Скачать презентацию Medicare Screening Preventive Services Kentucky Health Department Скачать презентацию Medicare Screening Preventive Services Kentucky Health Department

0b2928f27d211f509b5bb6dba174434b.ppt

  • Количество слайдов: 85

Medicare Screening & Preventive Services Kentucky Health Department Training April 30, 2010 396_011 0 Medicare Screening & Preventive Services Kentucky Health Department Training April 30, 2010 396_011 0

Today’s Presenters • Lindy Lady, CPC • Donna R. Morton, CPC 2 National Government Today’s Presenters • Lindy Lady, CPC • Donna R. Morton, CPC 2 National Government Services, Inc.

Disclaimer • National Government Services, Inc. has produced this material as an informational reference Disclaimer • National Government Services, Inc. has produced this material as an informational reference for providers furnishing services in our contract jurisdiction. National Government Services employees, agents, and staff make no representation, warranty, or guarantee that this compilation of Medicare information is error-free and will bear no responsibility or liability for the results or consequences of the use of this material. Although every reasonable effort has been made to assure the accuracy of the information within these pages at the time of publication, the Medicare program is constantly changing, and it is the responsibility of each provider to remain abreast of the Medicare program requirements. Any regulations, policies and/or guidelines cited in this publication are subject to change without further notice. Current Medicare regulations can be found on the Centers for Medicare & Medicaid Services (CMS) Web site at http: //www. cms. hhs. gov. 3 National Government Services, Inc.

Objective • Assist our health departments with correct billing and coding for screening and Objective • Assist our health departments with correct billing and coding for screening and preventive services covered by Medicare. 4 National Government Services, Inc.

Acronyms • ABN – Advance Beneficiary Notice of Noncoverage • BMI – Body Mass Acronyms • ABN – Advance Beneficiary Notice of Noncoverage • BMI – Body Mass Index • CMS – Centers for Medicare and Medicaid Services • CPC – Certified Professional Coder • DES – Diethylstilbestrol • DSMT– Diabetes Self Management Training • HBV - Hepatitis B virus 5 National Government Services, Inc.

Acronyms • • HIV - Human immunodeficiency virus HDL - High-density lipoproteins MLN - Acronyms • • HIV - Human immunodeficiency virus HDL - High-density lipoproteins MLN - Medicare Learning Network MMR – Medicare Monthly Review MNT – Medical Nutrition Therapy MPFS – Medicare Physician Fee Schedule PPV - Pneumococcal polysaccharide vaccine SIA – Supplemental Instruction Article 6 National Government Services, Inc.

Services Not Included in the Screening & Preventive Services Benefit 7 National Government Services, Services Not Included in the Screening & Preventive Services Benefit 7 National Government Services, Inc.

Services Not Part of Screening & Preventive Benefits • 99385 -99387, 99395 -99397 Preventive Services Not Part of Screening & Preventive Benefits • 99385 -99387, 99395 -99397 Preventive Medicine Services (Not covered) • S 0613 Clinical Breast Exam (Not billed separately – part of G 0101) • 87491 Chlamydia (No LCD or NCD) • 87591 Gonorrhea (No LCD or NCD) • 86592 Syphilis test (L 28535, A 48037) 8 National Government Services, Inc.

Services Not Part of Screening & Preventive Benefits • 86701 – HIV-1 (NCD 210. Services Not Part of Screening & Preventive Benefits • 86701 – HIV-1 (NCD 210. 7) • 88142 – Cytopathology, cervical or vaginal (NCD 210. 2) 9 National Government Services, Inc.

Resource for Local and National Coverage Determinations • www. NGSMedicare. com – Sign in Resource for Local and National Coverage Determinations • www. NGSMedicare. com – Sign in as Part B Provider – Quick Links – Select Medical Policy Center • In addition to LCD – review Supplemental Instruction Article (SIA) 10 National Government Services, Inc.

Screening & Preventive Services 11 National Government Services, Inc. Screening & Preventive Services 11 National Government Services, Inc.

Frequency Count • Begin with the month after the last covered service • Frequency Frequency Count • Begin with the month after the last covered service • Frequency of 24 months, 23 months must have passed • Frequency of 12 months, 11 months must have passed • Example – low risk patient, service paid February 2010 – Begin count March 2010 – 11 months have elapsed as of February 2011 12 National Government Services, Inc.

Screening Pelvic Exam 13 National Government Services, Inc. Screening Pelvic Exam 13 National Government Services, Inc.

Screening Pelvic Exam • Medicare guidelines – No physician order needed – State law Screening Pelvic Exam • Medicare guidelines – No physician order needed – State law may require order • Performed by doctor of medicine or osteopathy, or authorized practitioner • For all female beneficiaries • Includes a clinical breast exam 14 National Government Services, Inc.

Screening Pelvic Examination • Frequency – High-risk female • Once every 12 months – Screening Pelvic Examination • Frequency – High-risk female • Once every 12 months – Asymptomatic female • Once every 24 months 15 National Government Services, Inc.

Screening Pelvic Examination • Childbearing age and presence of cervical or vaginal cancer within Screening Pelvic Examination • Childbearing age and presence of cervical or vaginal cancer within past three years • Cervical/vaginal cancer risk factors – – Early onset of sexual activity (under 16 years of age) Multiple sexual partners (five or more in a lifetime) History of a sexually-transmitted disease (including HIV infection) Fewer than three negative or any pap smears within the previous seven years – DES exposed daughters of women who took DES during pregnancy 16 National Government Services, Inc.

Screening Pelvic Examination • Coding – Exam • G 0101 Cervical or vaginal screening; Screening Pelvic Examination • Coding – Exam • G 0101 Cervical or vaginal screening; pelvic and clinical breast examination – Diagnosis • Low risk patient – V 72. 31, V 76. 2, V 76. 47, V 76. 49 • High risk patient – V 15. 89 17 National Government Services, Inc.

Screening Pelvic Exam • Must include at least 7 of the elements CMS requires Screening Pelvic Exam • Must include at least 7 of the elements CMS requires • Document in medical record all elements performed • Review elements on page 116 of the CMS Guide to Preventive Services – (ICN 006439) 18 National Government Services, Inc.

Screening Pelvic Exam Reimbursement • Based on the MPFS • Medicare Part B deductible Screening Pelvic Exam Reimbursement • Based on the MPFS • Medicare Part B deductible does not apply • Coinsurance does apply 19 National Government Services, Inc.

Screening Pap Tests 20 National Government Services, Inc. Screening Pap Tests 20 National Government Services, Inc.

Screening Pap Tests • Medicare guidelines – Physician order needed • Ordered and collected Screening Pap Tests • Medicare guidelines – Physician order needed • Ordered and collected by doctor of medicine or osteopathy, or authorized practitioner • For all female beneficiaries 21 National Government Services, Inc.

Screening Pap Tests • Frequency – High-risk female • Once every 12 months – Screening Pap Tests • Frequency – High-risk female • Once every 12 months – Asymptomatic female • Once every 24 months 22 National Government Services, Inc.

Screening Pap Tests • Childbearing age and presence of cervical or vaginal cancer within Screening Pap Tests • Childbearing age and presence of cervical or vaginal cancer within past three years • Cervical/vaginal cancer risk factors – – Early onset of sexual activity (under 16 years of age) Multiple sexual partners (five or more in a lifetime) History of a sexually-transmitted disease (including HIV infection) Fewer than three negative or any pap smears within the previous seven years – DES exposed daughters of women who took DES during pregnancy 23 National Government Services, Inc.

Screening Pap Tests • Coding – Screening pap test • G 0123, G 0144, Screening Pap Tests • Coding – Screening pap test • G 0123, G 0144, G 0145, G 0147, G 0148, P 3000 – Physician’s interpretation of screening pap tests • G 0124, G 0141, P 3001 24 National Government Services, Inc.

Screening Pap Tests • Coding – Physician obtains, prepares, and conveys smear to laboratory Screening Pap Tests • Coding – Physician obtains, prepares, and conveys smear to laboratory • Q 0091 25 National Government Services, Inc.

Screening Pap Tests • Coding – Diagnosis • Low-risk patient – V 72. 31, Screening Pap Tests • Coding – Diagnosis • Low-risk patient – V 72. 31, V 76. 2, V 76. 47, V 76. 49 • High-risk patient – V 15. 89 26 National Government Services, Inc.

Screening Pap Tests • Reimbursement – Q 0091, G 0124, G 0141, P 3001 Screening Pap Tests • Reimbursement – Q 0091, G 0124, G 0141, P 3001 paid under physician fee schedule • Deductible does not apply • Coinsurance applicable • Other pap test codes paid under clinical fee schedule (100%) • ABN for frequency limits 27 National Government Services, Inc.

Smoking and Tobacco Use Cessation Counseling 28 National Government Services, Inc. Smoking and Tobacco Use Cessation Counseling 28 National Government Services, Inc.

Smoking & Tobacco Use Cessation Counseling • Furnished by physician or qualified non-physician practitioner Smoking & Tobacco Use Cessation Counseling • Furnished by physician or qualified non-physician practitioner 29 National Government Services, Inc.

Smoking & Tobacco Use Cessation Counseling • Patient must meet one of these criteria: Smoking & Tobacco Use Cessation Counseling • Patient must meet one of these criteria: – Uses tobacco and has a disease or adverse health effect linked to tobacco use – Takes a therapeutic agent whose metabolism or dosing is affected by tobacco use 30 National Government Services, Inc.

Smoking & Tobacco Use Cessation Counseling • Cessation counseling session defined – Face-to-face patient Smoking & Tobacco Use Cessation Counseling • Cessation counseling session defined – Face-to-face patient contact at one of two levels • Intermediate (greater than 3 minutes up to 10 minutes) or • Intensive (greater than 10 minutes) 31 National Government Services, Inc.

Smoking & Tobacco Use Cessation Counseling • Cessation counseling attempt defined – Physician or Smoking & Tobacco Use Cessation Counseling • Cessation counseling attempt defined – Physician or NPP • Determines beneficiary meets eligibility requirements • Initiates treatment with cessation counseling attempt – Cessation counseling attempt includes • Up to four cessation counseling sessions (one attempt equals up to 4 sessions) 32 National Government Services, Inc.

Smoking & Tobacco Use Cessation Counseling • Frequency – Two cessation counseling attempts every Smoking & Tobacco Use Cessation Counseling • Frequency – Two cessation counseling attempts every 12 months (up to 8 cessation counseling sessions) 33 National Government Services, Inc.

Smoking & Tobacco Use Cessation Counseling • Coding – Counseling • 99406 Smoking and Smoking & Tobacco Use Cessation Counseling • Coding – Counseling • 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes • 99407 Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes 34 National Government Services, Inc.

Smoking & Tobacco Use Cessation Counseling • Coding – Diagnosis • Appropriate and reflect Smoking & Tobacco Use Cessation Counseling • Coding – Diagnosis • Appropriate and reflect patient eligibility for counseling 35 National Government Services, Inc.

Smoking & Tobacco Use Cessation Counseling • Payment from Medicare carrier – MPFS – Smoking & Tobacco Use Cessation Counseling • Payment from Medicare carrier – MPFS – 80% of approved – Deductible and co-insurance apply http: //www. cms. hhs. gov/MLNMatters. Articles/do wnloads/MM 5878. pdf 36 National Government Services, Inc.

Diabetes Related Services 37 National Government Services, Inc. Diabetes Related Services 37 National Government Services, Inc.

Diabetes • Diabetes – Fasting blood glucose 126 mg/d. L or above – Two-hour Diabetes • Diabetes – Fasting blood glucose 126 mg/d. L or above – Two-hour post glucose challenge 200 mg/d. L or above – Random glucose test over 200 mg/d. L 38 National Government Services, Inc.

Diabetes • Pre-diabetes – Fasting glucose level of 100 -125 mg/d. L – Two-hour Diabetes • Pre-diabetes – Fasting glucose level of 100 -125 mg/d. L – Two-hour post-glucose challenge of 140 -199 mg/d. L 39 National Government Services, Inc.

Diabetes Screening Tests • Eligibility determined by risk factors – Patient must have at Diabetes Screening Tests • Eligibility determined by risk factors – Patient must have at least one • • Hypertension Dyslipidemia Obesity (BMI 30 kilograms/m 2 or above) Previous elevated impaired fasting glucose or glucose tolerance 40 National Government Services, Inc.

Diabetes Screening Tests • Eligibility determined by risk factors – Patient must have at Diabetes Screening Tests • Eligibility determined by risk factors – Patient must have at least two • Overweight (BMI of greater than 25 but less than 30 kilograms/m 2) • Family history of diabetes • Age 65 or older • History of gestational diabetes or baby weighing more than nine pounds. 41 National Government Services, Inc.

Diabetes Screening Tests • Physician or qualified NPP referral required • Frequency – Tested Diabetes Screening Tests • Physician or qualified NPP referral required • Frequency – Tested but not diagnosed pre-diabetic or never tested • One test within a 12 -month period 42 National Government Services, Inc.

Diabetes Screening Tests • Frequency – Diagnosed pre-diabetic • Two tests within 12 -month Diabetes Screening Tests • Frequency – Diagnosed pre-diabetic • Two tests within 12 -month period (not less than six months apart) • Deductible and coinsurance do not apply – 100% of clinical lab fee schedule 43 National Government Services, Inc.

Diabetes Screening Tests • Coding – Tests • 82947, 82950, 82951 • Modifier TS–pre-diabetes Diabetes Screening Tests • Coding – Tests • 82947, 82950, 82951 • Modifier TS–pre-diabetes – Diagnosis • V 77. 1 • http: //www. cms. hhs. gov/MLNMatters. Articles/dow nloads/MM 5895. pdf 44 National Government Services, Inc.

Diabetes Self-Management Training (DSMT) • • Medicare guidelines Physician or qualified NPP order required Diabetes Self-Management Training (DSMT) • • Medicare guidelines Physician or qualified NPP order required Plan of care Provided by individual associated with accredited DSMT program 45 National Government Services, Inc.

DSMT • • Eligibility At risk for complications from diabetes Recently diagnosed Previously diagnosed DSMT • • Eligibility At risk for complications from diabetes Recently diagnosed Previously diagnosed 46 National Government Services, Inc.

DSMT • Frequency – Initial training: 10 hours in 12 months – Follow-up training: DSMT • Frequency – Initial training: 10 hours in 12 months – Follow-up training: 2 hours in subsequent years • ABN – Services denied over the limited number of hours 47 National Government Services, Inc.

DSMT • Coding – Training • G 0108 Diabetes outpatient self-management training services, individual, DSMT • Coding – Training • G 0108 Diabetes outpatient self-management training services, individual, per 30 minutes • G 0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes – Diagnosis • No specific required • http: //www. cms. hhs. gov/MLNMatters. Articles/Do wnloads/mm 5433. pdf 48 National Government Services, Inc.

DSMT • Reimbursement – MPFS – Deductible and coinsurance apply 49 National Government Services, DSMT • Reimbursement – MPFS – Deductible and coinsurance apply 49 National Government Services, Inc.

Medical Nutrition Therapy (MNT) • Physician referral • Provided by registered dietitian or nutrition Medical Nutrition Therapy (MNT) • Physician referral • Provided by registered dietitian or nutrition professional enrolled with Medicare • Eligibility – Diabetic – Renal disease 50 National Government Services, Inc.

Medical Nutrition Therapy (MNT) • Coding – Service • 97802 – Used once a Medical Nutrition Therapy (MNT) • Coding – Service • 97802 – Used once a year • 97803 – All individual reassessments and interventions after initial (97802) • 97804 – All group visits • G 0270, G 0271 – Additional hours of MNT beyond number of hours typically covered 51 National Government Services, Inc.

Medical Nutrition Therapy (MNT) • Coding – Diagnosis • No specific required 52 National Medical Nutrition Therapy (MNT) • Coding – Diagnosis • No specific required 52 National Government Services, Inc.

Medical Nutrition Therapy (MNT) • Frequency – Initial calendar year: 3 hours – Subsequent Medical Nutrition Therapy (MNT) • Frequency – Initial calendar year: 3 hours – Subsequent years: 2 follow-up hours 53 National Government Services, Inc.

Medical Nutrition Therapy (MNT) • Reimbursement – MPFS – Deductible and coinsurance apply • Medical Nutrition Therapy (MNT) • Reimbursement – MPFS – Deductible and coinsurance apply • ABN – Services denied over the limited number of hours http: //www. cms. hhs. gov/MLNMatters. Articles /Downloads/mm 5433. pdf 54 National Government Services, Inc.

Covered Diabetic Supplies • • Blood glucose monitors and supplies Therapeutic shoes Insulin pumps Covered Diabetic Supplies • • Blood glucose monitors and supplies Therapeutic shoes Insulin pumps DME MAC – www. NGSMedicare. com – www. Medicare. gov • Resources • Publications 55 National Government Services, Inc.

Cardiovascular Screening Blood Tests 56 National Government Services, Inc. Cardiovascular Screening Blood Tests 56 National Government Services, Inc.

Cardiovascular Screening Blood Tests Coverage • Total cholesterol test • Cholesterol test for High Cardiovascular Screening Blood Tests Coverage • Total cholesterol test • Cholesterol test for High Density Lipoproteins (HDL) • Triglycerides test 57 National Government Services, Inc.

Cardiovascular Screening Blood Tests Coverage • Physicians order required • Asymptomatic beneficiaries • Every Cardiovascular Screening Blood Tests Coverage • Physicians order required • Asymptomatic beneficiaries • Every 60 months – Applies regardless of ordering pattern 58 National Government Services, Inc.

Cardiovascular Screening Blood Tests Coding • 80061 Lipid panel (must include 82465, 83718, 84478) Cardiovascular Screening Blood Tests Coding • 80061 Lipid panel (must include 82465, 83718, 84478) • 82465 Cholesterol, serum or whole blood, total – 80061 & 82465 – L 27352, A 47388 • 83718 Lipoprotein, direct measurement; HDL cholesterol • 84478 Triglycerides 59 National Government Services, Inc.

Cardiovascular Screening Blood Tests Coding • V 81. 0 Special screening for ischemic heart Cardiovascular Screening Blood Tests Coding • V 81. 0 Special screening for ischemic heart disease • V 81. 1 Special screening for hypertension • V 81. 2 Special screening for other and unspecified cardiovascular conditions 60 National Government Services, Inc.

Cardiovascular Screening Blood Tests Reimbursement • Clinical laboratory fee schedule • Part B coinsurance Cardiovascular Screening Blood Tests Reimbursement • Clinical laboratory fee schedule • Part B coinsurance or deductible does not apply • http: /www. cms. hhs. gov/manuals/download s/clm 104 c 18. pdf 61 National Government Services, Inc.

Immunizations 62 National Government Services, Inc. Immunizations 62 National Government Services, Inc.

Pneumococcal Vaccine (PPV) • No physician order or supervision required • State laws may Pneumococcal Vaccine (PPV) • No physician order or supervision required • State laws may require order and supervision • Paid at 100% – Deductible/coinsurance do not apply • Mandatory assignment on vaccine 63 National Government Services, Inc.

PPV • Frequency – Covered once in a lifetime – Revaccination for high-risk • PPV • Frequency – Covered once in a lifetime – Revaccination for high-risk • No PPV in last five years 64 National Government Services, Inc.

PPV • Coding – Vaccine • 90732 Pneumococcal polysaccharide vaccine, 23 -valent, adult or PPV • Coding – Vaccine • 90732 Pneumococcal polysaccharide vaccine, 23 -valent, adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use – Administration • G 0009 vaccine Administration of pneumococcal 65 National Government Services, Inc.

PPV • Coding – Diagnosis • V 03. 82 Need for prophylactic vaccination and PPV • Coding – Diagnosis • V 03. 82 Need for prophylactic vaccination and inoculation against bacterial diseases; other specified vaccinations against single bacterial diseases; streptococcus pneumonia (pneumococcus) • V 06. 6 Need for prophylactic and inoculation against combinations of diseases, streptococcus pneumonia pneumococcus and influenza 66 National Government Services, Inc.

Hepatitis B Vaccine (HBV) • Covered for beneficiaries at high or intermediate risk for Hepatitis B Vaccine (HBV) • Covered for beneficiaries at high or intermediate risk for hepatitis B virus • Physician order and supervision required • Mandatory assignment on vaccine 67 National Government Services, Inc.

Hepatitis B Vaccine • Coding – Vaccine • 90740, 90743, 90744, 90746, 90747 (as Hepatitis B Vaccine • Coding – Vaccine • 90740, 90743, 90744, 90746, 90747 (as appropriate) – Administration • G 0010 – Diagnosis • V 05. 3 68 National Government Services, Inc.

Hepatitis B Vaccine • Payment at 80% of approved • Medicare Part B deductible Hepatitis B Vaccine • Payment at 80% of approved • Medicare Part B deductible and coinsurance apply 69 National Government Services, Inc.

ABN and the Hepatitis B Vaccine • ABN required – Patient not at intermediate ABN and the Hepatitis B Vaccine • ABN required – Patient not at intermediate or high-risk of contracting HBV www. cms. hhs. gov/MLNProducts/downloads/ qr_immun_bill. pdf - 2010 -03 -08 70 National Government Services, Inc.

Coverage Influenza • One vaccination per influenza season for all beneficiaries • More than Coverage Influenza • One vaccination per influenza season for all beneficiaries • More than one per season if reasonable and medically necessary • H 1 N 1 vaccine covered as additional preventive immunization service • No physician order or supervision needed 71 National Government Services, Inc.

Influenza CPT/HCPCS Codes 90655 Split virus, preservative-free, for children 6 -35 months of age, Influenza CPT/HCPCS Codes 90655 Split virus, preservative-free, for children 6 -35 months of age, intramuscular use 90656 Split virus, preservative-free, for individuals 3 years and above, for intramuscular use 90657 Split virus, 6 -35 month’s dosage for intramuscular or jet injection use 90658 Split virus, 3 years and above dosage, for intramuscular or jet injection use 90660 Influenza virus vaccine, live, for intranasal use G 9142 H 1 N 1 vaccine (effective 9/1/09) – not required 72 National Government Services, Inc.

Administration and Diagnosis Codes • Administration HCPCS codes: – G 0008 for influenza virus Administration and Diagnosis Codes • Administration HCPCS codes: – G 0008 for influenza virus vaccine seasonal administration – G 9141 for H 1 N 1 virus vaccine administration (effective 9/1/09) 73 National Government Services, Inc.

Administration and Diagnosis Codes • Diagnosis codes: – V 04. 81 for seasonal and Administration and Diagnosis Codes • Diagnosis codes: – V 04. 81 for seasonal and H 1 N 1 – V 06. 6 on claims for influenza vaccine and pneumococcal polysaccharide vaccine (PPV) when purpose of visit was to receive both 74 National Government Services, Inc.

Medicare Payment – H 1 N 1 • Medicare pays for administration but not Medicare Payment – H 1 N 1 • Medicare pays for administration but not vaccine itself – Vaccine will be furnished at no cost to all providers – Administration reimbursed at same rate as seasonal vaccine administration 75 National Government Services, Inc.

ABN and the Influenza Virus Vaccine • ABN required – Patient requests additional influenza ABN and the Influenza Virus Vaccine • ABN required – Patient requests additional influenza vaccination in same flu season – Medical necessity not justified 76 National Government Services, Inc.

Resources • The Guide to Medicare Preventive Services for Physicians, Providers, Suppliers and Other Resources • The Guide to Medicare Preventive Services for Physicians, Providers, Suppliers and Other Health Care Professionals: http: //www. cms. hhs. gov/MLNProducts/downloads/mps_g uide_web-061305. pdf • Quick Reference Chart: http: //www. cms. hhs. gov/MLNProducts/downloads/MPS_ Quick. Reference. Chart_1. pdf • The Medicare Learning Network (MLN) Preventive Services Educational Products Web page: http: //www. cms. hhs. gov/MLNProducts/35_Preventive. Ser vices. asp 77 National Government Services, Inc.

Resources • CMS Manuals – http: //www. cms. gov/Manuals/IOM/list. asp – Benefit Policy Manual Resources • CMS Manuals – http: //www. cms. gov/Manuals/IOM/list. asp – Benefit Policy Manual (100 -02) • Chapter 15 – Claims Processing (100 -04) • Chapter 18 • Chapter 32 78 National Government Services, Inc.

Best Resources for Updates and Policy Changes • www. NGSMedicare. com – Sign in Best Resources for Updates and Policy Changes • www. NGSMedicare. com – Sign in as Part B Provider • Subscribe to Part B Listerve – Select New and Pubications – Select Listserve • Medicare Monthly Review (MMR) – Quick Links – Select Medicare Monthly Review 79 National Government Services, Inc.

Training Opportunities • www. NGSMedicare. com – Sign in as Part B Provider – Training Opportunities • www. NGSMedicare. com – Sign in as Part B Provider – Calendar of Events, Part B • Medicare Part B Basics 101 – May 17 – Gilbertsville – May 19 – Frankfort – July 6 – Somerset – July 9 - Ashland 80 National Government Services, Inc.

Medicare University Self. Reporting Instructions • Event Number = 10120 OBDRM 1 • Topic Medicare University Self. Reporting Instructions • Event Number = 10120 OBDRM 1 • Topic = KY Health Department Training Screening and Preventive Services • Medicare University Credits (MUCs) = 2 • # of Sessions = 1 • Catalog Number = AA-C-? ? 81 National Government Services, Inc.

Medicare University Credit Self-Reporting Instructions To earn MUCs, you must self-report your attendance after Medicare University Credit Self-Reporting Instructions To earn MUCs, you must self-report your attendance after this training event has ended: • Go to www. Medicare. University. com or • Go to www. NGSMedicare. com, select your business type and region, then select Go – On the upper-right side of the page, select the Medicare University logo – You will be redirected to an informational page about Medicare University – Look toward the middle of the page (just above the Click & Learn; Come & Learn; and About MU sections) for Enter the Medicare University CBT Online System and link; Select this link and you will be redirected to the Medicare University log on screen 82 National Government Services, Inc.

Medicare University Credit Self-Reporting Instructions – Log on to the National Government Services Medicare Medicare University Credit Self-Reporting Instructions – Log on to the National Government Services Medicare University site via the log on screen at www. Medicare. University. com – Note: You will be prompted to enter your Medicare University log on ID and password. If you don’t already have one, you may obtain one at this point – Select Course Catalog from the left side menu – Select the Details button for the course entitled “KY Health Department Training Screening & Preventive Services” – To locate and self-report today’s training event either look for the name of the event or look for the Catalog ID number provided for this event – A new window will open providing the event description and information; select the Enroll button (the screen will then refresh) 83 National Government Services, Inc.

Medicare University Credit Self-Reporting Instructions – Next, select Curriculum List from the left side Medicare University Credit Self-Reporting Instructions – Next, select Curriculum List from the left side menu; locate the self-reporting course you just enrolled in and select the Go button next to it – A new page will open; select the Launch button on the new page and the course will load in a new window – Enter the training event number (10120 OBDRM 1) and select the Submit button 84 National Government Services, Inc.

Thank You! 85 National Government Services, Inc. Thank You! 85 National Government Services, Inc.