tci Medicare Compliance & Reimbursement - 2010 Issue 21

Industry News: CMS Releases Payment Amounts for Flu Shots

PIllinois pediatrician sentenced after billing for vaccines she received for free. Forget about digging through lus: the latest Medicare Physician Fee Schedule and calculating the conversion factor when it comes to determining your Part B reimbursement rate for flu shots. CMS has come out with a handy MLN Matters article elucidating this information. According to MLN Matters article MM7120, released on Oct. 22,the Part B payment allowance for flu immunizations is as follows: 90655 (Influenza virus vaccine, split virus, preservative free, when administered to children 6 to 35 months of age,for intramuscular use): $12.398 90656 (Influenza...

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