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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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COVID-19 Vaccines: Act Now

COVID-19 Vaccines: Act Now CMS announced last week that we’ll require staff within all Medicare and Medicaid-certified facilities to get COVID-19 vaccines.  Make efforts now to vaccinate you and your staff so you’re in compliance when the rule takes effect. The higher the level of vaccination rates among you...

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Biden-Harris Administration to Expand Vaccination Requirements for Health Care Settings

Biden-Harris Administration to Expand Vaccination Requirements for Health Care Settings New action will protect patients of the 50,000 providers and over 17 million health care workers in Medicare and Medicaid certified facilities The Biden-Harris Administration will require COVID-19 vaccination of staff within all Medicare and Medicaid-certified facilities to protect both them...

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CMS Resumes Targeted Probe & Educate

CMS Resumes Targeted Probe & Educate NAHC urges CMS to suspend TPE until the public health emergency ends The Centers for Medicare & Medicaid Services (CMS) indicated in an August 2021 MLNConnects newsletter that it will resume the targeted probe and educate (TPE) program that was suspended in March...

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