Welcome to Monday Minute with Melinda! This week’s video clip will discuss the billing and reimbursement for COVID-19 Vaccine Administration.

Hello everyone and welcome to our Monday minute. Today we are going to talk about COVID-19 vaccine administration. Just this week, there was an announcement that the Biden administration has increased the reimbursement for COVID-19 vaccine administration to $40 per administration for the two-part administration of the vaccines. The vaccines are free at this moment to home health and hospices that would be administering those vaccines to their patients. With the vaccine itself being free, you would only be charging or invoicing/billing Medicare for the administration itself, which again will be reimbursed at $40 per administration time period.

For the reimbursement, you can bill using what’s called roster billing. The roster billing includes that you would need to administer the vaccine to at least five patients on the same date of service. In doing so you can send them all in using roster billing. See details of roster billing here. In roster billing, as I said, you will be required to administer at least five in a single calendar day and you will use the diagnosis code Z23 for vaccine or immunization administration. You will not bill for the vaccine itself as it is free to you. The vaccine administration roster billing is not required. You can do billing for single individual patients or time points at which you administer the vaccine. But roster billing tends to be much more timely for home health. That would be a 34x bill type. For hospices it would be an 81x or 82x bill type, depending on whether you are a hospital-based hospice or not.

Additional Resource: Medicare Part B Payment for COVID-19 Vaccines and Certain Monoclonal Antibodies during the Public Health Emergency

We are very excited to be able to bring this information to you today. Hopefully you have found it to be very helpful in your decision making for vaccine administration. As always we want to thank you all for being on the front lines and taking care of patients during this very important time in our health care history. We want you to know that we are always here to support you. Feel free to give us a call or send us an email if you have any additional questions. Also, make sure to check with your state homecare associations for assistance or additional education that they might be providing or if you need more information specifically about the COVID-19 vaccine administration. Thank you so much and have a fabulous day.

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