tci Medicare Compliance & Reimbursement - 2022 Issue Q3

Reader Questions: Understand Medicare’s Flu Season Parameters

Question: With COVID-19 cases trending upwards, we’d like to stave off the double whammy of rising influenza cases. We are a little confused about Medicare’s annual flu season dates. What are they? Oklahoma Subscriber Answer: Payments for influenza vaccinations run from Aug. 1 to July 31 each year and are reimbursed at the nationally established rate of 95 percent of the average wholesale price (AWP), according to the Centers for Medicare & Medicaid Services (CMS) online flu shot guidance. Additionally, CMS makes rate updates on a quarterly basis while administration payment rates are adjusted for each payment...

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