Prostate Cancer Screening: CMS encourages providers to discuss prostate cancer screening with male patients and review Medicare coverage and eligibility requirements. Prostate cancer is the second leading cause of cancer deaths in men, making preventive screening discussions an important part of patient care. Providers can use Medicare resources to verify patient eligibility and understand available screening coverage.
Optometry Billing Compliance: An HHS Office of Inspector General (OIG) audit found improper Medicare payments for high-level evaluation and management (E/M) services billed by optometrists providing care in nursing facilities. The claims did not meet Medicare requirements for moderate- to high-complexity subsequent nursing facility visits. Providers should review Medicare’s vision services and billing guidance to ensure optometry services are documented and billed appropriately.
Resource: MLN Connects® Newsletter