tci Medicare Compliance & Reimbursement - 2018 Issue 18

Industry Notes: Know These Flu-Season Basics to Sidestep the Sniffles

Plus: Michigan podiatrist gets tripped up with false claims conviction. The 2018-2019 flu season began on Aug. 1. CMS wants to help providers and their staffs make sure related claims aren’t denied. Remember, flu shots are paid by season and not by the year, reminds CMS guidance. And due to that, it is possible for a beneficiary to receive more than one immunization in a single calendar year. CMS released its influenza vaccine payment guidelines last month, which include details on how much Medicare Part B will pay for each CPT® and HCPCS code. Reminder: Medicare Part B...

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