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Medicare FFS Q&A Addresses H1N1

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  • In CMS
  • November 2, 2009
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The Centers for Medicare & Medicaid Services (CMS) updated, Oct. 14, its Medicare Fee-for-Service (FFS) Q&As to address H1N1-related questions circling among the health care industry.

CMS added “Section 1: Urgent Preparedness Initiative: The H1N1 Influenza Pandemic” to its Emergency and Disaster-Related Policies and Procedures That May be Implemented Without Section 1135 Waivers fact sheet.

Many of the questions answered in Section 1 pertain to H1N1 influenza pandemic vaccination coding and billing.

Of note is a question closely related to the recent National Emergency Declaration on H1N1 signed, Oct. 24, by President Obama. Here’s the Q&A:

Question: Will Medicare payment policy change if the H1N1 vaccine is released under an emergency utilized authorization (EUA) under section 564 of the Food, Drug and Cosmetic Act?

Answer: No.

Check the CMS Q&A for all your Medicare FFS emergency-related coding or billing questions. Then, read the Flu.gov press release addressing the Emergency Declaration to find answers to such questions as the following:

Question:  Is the HIPAA Privacy Rule suspended during a national or public health emergency?

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