Billing Flu Vaccinations – Resources from CMS

Here we are in the midst of flu season — is your healthcare team current with the coverage, coding, billing, and reimbursement guidelines for seasonal flu vaccinations? If you need to brush up, the Centers for Medicare and Medicaid  Services (CMS) recently published a helpful compilation of resources on vaccination billing for the 2012-2013 flu season.

MLN Seasonal Influenza Related Products for Health Care Professionals:

• MLN Matters Article MM8047: Influenza Vaccine Payment Allowances – Annual Update for 2012-2013 Season – This article contains the payment allowances for the 2012-2013 flu season. You can download it at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8047.pdf on the CMS website.

• Quick Reference Information: Medicare Part B Immunization Billing – This educational tool is designed to provide education on Medicare-covered preventive immunizations. Available in print and as a downloadable PDF at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/qr_immun_bill.pdf on the CMS website.

• Quick Reference Information: Preventive Services – This educational tool is designed to provide education on the Medicare-covered preventive services. Available as a downloadable PDF at https://www.cms.gov/Medicare/Prevention/PrevntionGenInfo/Downloads/MPS_QuickReferenceChart_1.pdf on the CMS website.

• MLN Preventive Services Educational Products Web Page – This Medicare Learning Network® (MLN) web page provides descriptions of all MLN preventive services related educational products and resources designed specifically for use by Medicare FFS health care professionals. View this page at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/PreventiveServices.html on the CMS website.

• Preventive Services Educational Products PDF – This PDF provides a list of all MLN products related to Medicare-covered preventive services. View this PDF athttps://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/education_products_prevserv.pdf on the CMS website.

Other CMS Resources:

• Seasonal Influenza Vaccines 2012 Pricing is at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Part-B-Drugs/McrPartBDrugAvgSalesPrice/2012ASPFiles.html on the CMS website.

• Prevention General Information Overview is at https://www.cms.gov/Medicare/Prevention/PrevntionGenInfo/index.html on the CMS website.