Medicare Physician Fee Schedule: New CPT Codes for RSV Vaccine Administration
Please Read Carefully
If your patient doesn’t have Medicare Part D, Medicare will pay for vaccine administration.
but not the vaccine under Part B.
CMS retroactively added 2 new CPT codes for respiratory syncytial virus (RSV) vaccine administration to the Medicare Physician Fee Schedule effective for dates of service on and after October 6, 2023:
- 96380 – Short descriptor: Admn rsv monoc antb im cnsl
- 96381 – Short descriptor: Admn rsv monoc antb im njx
Your Medicare Administrative Contractor will adjust claims you bring to their attention.
UHC December Monthly Overview
CMS Extends Telehealth Flexibilities to Protect Physician Privacy.
Following staunch advocacy by the Texas Medical Association, the Centers for Medicare & Medicaid Services (CMS) will not require physicians to list their home address as a practice location on Medicare enrollment forms for another year when providing telehealth services, safeguarding their privacy and safety.
During the COVID-19 pandemic, CMS allowed physicians to offer telehealth services from their homes without reporting their home address on their Medicare enrollment. However, that flexibility was set to expire Dec. 31.
Superior: Avoid Claim Denials
BILLING: Avoid Claim Denials
As a reminder, claims submitted with invalid or unclean data will result in denial or rejection of an entire claim. Superior has provided a list of important claim submission tips and common billing errors to help ensure your claims are processed quickly and efficiently.
Review the full list of tips to ensure your claims are not denied. Just click the link.
Cigna MA Provider Directory
Per Jim there is an issue with the Cigna MA provider directory. Some providers are not listed. The problem has been reported and is being worked on. Thank you.
UHC November Monthly Overview
Texas Medicaid: Earn 5.5 hours of free CE
UnitedHealthcare Community Plan of Texas and the American College of Lifestyle Medicine (ACLM) are partnering to offer 5.5 hours of free CE
Keep Your Staff Up to Date
Feel Free to Download and Print.
These lists can help your staff in so many ways.
Just Click, Download and Print
New Criminal History Background Check Requirement from TMB!
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Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee (see the Fingerprinting FAQs below for the current fees), payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Federal Bureau of Investigation.
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