Billing has indicated that they are receiving rejections (OCE edit 28) on Medicare vaccination claims.
Billing has indicated that they are receiving rejections (OCE edit 28) on Medicare vaccination 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 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 in your review: The hepatitis B vaccines given at this practice are two-or three-dose intramuscular vaccinations. Afluria, Flulaval, Fluvirin, Fluzone, and other not specified flu vaccines are administered to the Medicare population. Upload your revision below. Revenue Charge HCPCS CPT Code Number Charge Description Charge Code Modifier code Status 0252 0682475135 Vaccine-Influenza preservative free, IM. $1.79 90655 Active 0.25mL 0252 0682475136 Vaccine-Influenza preservative free, IM, $2.37 90656 Active 0.5mL 0252 0682475137 Vaccine-Influenza IM, 0.25mL $0.83 90657 Active 0252 0682475138 Vaccine-Influenza IM, 0.5mL $1.32 90658 Active 0252 0693381421 Vaccine-pneumococcal conjugate 7 IM $5.64 90669 Active 0252 0693381422 Vaccine-pneumococcal conjugate 13 IM $15.96 90670 Active 0252 0693381423 Vaccine-pneumococcal polysaccharide $7.89 90732 Active 23 IM/SQ 0771 0753215465 Admin of flu vaccine $21.75 90471 Active 0771 0753215466 Admin of pneumococcal vaccine $16.85 90471 Active |0771 0753215467 Admin of hep B vaccine $19.20 90471 Active O
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