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CMS Simplifies Billing Claims for Hospice Vaccine Services

Posted on Wednesday, May 4, 2016 7:36 PM

CMS announced a Change Request 9052/Transmittal 3503, effective October 1, 2016, allowing hospice agencies to bill Medicare for covered preventive vaccines directly on the institutional claim.

CMS explains that this change provides “administrative simplification for both hospices and Medicare. If the services are billable on institutional claims, hospices will not need to maintain separate billing systems to create professional claim formats for vaccine services or to submit paper CMS-1500 claim forms for these services. The Medicare program will reduce the number of enrollments it must process and maintain. It will also reduce claims processing workloads for paper claim submissions.”

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