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This document provides guidelines and requirements for multi-state mass immunizers regarding the centralized billing process for influenza and pneumococcal vaccinations under Medicare for the 2001-2002
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How to fill out program memorandum for centralized

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How to fill out Program Memorandum for Centralized Influenza and Pneumococcal Vaccination Billing

01
Begin by opening the necessary Program Memorandum template.
02
Fill in the header with the date and title of the memorandum.
03
Specify the purpose of the memorandum clearly.
04
Include the details of the vaccination program, such as eligibility criteria and target population.
05
Outline the billing procedures, including relevant codes and required documentation.
06
Add any deadlines for submission and important dates for the program.
07
Provide contact information for any questions or clarifications.
08
Review for accuracy and completeness before submission.

Who needs Program Memorandum for Centralized Influenza and Pneumococcal Vaccination Billing?

01
Healthcare providers administering influenza and pneumococcal vaccinations.
02
Billing departments responsible for processing reimbursement for these vaccinations.
03
Insurance companies evaluating claims related to these vaccinations.
04
Public health officials monitoring vaccination programs.
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90647 Hemophilus influenza B vaccine (Hib), PRP-OMP conjugate, 3 dose schedule for intramuscular use. 90648 Hemophilus influenza B vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use.
Medicare Part B provides preventive coverage only for certain vaccines. These include: Influenza: once per flu season (codes 90630, 90653, 90656, 90662, 90673-74, 90682, 90685-88, 90756, Q2035, Q2037, Q2039) Pneumococcal: (codes 90670, 90732, once per lifetime with high-risk booster after 5 years)
Pneumococcal vaccinations and flu shots The CPT codes for the pneumococcal vaccine are 90669 and 90732. There are four codes for flu vaccine: 90657, 90658, 90659 and 90660. The appropriate vaccine administration code should also be reported.
Pneumococcal vaccinations and flu shots The CPT codes for the pneumococcal vaccine are 90669 and 90732. There are four codes for flu vaccine: 90657, 90658, 90659 and 90660. The appropriate vaccine administration code should also be reported.
Roster billing is a quick and easy way for you to submit multiple claims for COVID-19, flu, and pneumococcal shots. Bill each type of shot on a separate roster bill. Don't combine shots on the same roster bill. How to Submit Institutional Claims. You may use roster billing format, or submit individual claims.

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The Program Memorandum for Centralized Influenza and Pneumococcal Vaccination Billing is a directive that outlines the guidelines and procedures for billing Medicare and Medicaid for influenza and pneumococcal vaccinations. It standardizes the billing process to ensure correct reimbursement for providers.
Healthcare providers who administer influenza and pneumococcal vaccines and wish to receive reimbursement from Medicare and Medicaid are required to file the Program Memorandum.
To fill out the Program Memorandum, providers must complete the appropriate sections detailing the date of service, type of vaccine administered, patient identification information, and billing codes. It is important to follow the specific instructions provided in the memorandum to ensure compliance and accurate billing.
The purpose of the Program Memorandum is to provide a clear framework for billing procedures related to influenza and pneumococcal vaccinations, streamline the reimbursement process, and ensure that healthcare providers are adequately compensated for the vaccinations they administer.
Providers must report information including but not limited to the patient's details, vaccine type, administration date, and the applicable billing codes. Additionally, any relevant modifiers or additional notes may also be required to support the billing claims.
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