Flu Season

Flu season is always challenging and, with the current Public Health Emergency (PHE), advance planning will be even more important. Here are some tips to help you prepare:

From a billing perspective (Medicare), the only acceptable flu vaccine administration code is HCPCS G0008. It must be billed and provided by a physician or qualified healthcare professional subject to state regulations. While the Medicare Benefit Policy Manual (page 79) states a provider order is not required, “incident to” rules apply when vaccines are administered by auxiliary personnel which is why many HBPC practices administer flu vaccines during regularly scheduled visits.

Under PHE waiver flexibilities, some temporary changes to direct supervision permit the virtual presence of the supervising provider via interactive telecommunications technology for services paid under the Physician Fee Schedule and for hospital outpatient services. This may offer flexibility for HBPC practices who are considering a modified flu season approach. Additional information on preparing for the flu season can be found at CDC FAQ for the 2019-2020 flu season.

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