Medicare Learning Network Products Available in Hard Copy Format

To access a product available for order in a hard copy format, go to Medicare Learning Network Products, scroll down to the bottom of the web page to the “Related Links” section, and click on the “Medicare Learning Network Product Ordering Page.”

• The “Dual Eligible Beneficiaries Under the Medicare and Medicaid Programs” Fact Sheet (ICN 006977) is designed to provide education on dual eligible beneficiaries under the Medicare and Medicaid Programs, including assignment and prohibited billing.
• The “Items and Services That Are Not Covered Under the Medicare Program” Booklet (ICN 906765) is designed to provide education on the four categories of items and services that are not covered under the Medicare Program, applicable exceptions (items and services that may be covered), and Beneficiary Notices of Noncoverage. It includes information on services and supplies that are not medically reasonable and necessary; non-covered items and services; services and supplies denied as bundled or included in the basic allowance of another service; and items and services reimbursable by other organizations or furnished without charge.
• The “Medicare Appeals Process Parts A and B” Fact Sheet (ICN 006562) is designed to provide education on the five levels of claim appeals in Original Medicare (Medicare Part A and Part B). It includes details explaining how the Medicare appeals process applies to providers, participating physicians, and participating suppliers in addition to including more information on available appeals-related resources.
• The “Chronic Care Management Services” Fact Sheet (ICN 909188) is designed to provide background on the separately payable Chronic Care Management (CCM) Services for non-face-to-face care coordination services furnished to Medicare beneficiaries with multiple chronic conditions. It includes information on eligible providers and patients; Physician Fee Schedule billing requirements; a table aligning the CCM Scope of Service Elements and billing requirements with the Certified Electronic Health Record or other electronic technology requirements; and a table of CCM resources.