This Task Group will work on specific action items to address challenges that providers face in billing and coding for vaccines and vaccinations. The Task Group, along with Summit partners, will identify provider needs to better understand insurance coverage for vaccines and billing to improve payment for covered vaccination services. The Task Group will review and update existing NAIIS resources as vaccine-related insurance coverage policy changes occur.
Report Vaccine Payment Challenges
The NAIIS Billing and Coding Work Group is seeking information regarding vaccine billing challenges experienced by providers and their organizations in order to help identify and address payment issues with vaccine providers and payers. This is a pilot project to identify specific examples of payment challenges which the NAIIS work group will review to identify ways in which we can help vaccine providers and work with all partners to reduce payment challenges.
DO NOT REPORT ANY Patient Personal Identifiers (including patient record numbers or contact information).
Resources
- Strategies to Address Policy Barriers to Adult Immunizations in Federally Qualified Health Centers – Outlines policy barriers and strategies that specifically impact Federally Qualified Health Centers (FQHCs) in their efforts to increase adult immunizations, and updates the 2019 publication
- Adult Current Procedural Terminology: Coding Case Scenarios
- NAIIS Billing and Coding of Vaccines in the Pharmacy
- Top Questions for Medical Benefit Coding and Billing for Vaccines: Avoiding Common Errors
- Insurance Coverage of Adult Immunizations
