2020-11-05-MLNC

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Date
2020-11-05
Title
COVID-19 Vaccine: Find Out How to Prepare

 

Thursday, November 5, 2020

News

Compliance

Events

MLN Matters® Articles

Publications

Multimedia

View this edition as a PDF (PDF)

 

News

 

COVID-19 Vaccine: Find Out How to Prepare

Get ready to administer the COVID-19 vaccine when it’s available. Read the enrollment section of our COVID-19 provider toolkit to see if you need to take action now:

  • Many Medicare-enrolled providers don’t have to take any action until a vaccine is available – make sure your provider-type enrollment is all set
  • Some Medicare-enrolled providers must also separately enroll as a mass immunizer to administer and bill for COVID-19 vaccines when they’re available – find out if you must also enroll as a mass immunizer
  • If you’re not a Medicare-enrolled provider, you must enroll as a mass immunizer or other Medicare provider type that can bill for administering vaccines

Enrolling over the phone a mass immunizer is easy and quick — call your MAC-specific enrollment hotline (PDF) and give your valid legal business name, national provider identifier, tax identification number, practice location, and state license, if applicable.

 

Hospital Price Transparency: Requirements Effective January 1

In 2 months, each hospital operating in the United States is required to provide clear, accessible pricing information online about the items and services they provide in 2 ways:

  • Comprehensive machine-readable file with all items and services
  • Display of shoppable services in a consumer-friendly format

Is your organization prepared to be compliant? Visit the new Hospital Price Transparency website for resources to help you prepare:

 

SNF Quality Reporting Program: October Refresh

The October refresh of Skilled Nursing Facility (SNF) Quality Reporting data is available. Visit the Nursing Home Compare website, Care Compare website, and Provider Data Catalog to view the data.

For More Information:

 

Flu Shots: Each Visit is an Opportunity

Flu shots are free for your Medicare patients if you accept assignment. Medicare Part B covers 1 flu shot per flu season and additional flu shots if medically necessary.

Every patient visit is an opportunity to promote the flu shot. The CDC recommends annual flu shots for everyone 6 months and older. 

For More Information:

 

Compliance

 

Inhalant Drugs: Bill Correctly

An Office of Inspector General (OIG) report found that CMS improperly paid suppliers for inhalation drugs. Review the Provider Compliance Tips for Nebulizers and Related Drugs (PDF) fact sheet to help you bill correctly. Additional resources:

 

Events

 

CMS-CDC Fundamentals of COVID-19 Prevention for Nursing Home Management Call — November 5

Thursday, November 5 from 4 to 5 pm ET

CMS, CDC, and the Quality Improvement Organization (QIO) Program present this live Q&A series:

Target Audience: Clinical and administrative nursing home staff members.

 

MLN Matters® Articles

 

Special Provisions for Radiology Additional Documentation Requests

CMS issued a new MLN Matters Article MM11659 on Special Provisions for Radiology Additional Documentation Requests (PDF). Learn about a pilot process for MACs to ask for documentation during medical review.

 

Update to Chapter 10 of Publication (Pub.) 100-08 - Enrollment Policies for Home Infusion Therapy (HIT) Suppliers

CMS issued a new MLN Matters Article MM11954 on Update to Chapter 10 of Publication (Pub.) 100-08 - Enrollment Policies for Home Infusion Therapy (HIT) Suppliers (PDF). Learn about eligibility and enrollment requirements.

 

October Quarterly Update for 2020 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule — Revised

CMS revised MLN Matters Article MM11956 on October Quarterly Update for 2020 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule (PDF) to clarify the claims processing jurisdiction for code K1009.

 

Penalty for Delayed Request for Anticipated Payment (RAP) Submission -- Implementation — Revised

CMS revised MLN Matters Article MM11855 on Penalty for Delayed Request for Anticipated Payment (RAP) Submission -- Implementation (PDF) to include remittance advice messages.

 

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2020 Update — Revised

CMS revised MLN Matters Article MM11939 on Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2020 Update (PDF) to add:

  • Additional information about codes 3170F, 0599T, and A4226
  • New codes: 86408, 86409, 86413, and 99072

 

Publications

 

Medicare Wellness Visits

CMS issued a new Medicare Learning Network educational tool, Medicare Wellness Visits. Learn about the Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV), including:

  • Differences between IPPE, AWV, and routine physical
  • FAQs
  • Resources

 

Multimedia

 

SNF Quality Reporting Program: Confusion Assessment Method Video Tutorial

CMS released a video tutorial for the Skilled Nursing Facility (SNF) Quality Reporting Program on the Confusion Assessment Method (CAM©) cognitive assessment. Learn about:

  • Standardized data assessment guidance strategies
  • Accurate coding using live-action resident scenarios

This video tutorial is 25 minutes. Visit the Training webpage for more information.

 

SNF Quality Reporting Program: Brief Interview for Mental Status Video Tutorial

CMS released a video tutorial for the Skilled Nursing Facility (SNF) Quality Reporting Program on the Brief Interview for Mental Status (BIMS) cognitive assessment. Learn about:

  • Standardized data assessment guidance strategies
  • Accurate coding using live-action patient/resident scenarios

This video tutorial is 22 minutes. Visit the Training webpage for more information.

 


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