An inadvertent change in CMS guidance from “subsection (d) hospital” to “acute care hospital” to “IPPS hospital” resulted in eligible patients being denied admission to long-term care hospitals, but CMS has since revised its guidance.
This week’s Medicare updates include Fiscal Year 2017 Inpatient Prospective Payment System and Long Term Care Hospital PPS Changes; Revisions to State Operations Manual for Critical Access Hospitals (CAH) and Swing-Beds in CAHs; and more!
Q: The influenza virus vaccine represented by CPT® code 90674 (influenza virus vaccine, quadrivalent [ccIIV4], derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use) was approved under the Medicare program as of August 1. However, our claims are kicking back when we report the code. Has there been a change?