1 / 7

Neighborhood Health Plan of Rhode Island 2013-2014 OSCIA Immunization Reimbursement Workshop

Neighborhood Health Plan of Rhode Island 2013-2014 OSCIA Immunization Reimbursement Workshop. Immunizations and Vaccines. Influenza/Pneumococcal Billing & Reimbursement Administration Coding Pediatric and Adult State Supply

wing-burns
Download Presentation

Neighborhood Health Plan of Rhode Island 2013-2014 OSCIA Immunization Reimbursement Workshop

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Neighborhood Health Plan of Rhode Island2013-2014 OSCIA Immunization Reimbursement Workshop

  2. Immunizations and Vaccines • Influenza/Pneumococcal Billing & Reimbursement • Administration Coding • Pediatric and Adult State Supply For more information regarding vaccines please go to our website: www.nhpri.org/Providers/Resources & FAQs/ Please refer to the RI Department of Health Pediatric and Adult State-Supplied Vaccine Guidelines

  3. 2013-2014 Influenza/Pneumococcal Billing & Reimbursement • Children, 6-35 months • 90655 • Children, ages 0-18 years of age • 90670 • 90732 • 90686 • 90672 • Adults, 19-65 • 90656 • 90658 Please refer to the RI Department of Health Pediatric and Adult State-Supplied Vaccine Guidelines Neighborhood Website: http://www.nhpri.org/Provider/Resources & FAQs

  4. 2013-2014 Influenza/Pneumococcal Billing & Reimbursement • Vaccine Administration Coding 0-18 years old • 90460 • 90461 • Vaccine Administration Coding all ages • 90471 • 90472 • 90473 • 90474 • 90471 & 90473 will bundle and deny if billed together on the same day Please refer to the RI Department of Health Pediatric and Adult State-Supplied Vaccine Guidelines Neighborhood Website: http://www.nhpri.org/Provider/Resources & FAQs

  5. Common Billing Errors/Non Covered Vaccines After 7-14-13 two previous codes that were State Supplied will no longer be covered by NHPRI • 90648-act HIB Vaccine • 90660-Flu Vaccine A full list can be located: www.nhpri.org/Providers/Resources & FAQs/ Please refer to the RI Department of Health Pediatric and Adult State-Supplied Vaccine Guidelines

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

  7. Telephone Directory • Claims Department/Member services 401-459-6020 or 800-459-6019 Navivet: https://connect.navinet.net • Member Eligibility • Claim Status Inquiries • Links to Important Notifications Neighborhood Website: http://www.nhpri.org

More Related