July Bulletin – COVID-19 CPT Code Updates In mid-May, the U.S. Food and Drug Administration (FDA) approved use of the Pfizer-BioNTech COVID-19 vaccine booster for children ages five through eleven. The CPT code to be used for this booster is: 0074A – Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) […]
February Bulletin – Stay Up-To-Date on COVID-19 Vaccine Coding
COVID-19 vaccines have been available for more than a year and with boosters being approved and recommended, it is easy to bill with an incorrect vaccine or administration code. Below are the most used COVID-19 vaccination codes: CPT/HCPCS Description CPT/HCPCS Code Vaccine/Procedure Name SARSCOV2 VAC 30MCG/0.3ML IM 91300 Pfizer-BioNTech COVID-19 Vaccine ADM SARSCOV2 30MCG/0.3ML 1ST […]
January Bulletin – COVID-19 Updates
CMS Now Requiring Payers to Cover At-Home Testing Effective January 15, 2022, patients with a health insurance plan can go online or to a pharmacy and purchase at-home COVID-19 tests at no cost. This will happen through reimbursement or free of charges through insurance. If a patient is required to pay for a test […]
December Bulletin – COVID-19 Updates
COVID-19 Updates Omicron Variant: What to Know On November 24, a new variant of the COVID-19 virus was reported to the World Health Organization (WHO). Two days later on November 26, the WHO classified the Omicron Variant as a “Variant of Concern.” The first detected cases were found in Botswana and South Africa and have […]
PGM ANNOUNCES New Improvements and additional capabilties with Document Storage FOR PRACTICE MANAGEMENT SOFTWARE
PGM Billing, a leading integrated physician and laboratory billing, practice management and revenue cycle management service provider, announces the release and enhancements to our Practice Management Software. Document Storage is now available on patient Accounts. The new document storage provides the user with the ability to upload and store certain critical documents as viewable image […]
October Bulletin – COVID-19 Vaccine Updates
COVID-19 Vaccine Updates Vaccines for Children In late September, Pfizer announced that the Phase 2/3 trial for children 5 to 11 showed that their COVID-19 vaccine was safe and generated a “robust” antibody response. The trial included more than 2.200 participants and used a two-dose regimen of the vaccine administered three weeks apart. This trial […]
September Bulletin – COVID-19 Updates – Part 2
COVID-19 Updates – Part 2 THE AMA ADDS CPT CODE FOR THIRD COVID-19 VACCINATION In mid-August, the American Medical Association announced the code set for the third doses of the Pfizer and Moderna COVID-19 vaccines. Below are the codes for both the Pfizer-BioTech & the Moderna vaccines: 91300: this is for the Pfizer vaccine only. For […]
September Bulletin – COVID-19 Updates – Part 1
COVID-19 Updates – Part 1 USFDA APPROVES FIRST COVID-19 VACCINE On August 23 the U.S. Federal Drug Administration approved Pfizer-BioNTech’s COVID-19 Vaccine. It will now referred to as Comirnaty (koe-mir’-na-tee), for the prevention of COVID-19 disease in individuals 16 years of age and older. The vaccine will be available for emergency use for individuals […]
AUGUST BULLETIN – THE COVID-19 DELTA VARIANT
The COVID-19 Delta Variant The SARS-CoV-2 B.1.617.2 (Delta) variant was discovered in India in late 2020 and it has since become the dominant strain in the United States. The Delta Variant is More Contagious The World Health Organization (WHO) has called the Delta Variant the “fastest and fittest” strain. The Centers for Disease Control and […]
BILLING MISTAKES – PART II – JULY BULLETIN
Incorrect Insurance It is important to ensure all of the correct information is on the claim to prevent delays in payments. Making sure the correct and up to date insurance is obtained can prevent a number of denials and rejections; both of which cause a delay in payment. 1. Is The Plan Active? Verifying eligibility […]