• Flu resources and payment allowances: Medicare releases updates for the 2019-2020 season

    The Centers for Medicare & Medicaid Services (CMS) recently released its 2019-2020 influenza resources for health care professionals. Medicare pays physicians and other health care professionals for flu vaccines and their administration without any out-of-pocket costs to the Medicare patient (i.e., no deductible or copayment/coinsurance applies).

    Medicare influenza vaccine payment allowances for the 2019-2020 flu season are also available. These payment allowances are effective for dates of service from August 1, 2019, through July 31, 2020. If you submitted claims for the current flu season that were paid incorrectly (e.g., using influenza vaccine payment allowances for the prior season), your Medicare administrative contractor will reprocess those claims. This reprocessing should occur by November 1, 2019. If the Food and Drug Administration approves any new influenza vaccine, CMS will post the payment limits and effective dates for those vaccines online.

    — Kent Moore, Senior Strategist for Physician Payment at the American Academy of Family Physicians

    Posted on Sep 24, 2019 by Kent Moore

    Disclaimer: The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. This blog is not intended to provide medical, financial, or legal advice. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.