We will be making adjustments to claims for counseling to prevent tobacco use with dates of service Saturday, January 1, 2011 through Monday, April 4, 2011. These adjustments will be completed by Friday, November 4, 2011.
In a previous message, we made you aware of a claims processing problem where claims with the following criteria were not processing correctly: § HCPCs G0436 and/or G0437 § Revenue Codes 0942, 096X, 097X, or 098X § Dates of Service on or after Sat Jan 1, 2011 § Diagnosis Codes 305.1 or V15.82 § Occurrence Code 32 not present This claims processing problem was corrected in May 2011, and we released any claims we were holding. We will now be adjusting any claims that were processed incorrectly with the above mention criteria. If you have any claims impacted by this problem, the adjustment will be reflected on your remittance advice. We appreciate your patience as we correct these claims. ----------------------------------------------------------- Vaccination is the Best Protection Against the Flu. The Centers for Disease Control and Prevention (CDC) is encouraging everyone 6 months of age and older to get vaccinated against the seasonal flu. The risks for complications, hospitalizations, and deaths from the flu are higher among individuals aged 65 years and older. Medicare pays for the seasonal flu vaccine and its administration for seniors and others with Medicare with no co-pay or deductible. And remember, vaccination is particularly important for healthcare workers, who may spread the flu to high risk patients. Don't forget to immunize yourself and your staff. Protect your patients. Protect your family. Protect yourself. Get the Flu Vaccination -- Not the Flu. Remember - Influenza vaccine plus its administration are covered Part B benefits. CMS has posted the 2011-2012 seasonal influenza vaccine payment limits at http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp. 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 healthcare professionals and their staff, visit http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp. --------------------------------------------------------- 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.
