CMS has posted 27 FAQs regarding preventive services for Medicare Fee-For-Service providers/suppliers to the Medicare Learning Network(r) Products Preventive Services webpage; to access the entire list of 27 FAQs, scroll to the “Related Links Inside CMS” section at http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp<http://www.cms.gov/MLNProducts/35_PreventiveServices.asp> and select “Preventive Services FAQs.” Or, find the answer to an individual FAQ below.
Annual Wellness Visit (AWV) § Who can perform the AWV? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10669/kw/10669>. § Is the AWV the same as a beneficiary’s yearly physical? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10671/kw/annual%20wellness%20visit/session/L3Nuby8xL3NpZC9jMVVyQSpBaw%3D%3D>. § Are clinical laboratory tests part of the AWV? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10672/kw/annual%20wellness%20visit/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § Is there a deductible or coinsurance/copayment for the AWV? Read the answer.<http://questions.cms.hhs.gov/app/answers/detail/a_id/10673/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D> § Can a separate Evaluation and Management (E/M) service be billed at the same visit as the AWV? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10674/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § Are the “new” preventive services codes for the annual Medicare wellness visit included in applicable 2011 Physician Quality Reporting System measures? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10460/kw/annual%20wellness%20visit/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. Initial Preventive Physical Examination (IPPE) § Is the IPPE the same as a beneficiary’s yearly physical? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10685/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § Who can perform the IPPE? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10686/kw/annual%20wellness%20visit/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § Are clinical laboratory tests part of the IPPE? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10687/kw/annual%20wellness%20visit/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § Is there a deductible or coinsurance/copayment for the IPPE? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10688/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § If a beneficiary enrolled in Medicare in 2010, can he or she have the IPPE in 2011 if it was not performed in 2010? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10689/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § Can a separate Evaluation and Management (E/M) service be billed at the same visit as the IPPE? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10690/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. Medicare Immunization Billing (Seasonal Influenza Virus, Pneumococcal, and Hepatitis B) § Does a Part B deductible or coinsurance apply to adult immunizations covered by Medicare? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10675/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § If a beneficiary receives a seasonal influenza virus vaccination more than once in a 12-month period, will Medicare still pay for it? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10676/kw/annual%20wellness%20visit/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § Are HCPCS codes Q2035 and Q2039 payable by Medicare? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10677/kw/annual%20wellness%20visit/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § Will Medicare pay for the pneumococcal vaccination if a beneficiary is uncertain of his or her vaccination history? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10678/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § Does Medicare cover the hepatitis B vaccine for all Medicare beneficiaries? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10679/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § When a beneficiary receives both the seasonal influenza virus and pneumococcal vaccines on the same visit, would a provider continue to report separate administration codes for each type of vaccine? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10680/kw/annual%20wellness%20visit/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § Can the seasonal influenza virus, pneumococcal, and hepatitis B vaccines all be roster billed? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10681/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § What is a mass immunizer? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10682/kw/annual%20wellness%20visit/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § Do providers that only provide immunizations need to enroll in the Medicare Program? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10683/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § May a single roster claim be submitted containing information for both the pneumococcal and seasonal influenza virus vaccines when the vaccines are administered on the same visit? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10684/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § End-Stage Renal Disease (ESRD) dialysis facilities currently bill for the flu, pneumonia, and hepatitis B vaccines. Will the administration of these vaccines also remain separately payable after Sat Jan 1, 2011? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10305/kw/annual%20wellness%20visit/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § How should a provider that is not enrolled in Medicare bill for the flu vaccine? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/3705/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. § How should the Physician Quality Reporting Initiative influenza immunization measure #110 (Preventive Care and Screening: Influenza Immunization for Patients ≥ 50 Years Old) be reported for patients seen outside of the flu season (September through February)? What if the flu immunization was administered by another provider? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/10459/kw/annual%20wellness%20visit/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. Colorectal Cancer Screening § Do the Medicare deductible and standard coinsurance apply for colorectal cancer screening services under the revised Ambulatory Surgical Center payment system? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/8828/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. Smoking Cessation Counseling § What are the two CPT codes for smoking and tobacco use cessation counseling services that replace the temporary Healthcare Common Procedure Coding System (HCPCS) G codes (G0375 and G0376) previously used for billing these services? Read the answer<http://questions.cms.hhs.gov/app/answers/detail/a_id/8950/p/44%2C47%2C464%2C1190/session/L3Nuby8xL3NpZC95em9WQSpBaw%3D%3D>. -------------------------------------------------------------------------------------------------- Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser. 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