand billing and coding products as well as information to help understand and streamline claims submissions. This product is suggested for all Part-A Medicare Fee-For-Service inpatient hospital providers and is available in downloadable format at http://www.cms.gov/MLNEdWebGuide/45_MLN_Suite_of_Products_and_Resources_for_Inpatient_Hospitals.asp. >From the Medicare Learning Network: “Claims Modifiers for Use in the DMEPOS >Competitive Bidding Program” MLN Matters Article [↑] The Medicare Learning Network(r) (MLN) has released MLN Matters Special Edition Article #SE1035 (“Claims Modifiers for Use in the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program”) to inform providers about new Healthcare Common Procedure Coding System (HCPCS) modifiers that have been developed for use in the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. It is important that all providers and suppliers who provide DMEPOS affected by the Competitive Bidding program use the appropriate modifiers when submitting claims to the Centers for Medicare & Medicaid Services. For more details, please read the article at http://www.cms.gov/MLNMattersArticles/downloads/SE1035.pdf. >From the Medicare Learning Network: “Inpatient Rehabilitation Facility >Prospective Payment System” Fact Sheet Now Available in Hardcopy [↑] The revised publication titled “Inpatient Rehabilitation Facility Prospective Payment System” (August 2010) is now available in print format from the Medicare Learning Network(r). This fact sheet provides information about Inpatient Rehabilitation Facility Prospective Payment System rates, classification criterion, and reasonable and necessary criteria. To place your order, visit http://www.cms.gov/MLNGenInfo, scroll down to “Related Links Inside CMS” and select “MLN Product Ordering Page.” >From the Medicare Learning Network: “DMEPOS Competitive Bidding Program >Repairs and Replacements” Fact Sheet [↑] Once the DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) Competitive Bidding Program becomes effective on Sat Jan 1, 2011, beneficiaries with Original Medicare who obtain competitively bid items in competitive bidding areas (CBAs) must obtain these items from a contract supplier for Medicare to pay, unless an exception applies. One exception occurs when an item of DMEPOS that a beneficiary already owns needs to be repaired. The “DMEPOS Competitive Bidding Program Repairs and Replacements” Fact Sheet contains helpful information on Competitive Bidding Program rules that apply when an item of DMEPOS that is owned by a beneficiary needs to be repaired or requires replacement parts. It includes information on which items and services non-contract suppliers may provide, and which Healthcare Common Procedure Coding System (HCPCS) codes can be considered replacement parts associated with repair of base equipment. To view the fact sheet, please visit the DMEPOS Competitive Bidding Educational Resources page at http://www.cms.gov/DMEPOSCompetitiveBid/04_Educational_Resources.asp, scroll down to “Downloads,” and select “DMEPOS Competitive Bidding Fact Sheets.” --------------------------------------------------------------------------------------------------------------------------- December Flu Shot Reminder 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 or older. The Centers for Disease Control and Prevention (CDC) also recommends that health care workers and caregivers be vaccinated against the seasonal flu. Protect your patients. Protect your family. Protect yourself. Get Your Flu Vaccine - Not the Flu. Remember - Influenza vaccine plus its administration are covered Part B benefits. Note that influenza vaccine is NOT a Part D covered drug. For information about Medicare’s coverage of the influenza vaccine and its administration, as well as related educational resources for health care professionals and their staff, please visit the following CMS websites: http://www.cms.gov/MLNProducts/Downloads/Flu_Products.pdf and http://www.cms.gov/AdultImmunizations. ---------------------------------------------------------------------------------------------------------------------------------------- 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.
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