By: Renee Subaran

As 2018 approaches, more physicians rely on their office managers or service providers to update them on new regulations with licensing etc. and coding updates which can change the way a physician charts a patient. It is estimated that over 55 million Americans are insured with Medicare and Medicaid cover.

Personally, when I used to work with hospital facilities and I spoke to Patients about their finances, vaccinations as well as self-administered drugs were the biggest dilemma due to minimal coverage. I knew years ago Medicaid and Medicare would have to make a lot of implications to further accommodate patients. As new developments arise, per Medicare after Jan. 1, 2018, they will cover the new influenza virus vaccine code 90756 (Influenza virus vaccine, derived from cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use). During the interim period of Aug. 1, 2017, through Dec. 31, 2017, Medicare Administrative Contractors (MACs) will use code Q2039 (Influenza virus vaccine, not otherwise specified) to handle bills for this new influenza virus vaccine product (Influenza virus vaccine, quadrivalent (ccIIV4). Q2039 is already an active code.

The new influenza virus vaccine code 90756 will then be implemented for DOS on or after Jan. 1, 2018. This is important because Medicare has different parts and most vaccinations don’t have the coverage from the insurance companies. The Centers for Medicare and Medicaid coverage will expand the Diabetes Prevention Program on January 1 2018 to enhance these crucial services for Medicare beneficiaries who are at risk for developing diabetes.

The Centers for Medicaid and Medicare Coverage (CMS) will also continue to propose new modification to the system to include more coverage for more illnesses. Medicare officials estimate as much as 22% increase in 2018 Medicare Part B costs for wealthier beneficiaries. Hence, why physicians should secure their billing services to ensure that they are receiving the maximum revenue through a system that allows the coding to be precise.

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