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All posts by John Aldover

COVID-19: Moderna & Jansen (J&J) Booster Shots

COVID-19: Moderna & Jansen (J&J) Booster Shots Effective October 20, 2021, FDA amended the emergency use authorizations for the Moderna and Jansen (Johnson & Johnson) COVID-19 vaccines to allow for use of a single booster dose for certain populations. Get the most current list of billing codes, payment allowances and effective dates. More...

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Pneumococcal Conjugate Vaccine, 20 Valent

Pneumococcal Conjugate Vaccine, 20 Valent Medicare began covering Pneumococcal conjugate vaccine, 20 valent on October 1. CMS suggests submitting separate claims for this vaccine (HCPCS code 90677). Part A Medicare Administrative Contractors (MACs) will hold these claims until the April 2022 system update Part B MACs began processing these claims on October 4 CMS...

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Flu & Pneumococcal Vaccines: Expanded SNF Enforcement Discretion for Certain Pharmacy Billing

Flu & Pneumococcal Vaccines: Expanded SNF Enforcement Discretion for Certain Pharmacy Billing Effective September 20, 2021, CMS exercised enforcement discretion for Skilled Nursing Facility (SNF) consolidated billing provisions related to flu and pneumococcal vaccines. This allows Medicare-enrolled immunizers, including pharmacies, to bill directly and get direct reimbursement from the...

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