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Preventive Services

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Preventive Services Educational Products

The Medicare Learning Network(MLN) resources listed on this web page give Medicare fee-for-service health care professionals information on coverage, coding, billing, reimbursement, and claim filing procedures for the following Medicare-covered preventive services and screenings (subject to certain eligibility and other limitations):

  • Abdominal Aortic Aneurysm Screening
  • Adult Immunizations
  • Bone Mass Measurements
  • Cancer Screenings
  • Cardiovascular Screening
  • Diabetes Screening
  • Diabetes Supplies
  • Diabetes Self-Management Training
  • Medical Nutrition Therapy (for Medicare beneficiaries with diabetes or renal disease)
  • Glaucoma Screening
  • Initial Preventive Physical Exam ("Welcome to Medicare" Physical Exam)
  • Smoking and Tobacco-Use Cessation Counseling

In addition to the preventive services educational resources listed on this web page, CMS has also created a prevention website that provides general information about the preventive benefits listed above. You may visit the CMS Prevention website by clicking on the Medicare tab at the top of this page. Once on the CMS Medicare page, scroll down to the Prevention section.


CMS Prevention Communications

CMS recognizes the crucial role that health care professionals play in promoting, providing, and educating Medicare patients about potentially life saving preventive services and screenings. Because of this understanding, we are taking significant steps to reach out and educate the provider community as well as Medicare beneficiaries about the array of preventive services and screenings now covered by Medicare. However, we need your help to get the word out to your Medicare patients and their caregivers about the many preventive services and screenings covered by Medicare. (To read messages, select message title in Downloads)

  • More Patients Likely to Ask About Medicare Prevention Benefits (See Downloads)
  • Prevention Awareness Communications - Part of CMS' preventive services information program for providers includes monthly prevention awareness messages that correspond with the National Monthly Health Observances. (See Downloads to view archived messages.)

Educational Products for Health Care Professionals:

Please Note: The products listed here are for use by health care providers and their staff, only and are not intended for distribution to Medicare beneficiaries.

Articles

  • MLN Matters Preventive Services Articles – a series of MLN Matters articles about Medicare preventive services and screenings. (see Downloads)

Bookmark

  • Medicare Preventive Services Bookmark - this bookmark lists the preventive services and screenings covered by Medicare and carries a message that encourages health care professionals to talk with their Medicare patients about preventive services that may be right for them. This product is appropriate for distribution at health care professional conferences, provider outreach and education activities, and other provider/supplier events. (see Educational Products under Downloads)

Brochures

  • Diabetes-Related Services – This two-sided tri-fold brochure provides health care professionals with an overview of Medicare's coverage of diabetes screening tests, diabetes self-management training, medical nutrition therapy, and supplies and other services for Medicare beneficiaries with diabetes. (see Educational Products under Downloads)
  • Smoking and Tobacco-Use Cessation Counseling Services - this two-sided tri-fold brochure provides health care professionals with an overview of Medicare's smoking and tobacco-use cessation counseling benefit.  (see Educational Products under Downloads)
  • Expanded Benefits - this two-sided tri-fold brochure provides health care professionals with an overview of Medicare's coverage of three preventive services: the Initial Preventive Physical Examination (IPPE), also known as the "Welcome to Medicare" physical exam or the "Welcome to Medicare" visit, ultrasound screening for abdominal aortic aneurysms, and cardiovascular screening blood tests. (see Educational Products under Downloads)
  • Bone Mass Measurements - this two-sided tri-fold brochure provides health care professionals with an overview of Medicare's bone mass measurements (bone density studies) benefit.  (see Educational Products under Downloads)
  • Cancer Screenings - this two-sided tri-fold brochure provides health care professionals with an overview of Medicare's mammography screening, screening Pap test, pelvic screening examination, colorectal cancer screening, and prostate cancer screening benefits. (see Educational Products under Downloads)
  • Glaucoma Screening - this two-sided tri-fold brochure provides health care professionals with an overview of Medicare's glaucoma screening benefit.  (see Educational Products under Downloads)
  • Adult Immunizations - this two-sided tri-fold brochure provides health care professionals with an overview of Medicare's influenza, pneumococcal, and hepatitis B immunization benefits.  (see Educational Products under Downloads)

Guides

  • The Guide to Medicare Preventive Services for Physicians, Providers, Suppliers, and Other Health Care Professionals 2nd Edition - This comprehensive guide provides health care providers and their staff with information on Medicare's preventive benefits including coverage, frequency parameters, risk factors, coding, billing and reimbursement. (August 2007)  (see Educational Products under Downloads)
  • Determining a Medicare Beneficiary's Eligibility for Medicare Preventive Services - this guide provides information on interpreting the Medicare beneficiary preventive services next eligible date data and is intended to supplement the educational materials already available for the HIQA, HIQH, HUQA, ELGA, ELGB and ELGH eligibility inquiry screens used to access Common Working File (CWF) records. (September 2005) (Available in Download Only) (see Educational Products under Downloads)

Quick Reference Information

  • Quick Reference Information: Medicare Preventive Services - a two-sided chart providing quick reference to Medicare preventive services and screenings, coding requirements, eligibility, frequency parameters, and copayment/coinsurance and deductible information for each benefit. (see Educational Products under Downloads)
  • Quick Reference Information: Medicare Immunization Billing - a two-sided chart providing quick reference to coding information for the influenza, pneumococcal, and hepatitis B vaccines and their administration. (see Educational Products under Downloads)
  • Quick Reference Information: The ABCs of Providing the Initial Preventive Physical Examination (IPPE) – This two-sided chart identifies the components and elements of the IPPE and provides eligibility requirements, procedure codes to use when filing claims, FAQs, suggestions for preparing patients for the IPPE, and lists references for additional information. (see Educational Products under Downloads)

Video Program

  • An Overview of Medicare Preventive Services for Physicians, Providers, Suppliers, and Other Health Care Professionals educational video program -  provides an overview of coverage criteria for Medicare preventive benefits. This program can be viewed individually or as part of an education session at a conference or other provider meeting. (75 minutes in length and approved by CMS for continuing education credits* for successful completion). (To order video, select MLN Product Ordering from Related Links Inside CMS.)

 Web-Based Training Courses

  • Medicare Preventive Services Web-Based Training Modules – a series of three web-based training courses: Adult Immunizations, Woman's Health, and Expanded Benefits (each approved by CMS for continuing education credits* for successful completion).(To access courses, select Web-based Training Modules from Related Links Inside CMS)

Other Useful Resources:

  • 2008-2009 Influenza Season Educational Products and Resources - this PDF document includes links to influenza-related educational products developed by CMS for provider use and links to other online resources where clinicians may find useful information and tools for the 2007-2008 flu season. (see Downloads)
  • Nursing Home Immunizations Toolkit - a toolkit that contains printable resources that nursing home providers can use to help improve the influenza and pneumococcal immunization rates among their residents, staff, and volunteers. (see Related Links Outside CMS)

*The Centers for Medicare & Medicaid Services (CMS) has been reviewed and approved as an Authorized provider by the International Association for Continuing Education and Training (IACET), 8405 Greensboro Drive, Suite 800, McLean, VA 22102. The authors of the video program and web-based training courses have no conflicts of interest to disclose. The video program and web-based training course were developed without any commercial support.

 

Downloads
2008-2009 Influenza Season Educational Products and Resources [PDF, 53KB]

Educational Products [PDF, 41KB]

Preventive Services Articles [PDF, 32KB]

More Patients Likely to Ask About Medicare Prevention Benefits [PDF 30KB]

Prevention Awareness Communications [PDF, 31KB]

Provider Call Center Toll-Free Numbers Directory [ZIP 20KB]

More Patients Likely to Ask About Medicare Prevention Benefits [PDF 30KB] 

Related Links Inside CMS

MLN General Information

MLN Matters Articles

MLN Products

MLN Product Ordering

Web Based Training Modules

Related Links Outside CMS
Immunizations Toolkit

Centers for Disease Control and Prevention

Smokefree Website Sponsored by NCI, CDC and the American Cancer Society

U.S. Preventive Services Task Force (USPSTF)

 

Page Last Modified: 09/10/2008 8:04:48 AM
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