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| 12/21/2020 @ 4:38:00 PM
Post 1 of 4
Contributor: Andrea Durham, Rockcastle Family Wellness
We are a Provider Base RHC. If Providers have a face to face visit & the Nurse gives a Shingrix Vaccine to the patient. When billing Medicare what REV Code do you use?
12/21/2020 @ 4:45:00 PM
Post 2 of 4
Contributor: Cassie Beesley, Springfield Clinic - Hillsboro East
Shingrix is not payable by Medicare Part B. All vaccines (except Flu, Pneumonia, and Hep B) are part D. If the Part D vaccine happens withOUT an office then you could bill a Bill Type 710 with condition 21 and receive Patient Responsibility denial to bill the patient 100% of the charge. If the vaccine happens with a visit, then you would have to write off the vaccine, as you cannot have part of the visit as non-covered and part covered. The best is to send the patient to the pharmacy to receive the vaccine or sign up with TransAct RX to be able to bill Medicare Part D vaccines and receive payment.
12/21/2020 @ 4:48:00 PM
Post 3 of 4
Contributor: Patty Harper, InQuiseek Consulting
The Shingrix immunization is a Medicare Part D benefit and is not separately payable to the RHC. Immunizations are a Part D (pharmacy) benefit with the exception of Hep B and tetanus in some cases which are part of the AIR. However, no immunizations other that flu and pneumococcal are separately reimbursed to the RHC. These are reimbursed as part of the a cost report calculation.
Patty Harper, RHIA, CHTS-IM, CHTS-PW, CHCR Healthcare Consultant/Principal 318-243-2687 (Cell) 866-855-0683 (Fax) 940 Ratcliff Street Shreveport, LA 71104 The information contained in this transmission may contain privileged and/or confidential information, including patient information protected by federal and state privacy laws. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. 12/21/2020 @ 4:48:00 PM
Post 4 of 4
Contributor: Patty Harper, InQuiseek Consulting
Before signing up for a third-party immunization biller, please discuss with your cost report preparer. Some of these plans create comingling situations.
Patty Harper, RHIA, CHTS-IM, CHTS-PW, CHCR Healthcare Consultant/Principal 318-243-2687 (Cell) 866-855-0683 (Fax) 940 Ratcliff Street Shreveport, LA 71104 The information contained in this transmission may contain privileged and/or confidential information, including patient information protected by federal and state privacy laws. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. |
