REIMBURSEMENT: Say Goodbye To G0377--And Hello To Collecting From Patients

Why This Topic Matters

The change affects how practices collect payment for vaccine administration services and how they communicate coverage expectations to patients. It also highlights the need to understand Medicare Part D versus Part B responsibility and to prepare for possible differences among plan requirements.

Article Sections

1. Billing transition for vaccine administration

   Introduces the upcoming change in how vaccine administration is billed and who may be responsible for payment. References Medicare guidance and the planned deletion of a billing code.

2. Part D payment process and plan variability

   Discusses how Part D reimbursement may be handled and notes that plan-specific processes may differ. Covers provider concerns about administrative workflow and collection methods.

3. Patient collection, ABNs, and coverage reminders

   Explains the practical implications for patient collections and when beneficiary notices may be considered. Also notes that some vaccine coverage remains under Part B for certain vaccines and situations.