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Flu and Pneumonia Billing in a Skilled Nursing Facility (SNF)

For SNF’s, Medicare B pays for patients that receive the influenza, pneumococcal and Hepatitis B vaccines. As a reminder, the vaccines are a separate Part B inpatient benefit when rendered to beneficiaries in a covered Part A stay. Therefore, the SNF can be reimbursed for the vaccines given to all patients that have Medicare B, regardless if the patient is using Medicare A benefits or not.

Reference the Medicare Claims Processing Manual, Chapter 6, Section 20.4 for details.

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Blog by Sarah McIntosh, Director of Operations