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OSCIA Immunization Reimbursement Workshop

OSCIA Immunization Reimbursement Workshop. 2014-15. Immunizations and Vaccines. Influenza/Pneumococcal Billing and Reimbursement Administration Coding Pediatric and Adult State Supply. For more information, refer to:

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OSCIA Immunization Reimbursement Workshop

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  1. OSCIA Immunization Reimbursement Workshop 2014-15

  2. Immunizations and Vaccines • Influenza/Pneumococcal Billing and Reimbursement • Administration Coding • Pediatric and Adult State Supply For more information, refer to: Rhode Island Department of Health Pediatric and Adult State-Supplied Vaccine Guidelines Our website: www.nhpri.org/Providers/ResourcesFAQs

  3. Influenza / Pneumococcal Billing and Reimbursement 2014-15 • Children (6-35 months) • 90655 • Children 90670(3-18yrs) 90686(3-18yrs) 90732(ped+adult) 90672(2-18yrs) • Adults (19-65 years old) • 90656, 90686 For more information, refer to: Rhode Island Department of Health Pediatric and Adult State-Supplied Vaccine Guidelines Our website: www.nhpri.org/Providers/ResourcesFAQs

  4. Influenza / Pneumococcal Billing and Reimbursement 2014-15 • Vaccine Administration Coding (0-18 years old) • 90460, 90461 • Vaccine Administration Coding (all ages) • 90471, 90472, 90473, 90474 • 90471 and 90473 will bundle and deny if billed together on the same day For more information, refer to: Rhode Island Department of Health Pediatric and Adult State-Supplied Vaccine Guidelines Our website: www.nhpri.org/Providers/ResourcesFAQs

  5. Common Billing Errors / Non-Covered Vaccines For more information, refer to: Rhode Island Department of Health Pediatric and Adult State-Supplied Vaccine Guidelines Our website: www.nhpri.org/Providers/ResourcesFAQs

  6. Informational Resources Claims Department / Neighborhood Member Services 1-401-459-6020 or 1-800-459-6019 • Navinet: connect.navinet.net • Member Eligibility • Claim Status Inquiries • Links to Important Notifications • Neighborhood Website: www.nhpri.org

  7. Provider Engagement and Contracting Contacts Provider Services Nancy Butera Community Health Center Consultant 1-401-459-6108 | nbutera@nhpri.org Ian Evans Primary Care Services Consultant 1-401-459-6090 | ievans@nhpri.org Bethany Wingren Primary Care Services Consultant 1-401-459-6660 | bwingren@nhpri.org Primary Care Charles Scaletta Manager, Primary Care Network 1-401-459-6098 | cscaletta@nhpri.org

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