In Billing
Oct 28th, 2011
The “2011-2012 Immunizers’ Question & Answer Guide to Medicare Part B & Medicaid Coverage of Seasonal Influenza and Pneumococcal Vaccinations” is now available in the Downloads section of the Immunizations page on the Centers for Medicare & Medicaid Services (CMS) website. Also available for download is a mini-poster in English and Spanish that reminds everyone that flu ...
In Billing
Sep 29th, 2011
The 2011-2012 seasonal influenza vaccine payment limits are now available on the Centers for Medicare & Medicaid Services (CMS) website. The Medicare Part B payment allowance limits for seasonal influenza and pneumococcal vaccines are 95 percent of the Average Wholesale Price (AWP), except where the vaccine is furnished in a hospital outpatient department. Payment for ...
In CMS
Oct 15th, 2010
You can find 2010-2011 seasonal influenza vaccine pricing posted on the Centers for Medicare & Medicaid Services (CMS) website. These payment allowances also were published as a part of the October 2010 quarterly Average Sales Price (ASP) Drug Pricing files. The payment allowance effective for service dates between Sept. 1 and Dec. 31: CPT® Code Description Payment ...
In Coding
Oct 1st, 2010
Quarterly updates to the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Payment System (ASC PS) for separately paid drugs and biologicals, covered surgical procedures, and ancillary services have been released to Medicare contractors. The updates include one newly created pass-through device HCPCS Level II code, five newly created drug HCPCS Level II codes, and six ...
In Billing
Sep 10th, 2010
Although Fluzone® high-dose influenza virus vaccine, CPT® code 90662 Influenza virus vaccine split virus, preservative free, enhanced immunogenicity via increased antigen content for intramuscular use, was included in the Average Sales Price (ASP) National Drug Code (NDC)-HCPCS Crosswalk, a national payment will not be published by the Centers for Medicare & Medicaid Services (CMS) until later ...