In the Monday, November 29, 2010, Medicare Physician Fee Schedule final rule, 
the Centers for Medicare & Medicaid Services (CMS) finalized its proposed 
policy to require a physician's or qualified non-physician practitioner's (NPP) 
signature on requisitions for clinical diagnostic laboratory tests paid under 
the clinical laboratory fee schedule effective Saturday, January 1, 2011.  (A 
requisition is the actual paperwork, such as a form, which is provided to a 
clinical diagnostic laboratory that identifies the test or tests to be 
performed for a patient.)

On Monday, December 20, 2010, CMS informed its contractors of concerns that 
some physicians, NPPs, and clinical diagnostic laboratories are not aware of or 
do not understand this policy.  As such, CMS indicated that it will focus in 
the first quarter of 2011 on developing educational and outreach materials to 
educate those affected by this policy.  CMS indicated that once the first 
quarter educational campaign is fully underway, it will expect requisitions to 
be signed.

After further input from community, CMS has decided to focus for the remainder 
of 2011 on changing the regulation that requires signatures on laboratory 
requisitions because of concerns that physicians, NPPs, and clinical diagnostic 
laboratories are having difficulty complying with this policy.





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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.



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