Billing COVID - Revision history

Cecswiki at 18:48, 7 February 2022

2022-02-07T18:48:22Z

← Older revision		Revision as of 18:48, 7 February 2022
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	Setup the prescription to bill an insurance as you would normally.		Setup the prescription to bill an insurance as you would normally.
	Add the following commands to the SIG lines:		Add the following commands to the SIG lines:
	* Submission Clarification Code: '''/XD02''' for first dose, '''/XD06''' for second dose, or '''/XD07''' for third.		* Submission Clarification Code: '''/XD02''' for first dose, '''/XD06''' for second dose, '''/XD07''' for third, and '''/XD10''' for fourth (or '''/XD10,7''')
	* DUR Codes: /DUIMA (DUR codes may be different from insurance to insurance)		* DUR Codes: /DUIMA (DUR codes may be different from insurance to insurance)
	* Administration Fee: /ADMFEE$20.00 (or however much you wish to bill for the admin fee)		* Administration Fee: /ADMFEE$20.00 (or however much you wish to bill for the admin fee)

Cecswiki: /* Billing the Vaccine in the Fill Screen */

2021-08-16T14:36:38Z

Billing the Vaccine in the Fill Screen

← Older revision		Revision as of 14:36, 16 August 2021
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	Setup the prescription to bill an insurance as you would normally.		Setup the prescription to bill an insurance as you would normally.
	Add the following commands to the SIG lines:		Add the following commands to the SIG lines:
	* Submission Clarification Code: '''/XD02''' for ~~First Dose~~, or '''/XD06''' for second dose		* Submission Clarification Code: '''/XD02''' for first dose, '''/XD06''' for second dose, or '''/XD07''' for third.
	* DUR Codes: /DUIMA (DUR codes may be different from insurance to insurance)		* DUR Codes: /DUIMA (DUR codes may be different from insurance to insurance)
	* Administration Fee: /ADMFEE$20.00 (or however much you wish to bill for the admin fee)		* Administration Fee: /ADMFEE$20.00 (or however much you wish to bill for the admin fee)

Cecswiki at 19:24, 2 April 2021

2021-04-02T19:24:48Z

← Older revision		Revision as of 19:24, 2 April 2021
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	Quickshots gives you the opportunity to review your vaccine info before submitting them to the state. There is a field in the program that allows you to manually enter or edit lot numbers.		Quickshots gives you the opportunity to review your vaccine info before submitting them to the state. There is a field in the program that allows you to manually enter or edit lot numbers.

			==For CDC and State Reporting==
			Certain state vaccine databases (such as GRITS and TENNIS) need additional info, the '''CVX Code''', '''Manufacturer Code''', and '''Publication Date'''.
			These will need to be added to the drug, and it will be included when you submit via QuickSHOTS or when QuickSCRIP reports to the CDC.

			# Start in the '''Pharmacy Main Menu'''
			# Go to 11 '''Drug File Maint.'''
			# Look up the respective vaccine
			# Press '''F11''' to go to the '''Drug Notes Screen'''
			## '''/CVX=''' for the CVX Code
			## '''/MANUF=''' for Manufacturer
			## '''/PUB=''' for Publication Dates

			{\| border="1" cellpadding="2"
			\|-
			\|width="150pt"\|'''Vaccine'''
			\|width="150pt"\|'''CVX Code'''
			\|width="150pt"\|'''Manuf Code'''
			\|width="150pt"\|'''Pub Date'''
			\|-
			\|AstraZeneca\|\| 210 \|\| ASZ \|\| 12/01/20
			\|-
			\|Jansen\|\| 212 \|\| JSN \|\| 12/01/20
			\|-
			\|Moderna\|\| 207 \|\| MOD \|\| 12/01/20
			\|-
			\|Pfizer\|\| 208 \|\| PFR \|\| 12/01/20
			\|-
			\|}

			'''Note:''' To the best of our knowledge, publication date for all Covid vaccines are 12/01/20.

	==Billing Medicare Part B==		==Billing Medicare Part B==

Cecswiki at 18:26, 2 April 2021

2021-04-02T18:26:08Z

← Older revision		Revision as of 18:26, 2 April 2021
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	If you require assistance in setting up or billing a vaccine, please contact Cost Effective Computers, and an agent will assist you. An update may be required to ensure all the features discussed below work properly. It should require no more than 5 minutes to perform.		If you require assistance in setting up or billing a vaccine, please contact Cost Effective Computers, and an agent will assist you. An update may be required to ensure all the features discussed below work properly. It should require no more than 5 minutes to perform.

			For general information on setting up Vaccines, along with reporting to a state vaccine database (such as GRITS or TENNIS), click [http://www.quickrx.net/wiki/Flu_Shots here].

	==Setup a 1-cent Price Table==		==Setup a 1-cent Price Table==

Cecswiki: /* Billing Medicare Part B */

2021-03-29T15:54:49Z

Billing Medicare Part B

← Older revision		Revision as of 15:54, 29 March 2021
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	# They want the ingredient cost of the drug to be a penny. To do this, Setup the drug so that the ACQ and AWP are the same cents as the package quantity (e.g. if quantity is 10, set the AWP to $0.10)		# They want the ingredient cost of the drug to be a penny. To do this, Setup the drug so that the ACQ and AWP are the same cents as the package quantity (e.g. if quantity is 10, set the AWP to $0.10)
	# They want the ICD10 code, which is '''/IC=''' in the SIG lines.		# They want the ICD10 code, which is '''/IC=''' in the SIG lines.

			The switch may interfere with pricing. '''/PA99999''' will fix this.

	==Billing the Vaccine in the Fill Screen==		==Billing the Vaccine in the Fill Screen==

Cecswiki: /* Billing Medicare Part B */

2021-03-29T15:50:45Z

Billing Medicare Part B

← Older revision		Revision as of 15:50, 29 March 2021
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	HCC wants two things for covid vaccine billing.		HCC wants two things for covid vaccine billing.
	# They want the ingredient cost of the drug to be a penny. To do this, Setup the drug so that the ACQ and AWP are the same cents as the package quantity (e.g. if quantity is 10, set the AWP to $0.10)		# They want the ingredient cost of the drug to be a penny. To do this, Setup the drug so that the ACQ and AWP are the same cents as the package quantity (e.g. if quantity is 10, set the AWP to $0.10)
	# They want the ICD10 code, which is '''IC=''' in the SIG lines.		# They want the ICD10 code, which is '''/IC=''' in the SIG lines.

	==Billing the Vaccine in the Fill Screen==		==Billing the Vaccine in the Fill Screen==

Cecswiki: /* Billing Medicare Part B */

2021-03-29T15:50:26Z

Billing Medicare Part B

← Older revision		Revision as of 15:50, 29 March 2021
Line 109:		Line 109:
	* For the first dose, set the group number to '''FIRST''' or '''1st'''.		* For the first dose, set the group number to '''FIRST''' or '''1st'''.
	* For the second dose, set the group number to '''SECOND''' or '''2nd'''.		* For the second dose, set the group number to '''SECOND''' or '''2nd'''.

			'''For HCC'''

			HCC wants two things for covid vaccine billing.
			# They want the ingredient cost of the drug to be a penny. To do this, Setup the drug so that the ACQ and AWP are the same cents as the package quantity (e.g. if quantity is 10, set the AWP to $0.10)
			# They want the ICD10 code, which is '''IC=''' in the SIG lines.

	==Billing the Vaccine in the Fill Screen==		==Billing the Vaccine in the Fill Screen==

Cecswiki: /* Setup the Vaccine */

2021-01-27T18:04:05Z

Setup the Vaccine

← Older revision		Revision as of 18:04, 27 January 2021
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	* Set AWP and ACQ to $250.00 (Calculates to $25.00 per shot)		* Set AWP and ACQ to $250.00 (Calculates to $25.00 per shot)
	* Keep the default price table on line 5 (usually table 99)		* Keep the default price table on line 5 (usually table 99)
	* Make sure to include '''Expiration date''' (line 9)		* Make sure to include '''Expiration date''' (line 9), as 2-digit month, a slash, and 2-digit year (ex 12/21).

	Use the image provided below as a guide.		Use the image provided below as a guide.

Cecswiki: /* Setup the Vaccine */

2021-01-27T18:02:55Z

Setup the Vaccine

← Older revision		Revision as of 18:02, 27 January 2021
Line 31:		Line 31:
	* Set AWP and ACQ to $250.00 (Calculates to $25.00 per shot)		* Set AWP and ACQ to $250.00 (Calculates to $25.00 per shot)
	* Keep the default price table on line 5 (usually table 99)		* Keep the default price table on line 5 (usually table 99)
			* Make sure to include '''Expiration date''' (line 9)

	Use the image provided below as a guide.		Use the image provided below as a guide.

Cecswiki: /* Billing Medicare Part B */

2021-01-20T18:40:30Z

Billing Medicare Part B

← Older revision		Revision as of 18:40, 20 January 2021
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	Medicare part B subcontracts its claim billing to other companies, who may have additional requirements for billing COVID-19 Vaccines.		Medicare part B subcontracts its claim billing to other companies, who may have additional requirements for billing COVID-19 Vaccines.

	'''For FDS'''		'''For FDS and CAM (Cardinal)'''

	FDS plans to use HCPS codes (alternatively called Procedure Codes) to distinguish between the first and second doses. See this [https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies Medicare link] for a full list of procedure codes.		FDS plans to use HCPS codes (alternatively called Procedure Codes) to distinguish between the first and second doses. See this [https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies Medicare link] for a full list of procedure codes.
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	* Pfizer dose 1 is 0001A		* Pfizer dose 1 is 0001A
	* Pfizer dose 2 is 0002A		* Pfizer dose 2 is 0002A

			'''Note:''' Insurance reimbursement is different between the 1st and 2nd dose.

	To send HCPS codes, you will also need to add a switch to your Medicare B insurance.		To send HCPS codes, you will also need to add a switch to your Medicare B insurance.
Line 97:		Line 99:
	* Type '''O3''' to go to '''Screen 3'''		* Type '''O3''' to go to '''Screen 3'''
	* On line 16, add '''/PC''' to the end of any code that is already present on that line.		* On line 16, add '''/PC''' to the end of any code that is already present on that line.

			Additionally, you will need to send an ICD-10 code of '''/IC=Z23''' in the SIG lines, which indicates that a vaccine was dispensed.

	'''For EBS'''		'''For EBS'''