4 Tips for Physician Billing Services as COVID Evolves
Never Outsource Medical Billing? Here’s the Real Answer
Influenza Vaccine Payment Allowances For 2021-2022 Season
The Medicare Part B payment allowance limits for seasonal influenza (flu) vaccines are 95% of the Average Wholesale Price (AWP), except when the vaccine is given in a hospital outpatient department, rural health clinic (RHC) or federally qualified health center (FQHC). Payment is based on reasonable cost for these 3 places.
CMS To Reprocess Certain Claims For Outpatient Clinic Visit Services
By November 1, 2021, the U.S. Centers for Medicare & Medicaid Services (CMS) will begin reprocessing claims for outpatient clinic visit services provided at excepted off-campus Provider-Based Departments (PBDs) so they’re paid at the same rate as non-excepted off-campus PBDs for those services under the Medicare Physician Fee Schedule (PFS).
