Home Health & Hospice Week

Industry Notes:

Medicare Ups Payments For More In-Home Vaccinations

You may be used to receiving a reimbursement bump for furnishing COVID-19 vaccinations in the home, but that increase has spread to three more types of inoculations as of Jan. 1.

The COVID shot bump began in June 2021, notes the Centers for Medicare & Medicaid Services in the Jan. 4 MLN Connects newsletter. And now, “starting January 1, 2024, Medicare provides an additional payment amount for administering flu, hepatitis B, and pneumococcal shots in the home for certain Medicare patients,” CMS says.

How it works: “For CY 2024, the additional payment amount for in-home Part B preventive vaccine administration is approximately $38. We pay this amount in addition to the standard administration amount (approximately $30 per flu, hepatitis B, or pneumococcal shot) for a total payment of approximately $68 for a flu, hepatitis B, or pneumococcal shot you administer in a patient’s home in CY 2024,” CMS explains.

More details, including billing instructions, are at www.cms.gov/medicare/coverage/preventive-services/home-vaccine-administration-additional-payment. COVID vaccination info is at www.cms.gov/medicare/payment/covid-19/medicare-covid-19-vaccine-shot-payment.

 

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