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Top 5 Flu Vaccine Billing Resources

Health Insurance Companies Process 1 in 5 Claims Wrong

Five Influenza Vaccine Resources to Help With Your Medical Billing

I have put together 5 flu vaccine resources for billing that I believe will be helpful to you and your practice.

1. Flu Vaccines by Manufacturers

The Immunization Action Coalition puts out a great list every year about the flu vaccine. This list provides the names of the influenza vaccine manufacturer, the vaccine name, dosage, the mercury content, and the age group the particular vaccine is produced for. You also get the codes needed to bill for commercial insurance and Medicare.

Here is a link to this flu season’s information Influenza Vaccine Products for the 2016-2017 Influenza Season:

http://www.immunize.org/catg.d/p4072.pdf

 

2. Flu Vaccine Codes from Medicare MLN

This PDF is from the Medicare Learning Network. It’s called Medicare Part B Immunization Billing, Seasonal Influenza Virus, Pneumococcal, and Hepatitis B.

It includes all the CPT codes, descriptions and ICD-10 codes you need to bill along with Frequently Asked Questions.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/qr_Immun_bill.pdf

 

3. Reimbursements for Influenza Vaccines

Need to know the rates Medicare pays for the flu vaccine? You can find them on the CMS website. The section, Seasonal Influenza Vaccines Pricing, has the payment allowances for the 2016-2017 flu season.

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Part-B-drugs/McrPartBDrugAvgSalesPrice/VaccinesPricing.html

 

4. List of National Drug Codes for Flu Vaccines

To bill the flu shot properly you will need to submit the National Drug Code (NDC) along with the claim. The package insert or the box the vaccine came in should have the NDC number listed. If you can’t find it, the Centers for Disease Control (CDC) lists the NDCs for the influenza vaccine along with other vaccines.

http://www.cdc.gov/vaccines/programs/vfc/awardees/vaccine-management/price-list/

 

5. Influenza Vaccine Manufacturers Websites

Another great source for information on the flu vaccines are the individual influenza vaccine manufacturers.  Here are links to some of those producers of vaccine where you may find information.

  GlaxcoSmithKline

Fluarix: https://gsksource.com/pharma/content/gsk/source/us/en/brands/fluarix-quadrivalent/pi/product-overview.html

  Sanofi Pasteur

Fluzone: http://www.fluzone.com/health-care-professionals/fluzone-coding-reimbursement.cfm

  Seqirus

Afluria, Fluad, Fluvirin, Flucelvax: http://flu.seqirus.com/

 

Has this been helpful? Do you know of other resources that would be helpful? Let me know in the comments below.

 

is a 20 year veteran of healthcare having managed medical practices. He advises medical practices, physicians and practice administrators on how to run their practice and manage their medical billing and revenue cycle management. Manny speaks, blogs and makes videos at www.CaptureBilling.com, a blog that is tops in the medical billing and coding field. READ MORE

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5 Responses to Top 5 Flu Vaccine Billing Resources

  1. Thank you so much Mr. Oliverez. I stumbled upon your posts a few weeks ago and have found them extremely helpful. I am new at the “coding and billing game,” and frankly it’s overwhelming. Do you mind if I ask you coding questions occasionally? If so, what would be a good way to reach you?

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The analysis of any medical billing or coding question is dependent on numerous specific facts -- including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies (as well as coding itself) are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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