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COVID-19 Vaccine and Monoclonal Antibodies Therapy Billing - Shared screen with speaker view
Belinda Rogers
31:58
The provider enrollment hotline numbers can be found in the Resource Guide posted here: https://www.telligenqinqio.com/event/understanding-covid-19-vaccine-and-monoclonal-antibodies-therapy-billing/
Bonita Gregory
32:53
How does this differ from the billing option on the HRSA website being managed by UHC
Belinda Rogers
34:28
Links and other resources shared by our speakers can be found in the Resource Guide posted here: https://www.telligenqinqio.com/event/understanding-covid-19-vaccine-and-monoclonal-antibodies-therapy-billing/
Bonita Gregory
37:22
is this just for Medicare claims? thanks
Lynzi Teague
37:59
HRSA is for COVID uninsured billing. what they are teaching us about here is how to bill Medicare for these services
Bonita Gregory
39:21
you are absolutely correct - my mis-step thanks
sarah saucedo
40:17
If the patient has a Medicare Replacement plan, should we be submitting the flu and pneumonia to original Medicare like the Covid vaccine?
Sierra Farleman
40:47
Thank you Lynzi. I wanted to validate that myself before I responded. Thank you.
sarah saucedo
41:55
we are an FQHC facility
Belinda Rogers
46:16
Links and other resources shared by our speakers can be found in the Resource Guide posted here: https://www.telligenqinqio.com/event/understanding-covid-19-vaccine-and-monoclonal-antibodies-therapy-billing/
Dawn Laskey
46:48
We are an independent family practice. If we receive and administer COVID vaccine to our patients that have a Medicare Advantage Plan, such as UHC Medicare Advantage, we need to look up the patient's medicare number and submit the administration bill to NGS? Is that correct?
Jennifer Ramirez
52:25
Not those with 2 jurisdictions?
mary augspurger
55:11
Z23 is for the covid 19 shot not the MAB infusion?
Kelly SORENSEN
55:12
If billing for vaccination while in a SNF will you also need a Condition Code?
Belinda Rogers
55:39
Links and other resources shared by our speakers can be found in the Resource Guide posted here: https://www.telligenqinqio.com/event/understanding-covid-19-vaccine-and-monoclonal-antibodies-therapy-billing/
Coleen Ruddy
56:31
Is a RHC clinic an eligible institutional provider? I do not see it on the list.
Diana Harwell
01:00:51
If we are not a mass immunizer, can we bill using a roster bill as we are setting up vaccine clinics?
Belinda Rogers
01:01:15
Links and other resources shared by our speakers can be found in the Resource Guide posted here: https://www.telligenqinqio.com/event/understanding-covid-19-vaccine-and-monoclonal-antibodies-therapy-billing/
Kelly SORENSEN
01:09:06
is both the 1st and 2nd vaccine to be billed on separate claims? Are both reimbursable?
Bonita Gregory
01:09:36
is there an effective date to start billing these charges and can we back bill?
Mary Tisl-Endres
01:12:27
This question was emailed to me: My question is regarding the use of this diagnosis code. Is this for the Covid-19 injection only or are we to use this with the MAB infusion. The infusion is the treatment for a diagnosed COVID-19 patient whereas Z23 represents a vaccine. Can you please give guidance on this matter?
armando silva
01:18:03
do both Casirvimab and Indevimab need to appear on the bill? Is one administration charge sufficient or does the charge need to be on both split in half?
Coleen Ruddy
01:22:02
we are planning an offsite vaccination clinic, is this something that needs billed through our public health with roster billing or is this something that we can bill thru the hospital side on individual bills?
Amber Cook
01:23:34
Does the monoclonal antibodies go on cost report for FQHC like the vaccine and admin?
Belinda Rogers
01:26:49
Links and other resources shared by our speakers can be found in the Resource Guide posted here: https://www.telligenqinqio.com/event/understanding-covid-19-vaccine-and-monoclonal-antibodies-therapy-billing/
Carrie Arens
01:27:01
what revenue codes should be on the BAM and the infusion code?
Kristen Mather
01:30:19
WPS is denying our claims for the administration on patients who have a Medicare Advantage Plan. Do you know why this is happening when we are to bill Medicare?
Kelly SORENSEN
01:30:31
That condition code is A6...thank you!
Carrie Arens
01:30:48
Are A6 and F9 condition codes both required for the BAM infusions?
Diana Kirkham
01:33:15
will you please clarify or reiterate that the Z23 diagnosis code IS required for the BAM infusion?
armando silva
01:34:24
They are administered together
Coleen Ruddy
01:37:05
for Home Health can you further explain 34X TOB (Part B only). Does this mean we need to bill on a 1500 claim form? What location does the service need to be provided in? Is this a different provider number than the number we use for billing home health visits?
Laurie Gaffney
01:37:10
can you tell us what is needed on the claim form? We are confused by the Q drug code-some say to have that on the claim with a penny price even if it was free to your facility.
Patricia Kienast
01:37:38
Do we bill both M0239 for the infusion and $ .010 for Q0239?
JORDAN WINTERS
01:39:48
The way I understood it, is Q0239 is not to be on the claim. since it is a "free" drug. you would just bill the M0239.
Coleen Ruddy
01:45:12
So is this the same if a large immunization clinic (100 patients or more) is held at a local meeting place like a community center? Can home health bill this using 34X TOB on a UB
Belinda Rogers
01:48:02
Coverage of Monoclonal Antibody Products to Treat COVID-19 (infographic): https://www.cms.gov/files/document/covid-infographic-coverage-monoclonal-antibody-products-treat-covid-19.pdf
Belinda Rogers
01:48:40
Resource Guide for Understanding COVID-19 Vaccine and Monoclonal Antibodies Therapy Billing: Links and other resources shared by our speakers can be found in the Resource Guide posted here: https://www.telligenqinqio.com/event/understanding-covid-19-vaccine-and-monoclonal-antibodies-therapy-billing/
Belinda Rogers
01:49:10
CDC COVID-19 Vaccine Communication Toolkit for Community-Based Organizations: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/toolkits/community-organization.html• Telligen COVID-19 Vaccine Toolkit: https://www.telligenqinqio.com/resource/our-work/news/healthcare-news/news/healthcare-news-resources/covid-19-vaccine-toolkit/• Telligen COVID-19 Vaccine Experiences Podcast Series Episode 1 (Crystal & Dick Michael): https://anchor.fm/telligenqiconnect/episodes/COVID-19-Vaccine-Experiences-Series---Episode-1-Crystal--Dick-Michael-ep1671
Belinda Rogers
01:50:05
Goal 1: Decrease opioid harm and increase access to behavioral health services» HHS Eliminates X-Waiver Requirement for DEA-Registered Physicians (article): https://www.hhs.gov/about/news/2021/01/14/hhs-expands-access-to-treatment-for-opioid-use-disorder.html
Belinda Rogers
01:50:34
Goal 2 (Increase patient safety) & Goal 4 (Improve care transitions)CMS COVID-19 Resources on Vulnerable Populations for Consumers and Patients: https://www.cms.gov/About-CMS/Agency-Information/OMH/resource-center/COVID-19-Resources/COVID-19-Resources-For-Consumers-And-Patients
Belinda Rogers
01:50:52
Goal 3: Improve chronic disease prevention and managementAMA Prediabetes Identification and Management Tool: https://amapreventdiabetes.org/sites/default/files/uploaded-files/Prediabetes-ID-Mgmt-tool.pdf
Belinda Rogers
01:51:09
Goal 5: Improve nursing home qualityCDC Long-Term Care Facility Toolkit: Preparing for COVID-19 Vaccination at Your Facility: https://www.cdc.gov/vaccines/covid-19/toolkits/long-term-care/index.html
Belinda Rogers
01:51:18
Events will be posted to the website: https://www.telligenqinqio.com/events/
Belinda Rogers
01:52:13
Novitas Solutions-Sierra Farleman sierra.farleman@novitas-solutions.comNational Government Services- Nathan Kennedy Nathan.kennedy@anthem.com andMichael Dorris Michael.dorris@anthem.comWPS Government Health Administrators-Ellen Berra ellen.berra@wpsic.com
Belinda Rogers
01:52:32
Thank you for joining today!Please complete our event:Survey Link: https://www.surveymonkey.com/r/Vac_Monoclonal_012821
Belinda Rogers
01:52:42
The recording will be posted with the other call materials here: https://www.telligenqinqio.com/event/understanding-covid-19-vaccine-and-monoclonal-antibodies-therapy-billing/
Jo Lynn Johnson
01:53:30
THANKS!