Medicare billing for all four of the respiratory vaccines
Several members have asked about billing Medicare for residents, coverage of screening and preventive services (e.g., screening mammography, pneumococcal pneumonia vaccine, influenza vaccine, hepatitis B vaccine and the new COVID vaccine) is a separate Part B inpatient benefit when rendered to beneficiaries in a covered Part A stay and is paid outside of the Part A payment rate. For this reason, screening and preventive services must not be included in the global Part A bill. However, screening and preventive services remain subject to consolidated billing and, thus, must be billed separately by the SNF under Part B.
For other vaccine Medicare billing questions, click here to review this guidance from AHCA/NCAL
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