148 Domain Revenue Cycle Management 4.11 Chargemaster issue Competency IV.2 al Competency IV.2RM 기기 B s claims. As the n

Business, Finance, Economics, Accounting, Operations Management, Computer Science, Electrical Engineering, Mechanical Engineering, Civil Engineering, Chemical Engineering, Algebra, Precalculus, Statistics and Probabilty, Advanced Math, Physics, Chemistry, Biology, Nursing, Psychology, Certifications, Tests, Prep, and more.
Post Reply
answerhappygod
Site Admin
Posts: 899603
Joined: Mon Aug 02, 2021 8:13 am

148 Domain Revenue Cycle Management 4.11 Chargemaster issue Competency IV.2 al Competency IV.2RM 기기 B s claims. As the n

Post by answerhappygod »

 1
1 (119.68 KiB) Viewed 112 times
148 Domain Revenue Cycle Management 4.11 Chargemaster issue Competency IV.2 al Competency IV.2RM 기기 B s claims. As the new physician practice manager, you have decided to review the chargemaster for influenza, pneumonia, and hepatitis B vaccination charges to identify the issue(s), since these Billing has indicated that they are receiving rejections (OCE edit 28) on Medicare vaccination claims would be hard-coded. The practice sees only adult patients, with a significant portion of them having Medicare as their payer, so it is important to resolve the error(s) quickly. Review the relevant portion of the chargemaster below and revise as necessary. Use the following information Alluria, Flulaval, Fluvirin, Fluzone, and other not specified flu vaccines are administered to the The hepatitis B vaccines given at this practice are two- or three-dose intramuscular vaccinations Medicare population G in your review: IH CPT HCPCS Modifier Charge Code $1.79 code Status 90655 Active 90656 Active $2.37 Revenue Charge Code Number Charge Description 0682475135 Vaccine-influenza preservative free, IM, 0 25ml 0682475136 Vaccine Influenza preservative free, IM, 0252 $0.83 $1.32 $5.64 $15.96 $7.89 90657 Active 90658 Active 90669 Active 90670 Active 90732 Active 0252 0.5ml 0252 0682475137 Vaccine-influenza IM, 0.25mL 0252 0682475138 Vaccine Influenza IM, 0.5ml 0252 0693381421 Vaccine-pneumococcal conjugate 7 IM 0252 0693381422 Vaccine-pneumococcal conjugate 13 IM 0252 0693381423 Vaccine-pneumococcal polysaccharide 23 IM/SO 0771 0753215465 Admin of flu vaccine 0771 0753215466 Admin of pneumococcal vaccine 0771 0753215467 Admin of hep B vaccine $21.75 $16.85 90471 Active 90471 Active 90471 Active $19.20 Resources Casto, A. B. 2018. Revenue Cycle Management. Chapter 9 in Principles of Healthcare Reimbursemen 6th ed. Chicago: AHIMA. Centers for Medicare and Medicaid Services. 2019. Medicare Part B Immunization Billing. https://ww cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads Igr_immun_bill.pdf. Handlon, L. 2020. Revenue Cycle Management. Chapter 8 in Health Information Management: Concepts, Principles, and Practice, 6th ed. P. Oachs and A. Watters, eds. Chicago: AHIMA,
Join a community of subject matter experts. Register for FREE to view solutions, replies, and use search function. Request answer by replying!
Post Reply