[Ohioaap-practicemanagers] Ohioaap-practicemanagers Digest, Vol 9, Issue 2

[Michael Chamberlin]

Care source has told us the same thing (that we need to use the 90460,90461
codes for nurse vaccine appointments).  I argued with them for months that
this was incorrect.  I finally gave in and decided to use the code that
they insisted upon.

Mike


-- 
Michael Chamberlin, M.D., FAAP
Pediatric Assoc. of Mt Carmel
4371 Ferguson Dr
Cincinnati, OH  45230
513-752-3650
513-752-3387 (fax)

On Wed, Nov 16, 2016 at 12:12 PM, Wells, Toni via Ohioaap-practicemanagers <
ohioaap-practicemanagers at lists.deltaforce.net> wrote:

> We enter the Admin code and the Vaccine code.  Some of the Managed Care
> Plans pay under the Admin, some the Vaccine.
>
>  I am "fighting" with Molina right now on the proper coding of vaccine
> visits. Molina is wanting us to use the 90460 or 90461, even if it is a
> "nurse only" visit and should be coded with 90471.  When I disputed it with
> our Molina Provider Rep, he told me that by the Physican "signing the
> encounter" we could justify the 90460. Since they only pay on the 90460,
> I'm not getting paid for any nurse only shot visits, right now.
>
>
> Toni Wells
> Office Manger
> Child Passenger Safety Technician
>
> Hometown Pediatric Care, LLC
> 504 McCarty Lane
> PO Box 959
> Jackson, OH 45640
> 740-286-5455
> 740-286-6782 (fax)
> twells at hometownpediatric.com
>
>
>
>
>
>
>
>
>
>
>
> -----Original Message-----
> From: Ohioaap-practicemanagers [mailto:ohioaap-practicemanagers-bounces@
> lists.deltaforce.net] On Behalf Of ohioaap-practicemanagers-
> request at lists.deltaforce.net
> Sent: Wednesday, November 16, 2016 12:00 PM
> To: ohioaap-practicemanagers at lists.deltaforce.net
> Subject: Ohioaap-practicemanagers Digest, Vol 9, Issue 2
>
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> Today's Topics:
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>    1. Re: HPV Coding with VFC (Michael Chamberlin)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Wed, 16 Nov 2016 09:28:11 -0500
> From: Michael Chamberlin <mikechamberlin3 at gmail.com>
> To: Melanie Farkas <MFarkas at ohioaap.org>
> Cc: "ohioaap-practicemanagers at lists.deltaforce.net"
>         <ohioaap-practicemanagers at lists.deltaforce.net>
> Subject: Re: [Ohioaap-practicemanagers] HPV Coding with VFC
> Message-ID:
>         <CAP_9SwRYGun5u_zG5eDb6WVQoQNuqec2VxQk1=vRNEw=
> LfJMdw at mail.gmail.com>
> Content-Type: text/plain; charset="utf-8"
>
> We enter an admin CPT code (90460, 90471, etc) and the vaccine CPT code.
> For OH Medicaid, we get paid on the admin code and for Caresource (our
> only managed Medicaid), we get paid on the vaccine code.
>
> Mike
>
> --
> Michael Chamberlin, M.D., FAAP
> Pediatric Assoc of Mt Carmel
> 4371 Ferguson Dr
> CIncinnati, OH  45245
> 513-752-3650
> 513-752-3387 (fax)
>
> On Fri, Nov 11, 2016 at 12:54 PM, Melanie Farkas via
> Ohioaap-practicemanagers <ohioaap-practicemanagers at lists.deltaforce.net>
> wrote:
>
> > Question from the Ohio AAP:
> >
> >
> >
> > Is it true that if a patient is receiving an HPV vaccine from VFC
> > stock that the practice does NOT enter the vaccine code, they only
> > enter the administration code? How else is this vaccination documented?
> >
> >
> >
> >
> >
> >
> >
> >
> >
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-- 
Michael Chamberlin, M.D., FAAP
Pediatric Assoc. of Mt Carmel
4371 Ferguson Dr
Cincinnati, OH  45230
513-752-3650
513-752-3387 (fax)
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