2022 Comprehensive Covid-19 Guide Medicare Provider Hospitals – Outpatient Departments
Vaccine Payment Reasonable Costs*
Vaccine Administration Payment Separately payable based on established rate for code. Not subject to OPPS.
Hospitals – Inpatients Critical Access Hospitals (CAHs)
Reasonable Costs* 101% of Reasonable Costs
Separately payable based on established rate for code. 101% of Reasonable Costs
Rural Health Centers (RHCs)
Paid through the cost report
Paid through the cost report
https://medicare.fcso.com/Billing_news/0479121.asp
COVID-19 Vaccines All providers participating in the CDC COVID-19 Vaccine Program: Must provide the vaccine at no cost to the individual (may also not balance bill) Cannot charge an office visit (or other fees or services) if the individual received only the vaccine May not deny vaccine based on insurance coverage or out-of-network status The Office of the Inspector General encourages reporting potential violations through its tip line or website: 1-800-HHS-TIPS (1-800-447-8477) or www.TIPS.HHS.gov Additional information is available through the following CDC weblink: https://www.cdc.gov/vaccines/covid-19/vaccination-provider-support.html
© 2022 PARA HealthCare Analytics, an HFRI Company – January 2022 CPT® is a registered trademark of the American Medical Association
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