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Immunization

May 5, 2026
Find information on vaccine payment allowances and fee schedules, links to related enrollment for mass immunizers, and more. Recent additions include upcoming vaccine administration coding updates beginning July 1, 2026, for TOFIDENCE® IV i…

Tools & forms: Billing / coding

February 19, 2026
Use these self-service tools and forms related to billing and coding.

Unsolicited / voluntary refunds

May 15, 2026
This article provides information regarding unsolicited / voluntary refunds, that is, monies received by Medicare not related to an open account receivable.

2026 Part B portable x-ray reimbursement rates - response to comments

January 29, 2026
This article contains the response to comments for the 2026 preliminary Part B portable x-ray transportation rates and a link to the final 2026 rates.

2025 influenza, pneumococcal, and hepatitis B vaccine reimbursement

March 6, 2026
Read this article for information on vaccine fees for calendar year 2025.

2026 influenza, pneumococcal, and hepatitis B vaccine reimbursement

January 6, 2026
Read this article for information on vaccine fees for calendar year 2026.

Public health emergency billing guidance for skilled nursing facilities (SNFs)

January 13, 2026
CMS allows programmatic waivers for impacted states under Section 1135 of the Social Security Act (SSA) for declared emergencies.

Hepatitis C virus (HCV)

April 6, 2026
Read this article for more information on the hepatitis C virus and treatments covered by Medicare.

New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting

March 17, 2026
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1, 2025. This article details how to bill for…

Pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent human immunodeficiency virus (HIV) infection

March 24, 2026
Read this article for information on billing PrEP for HIV drugs.
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