Updates from the Medicare Learning Network(r) § Medicare Learning Network Products Catalog Now Available
§ “Important Reminders about HIPAA 5010 & D.0 Implementation” § Special Edition MLN Matters Articles Related to OIG Findings § “Quick Reference Information: Medicare Immunization Billing” Chart Updated § “The National Provider Identifier: What You Need to Know” Booklet Revised § “Section 1011” Factsheet Revised § From the MLN: “Medicare Physician Fee Schedule” Factsheet Revised § “Ambulatory Surgical Center Fee Schedule” Factsheet Available in Print >From the MLN: Medicare Learning Network Products Catalog Now Available The March 2011 version of the Medicare Learning Network(r) Products Catalog is now available! The MLN Products Catalog is a free interactive downloadable document that lists all MLN products by media format. To access the catalog, visit http://www.CMS.gov/MLNGenInfo<http://www.cms.gov/MLNGenInfo> and select the “MLN Products Catalog” in the Downloads section. Once you have opened the catalog, you may either click on the title of a product or the type of “Formats Available.” >From the MLN: “Important Reminders about HIPAA 5010 & D.0 Implementation” [↑] MLN Matters(r) Special Edition Article #SE1106, titled “Important Reminders about HIPAA 5010 & D.0 Implementation,” which provides an update on Medicare’s implementation of the Accredited Standards Committee (ASC) X12 Version 5010 and National Council for Prescription Drug Programs (NCPDP) Version D.0 standards, is now available at http://www.CMS.gov/MLNMattersArticles/downloads/SE1106.pdf<http://www.cms.gov/MLNMattersArticles/downloads/SE1106.pdf>. Effective Sun Jan 1, 2012, providers must be ready to submit claims electronically using the ASC X12 Version 5010 and NCPDP Version D.0 standards. >From the MLN: Special Edition MLN Matters Articles Related to OIG Findings [↑] The Medicare Learning Network(r) has released the following MLN Matters(r) Special Edition articles to summarize recent studies conducted by the Department of Health and Human Services, Office of the Inspector General (OIG). § MLN Matters(r) Special Edition Article #SE1102, titled “Inappropriate Medicare Payments for Transforaminal Epidural Injection Services” can be found at http://www.CMS.gov/MLNMattersArticles/downloads/SE1102.pdf<http://www.cms.gov/MLNMattersArticles/downloads/SE1102.pdf>. § MLN Matters(r) Special Edition Article #SE1103, titled “Capped Rental DME: Enforcement of Payment Requirements for Beneficiary-Owned Capped Rental Durable Medical Equipment (DME)” can be found at http://www.CMS.gov/MLNMattersArticles/downloads/SE1103.pdf<http://www.cms.gov/MLNMattersArticles/downloads/SE1103.pdf>. § MLN Matters(r) Special Edition Article #SE1104, titled “The Importance of Correctly Coding the Place of Service by Physicians and Their Billing Agents” can be found at http://www.CMS.gov/MLNMattersArticles/downloads/SE1104.pdf<http://www.cms.gov/MLNMattersArticles/downloads/SE1104.pdf>. Additional MLN Matters articles and educational products that inform Fee-For-Service providers about how to comply with current Medicare policy and avoid common billing errors can be found at http://www.CMS.gov/MLNProducts/45_ProviderCompliance.asp<http://www.cms.gov/MLNProducts/45_ProviderCompliance.asp>. >From the MLN: “Quick Reference Information: Medicare Immunization Billing” >Chart Updated [↑] The “Quick Reference Information: Medicare Immunization Billing” chart, which provides Medicare Fee-For-Service physicians, providers, suppliers, and other healthcare professionals quick information to assist with filing claims for influenza vaccine, pneumococcal vaccine, and Hepatitis V Virus (HBV) vaccine and their administration, has been updated and is now available to download, free of charge, from the Medicare Learning Network(r). To view the chart, please visit http://www.CMS.gov/MLNProducts/downloads/qr_immun_bill.pdf<http://www.cms.gov/MLNProducts/downloads/qr_immun_bill.pdf>; hardcopies will be available at a later date. >From the MLN: “The National Provider Identifier: What You Need to Know” >Booklet Revised [↑] Revised! “The National Provider Identifier (NPI): What You Need to Know” (revised February 2011) is now available in downloadable format. This booklet was created to help you become more familiar with the NPI (established by final rule on Jan 23, 2004). Covered entities under HIPAA are required by regulation to use NPIs to identify healthcare providers in HIPAA standard transactions. This publication may be downloaded from http://www.CMS.gov/MLNProducts/downloads/NPIBooklet.pdf<http://www.cms.gov/MLNProducts/downloads/NPIBooklet.pdf>. >From the MLN: “Section 1011” Factsheet Revised [↑] The revised publication titled “Section 1011: Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens” (revised February 2011) is now available in downloadable format from the Medicare Learning Network(r) at http://www.CMS.gov/MLNProducts/downloads/Section_1011_Fact_Sheet.pdf<http://www.cms.gov/MLNProducts/downloads/Section_1011_Fact_Sheet.pdf>. This factsheet is designed to provide education on available funding, eligibility, and program enrollment requirements to undocumented aliens, as detailed in Section 1011 of the Medicare Modernization Act of 2003 (MMA). It also includes information about which states have exhausted payment under Section 1011 and what services are reimbursable under the program. >From the MLN: “Medicare Physician Fee Schedule” Factsheet Revised [↑] The revised publication titled “Medicare Physician Fee Schedule” (revised February 2011) is now available in downloadable format from the Medicare Learning Network(r) at http://www.CMS.gov/MLNProducts/downloads/MedcrePhysFeeSchedfctsht.pdf<http://www.cms.gov/MLNProducts/downloads/MedcrePhysFeeSchedfctsht.pdf>. This factsheet is designed to provide education on the Medicare Physician Fee Schedule (PFS), including physician services, therapy services, Medicare PFS payment rates, and the Medicare PFS rates formula. >From the MLN: “Ambulatory Surgical Center Fee Schedule” Factsheet Available >in Print [↑] The revised publication titled “Ambulatory Surgical Center Fee Schedule” (revised January 2011) is now available in print format. This factsheet is designed to provide education on the Ambulatory Surgical Center (ASC) Fee Schedule and includes information about the definition of an ASC, ASC payment, and how payment rates are determined. To place your order, visit http://www.CMS.gov/MLNGenInfo<http://www.cms.gov/MLNGenInfo>, scroll to “Related Links Inside CMS” and select “MLN Product Ordering Page.” March Flu Shot Reminder It’s Not too Late to Give and Get the Flu Vaccine. Take advantage of each office visit and continue to 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) recommends that patients, 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.
