Billing

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IPPS Payment for Essential Medicines

In the fiscal year 2025 IPPS and LTCH final rule, CMS finalized a separate payment for establishing and maintaining access to essential Medicines. Read this article to learn more.

Hepatitis B Vaccination

Read this article for more information on the hepatitis B vaccination.

Hepatitis B Vaccination

Read this article for more information on the hepatitis B vaccination.

Immunization

Visit the CMS Vaccine Pricing webpage to get 2026–2027 seasonal influenza and COVID-19 vaccine pricing, including Medicare payment allowances and effective dates.

Immunization roster billing

Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Learn more about this simplified…

Immunization

Visit the CMS Vaccine Pricing webpage to get 2026–2027 seasonal influenza and COVID-19 vaccine pricing, including Medicare payment allowances and effective dates.

Immunization roster billing

Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Learn more about this simplified…

Encelto Cell Gene Therapy Drug

This article provides billing guidance and claim submission instructions for providers administering Encelto when provided in an ASC and HOPD settings.

Encelto Cell Gene Therapy Drug

This article provides billing guidance and claim submission instructions for providers administering Encelto when provided in an ASC and HOPD settings.

Medicare Deductible and Coinsurance

View annual deductibles and coinsurance for beneficiaries covered through the Medicare fee-for-service program.