sjooemmy08
Networker
Hello everyone.
I work for an FQHC, and we recently started giving out covid-19 vaccines to our patients.
Some patients are covered by Medi-Cal or Medicare, but some are uninsured.
So the problem starts when my boss called me and asked shouldn't we bill for the
E/M since we do vital and exam patients prior to administration of the vaccine.
The rendering provider is our NP, who is eligible to send out bills under her name.
To my understanding, if the provider actually saw the patient for the overall exam AND gave
the vaccine we would be able to bill for it to the insurance companies. If the encounter was
to only vital and administer the vaccine, we should not bill for an E/M.
However, if the patient is uninsured we shouldn't bill for an E/M code to HRSA.
Please advice!
I work for an FQHC, and we recently started giving out covid-19 vaccines to our patients.
Some patients are covered by Medi-Cal or Medicare, but some are uninsured.
So the problem starts when my boss called me and asked shouldn't we bill for the
E/M since we do vital and exam patients prior to administration of the vaccine.
The rendering provider is our NP, who is eligible to send out bills under her name.
To my understanding, if the provider actually saw the patient for the overall exam AND gave
the vaccine we would be able to bill for it to the insurance companies. If the encounter was
to only vital and administer the vaccine, we should not bill for an E/M.
However, if the patient is uninsured we shouldn't bill for an E/M code to HRSA.
Please advice!