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CMS-1403-FC B. Adding the definition of “End-of-life planning” in alphabetical order. C. Revising paragraphs (a)(4), (a)(5), and (a)(7) of the definition “Initial preventive physical examination.” §410.16 Initial preventive physical exam: Conditions for and limitations on coverage. (a) * * * Eligible beneficiary means, for the purposes of this section, an individual who receives his or her initial preventive examination not more than 1 year after the effective date of his or her first Medicare Part B coverage period. End-of-life planning means, for purposes of this section, verbal or written information regarding the following areas: (1) An individual’s ability to prepare an advance directive in the case where an injury or illness causes the individual to be unable to make health care decisions. (2) Whether or not the physician is willing to follow the individual’s wishes as expressed in an advance directive. Initial preventive physical exam * * * (4) An examination to include measurement of the beneficiary’s height, weight, body mass index, blood 1098
CMS-1403-FC pressure, a visual acuity screen, and other factors as deemed appropriate, based on the beneficiary’s medical and social history, and current clinical standards. (5) End-of-life planning as that term is defined in this section upon agreement with the individual. * * * * * (7) Education , counseling, and referral, including a brief written plan such as a checklist provided to the individual for obtaining an electrocardiogram, as appropriate, and the appropriate screening and other preventive services that are covered as separate Medicare Part B benefits as described in sections 1861(s)(10), (jj), (nn), (oo), (pp), (qq)(1), (rr), (uu), (vv), (xx)(1), (yy), (bbb), and (ddd) of the Act. * * * * * 8. Section 410.33 is amended by adding paragraphs (g)(16) and (17) to read as follows: §410.33 Independent diagnostic testing facility. * * * * * (g) * * * (16) Enrolls for any diagnostic imaging services that it furnishes to a Medicare beneficiary, regardless of whether the service is furnished in a mobile or fixed base location. 1099
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<strong>CMS</strong>-1403-FC<br />
pressure, a visual acuity screen, and other factors as<br />
deemed appropriate, based on the beneficiary’s medical and<br />
social history, and current clinical standards.<br />
(5) End-of-life planning as that term is defined in<br />
this section upon agreement with the individual.<br />
* * * * *<br />
(7) Education , counseling, and referral, including a<br />
brief written plan such as a checklist provided to the<br />
individual for obtaining an electrocardiogram, as<br />
appropriate, and the appropriate screening and other<br />
preventive services that are covered as separate Medicare<br />
Part B benefits as described in sections 1861(s)(10), (jj),<br />
(nn), (oo), (pp), (qq)(1), (rr), (uu), (vv), (xx)(1), (yy),<br />
(bbb), and (ddd) of the Act.<br />
* * * * *<br />
8. Section 410.33 is amended by adding paragraphs<br />
(g)(16) and (17) to read as follows:<br />
§410.33 Independent diagnostic testing facility.<br />
* * * * *<br />
(g) * * *<br />
(16) Enrolls for any diagnostic imaging services that<br />
it furnishes to a Medicare beneficiary, regardless of<br />
whether the service is furnished in a mobile or fixed base<br />
location.<br />
1099