Wiki Vaccines to Medicare

[kathleeng]

Is anyone getting denials for vaccines/immunizations to Medicare? It appears Medicare will not reimburse vaccines/immunizations for routine care. What is your office protocol when ordering and billing vaccines? Any feedback is helpful.

 

[trarut]

Are you billing Part B Medicare? If so, Part B only covers influenza, pneumococcal and Hep B vaccines. Most others are covered through the Part D benefit. Thankfully, the practice I'm currently at doesn't do immunizations but the last one I worked at, we redirected patients to the pharmacy for anything except the three listed above.