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Medicare (CMS) Now Covers Smoking and Tobacco-Use Cessation Counseling 2005 National Primary Oral Health Care Conference August 8, 2005 Atlanta, GA.

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Presentation on theme: "Medicare (CMS) Now Covers Smoking and Tobacco-Use Cessation Counseling 2005 National Primary Oral Health Care Conference August 8, 2005 Atlanta, GA."— Presentation transcript:

1 Medicare (CMS) Now Covers Smoking and Tobacco-Use Cessation Counseling National Primary Oral Health Care Conference August 8, 2005 Atlanta, GA

2 Reality Check Tobacco use is the leading cause of preventable death in the U.S. 9.3 percent of those aged 65 and older smoke cigarettes Substantial cost to the healthcare system Reduction in smoking prevalence is a national objective

3 Brief History Partnership for Prevention made request to CMS for a National Coverage Determination (NCD) NCD made effective 3/22/05

4 The Benefit Intermediate and intensive smoking cessation counseling services Two cessation attempts/year Four face-to-face sessions per attempt Choose intermediate or intensive

5 Intermediate vs. Intensive
G0375- Intermediate cessation visit: greater than 3 minutes up to 10 minutes G0376-Intensive cessation visit: greater than 10 minutes

6 See also The Public Health Service 2000 Clinical Practice Guideline. Treating Tobacco Use and Dependence tobacco/treating_tobacco_use.pdf

7 The Patient Is alert and competent
Suffers from disease/condition linked to tobacco use OR Is using a therapeutic agent whose metabolism or dosing is affected by tobacco use as based on FDA-approved information

8 The Provider Is a qualified physician or other Medicare recognized practitioner including a dentist . . . As long as he is practicing within his scope according to the State

9 Toolkit for Healthcare Professionals: Medicare Prescription Drug Coverage
Go to: to access the toolkit and other educational resources

10 National Provider Identifier (NPI)
Apply now for your NPI The NPI replaces the current health care provider identifiers For additional information and the application go to

11 Contacts United Government Services
Toll Free CMS Regional Offices or Part B Carriers Lana Dennis Atlanta Regional CMS Office 404/

12 Thank You Any Questions?

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