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Can we give a flu shot if the doctor isn’t in the office?

Question:

Do we need to have a physician in the office when our clinical staff gives flu shots?

Answer:

No. CMS allows flu shots to be given without a physician order and without physician supervision.

From MLN Matters:

Remember the following regarding the influenza vaccine: 

  • Medicare allows one influenza (flu) vaccination per year;
  • Medicare does not require for coverage purposes that a doctor of medicine or osteopathy order the influenza vaccine and its administration; and
  • The beneficiary may receive the influenza vaccine upon request without a physician’s order and without physician supervision.

And, from the current Medicare Benefit Policy Manual, Ch. 15, Section 50.4.4.2

“Effective July 1, 2000, Medicare no longer required for coverage purposes that a doctor of medicine or osteopathy order the vaccine. Therefore, a beneficiary could receive the vaccine upon request without a physician’s order and without physician supervision.”

 

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Last revised August 11, 2021 - CodingIntel
Tags: medicare incident-to and shared services

CMS split/shared services

Questions about CMS split/shared services rule changes? In this quick reference sheet you'll learn what these services are, who can bill them, and where. And, information about "substantive portion" and selecting level of service for time vs. key components..

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Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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