Set up the Vaccine Inventory for Immunizations

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Immunizations Setup Best Practices for Billing VFC and Medicare Patients

If your practice does the following: Follow These Best Practices: Uses standard CPT4 codes only Has Medicare patients and bills Flu vaccines Set up altenate Medicare Billing Code (Q codes) in the NDC Library. Select your practice's NDC Library in File Maintenance > Practice > Preferences. Tip: The Q codes are added to your practice's Service Item Library (SIM) when the CPT codes are updated annually. Uses CPT4 codes and custom SIM codes (for example, no charge billing and VFC billing) Treats VFC-eligible patients and uses custom VFC SIM codes Has Medicare patients and bill Flu vaccines Set up a custom VFC SIM code for a specific CPT4 code in the Service Item Library. Define the VFC SIM code default in Vaccine Billing by mapping to the appropriate CPT4 Code. Note: To be able to set up the VFC code in Vaccine Billing, you must apply Hot Fix 51. Set up Medicare Billing Code (Q codes) in the NDC Library. Select your practice's NDC Library in File Maintenance > Practice > Preferences. Uses

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Terms to Know before Immunizations Setup

Term Description Vaccine Relationships Vaccine Relationships enable certain vaccines to be grouped together. For example, MMRV is a combo vaccine that includes MMR and Varicella. Vaccine groupings enable users to more efficiently process Immunizations when selecting and administrating Immunizations to patients. These groupings are categorized as follows: Vaccine Display Relationships Vaccine Exclusion Relationships Vaccine Display Relationships The Immunizations module recognizes combo vaccines and shows only the display name on the Immunizations Recommendation Schedule and Chart View. These groupings enable users to more easily view and select vaccines when administering Immunizations. You can update these display relationships in File Maintenance. Vaccine Exclusion Relationships Users may need to exclude certain vaccines from a patient's Immunizations schedule due to patient safety or other reasons (for example, pregnancy). When administrating Immunizations, you can exclude one vacci

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Immunizations Billing Setup Best Practices

After the Immunizations have been setup, the charges are sent to NextGen® Enterprise PM for billing processing. As of January 1, 2014, to enable the government to identify vaccine brands for vaccine distribution planning, Immunization charges must have an associated NDC ID, including Basis of Measure and Drug Unit Count fields. Therefore, you must configure a NDC ID in the NDC Library. To help your practice streamline this process, you need to ensure that billing administrators and appropriate clinical staff set up your NDC ID codes and SIM codes appropriately. The following are best practices and considerations you need to consider for more accurate billing. Ensure you have downloaded the most recent CPT4 codes for the current year. Ensure you have run the most recent Medication Update. Before you set up the vaccine inventory, select your practice’s default NDC Library and set up the NDC Library. The NDC details in the NDC Lookup when you add or update the vaccine inventory; or when y

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Setting up Immunizations Tasks to Streamline Vaccine Billing

To streamline vaccine billing as you complete various Immunizations tasks, ensure that billing administrators and appropriate clinical staff set up your NDC ID codes and SIM codes appropriately. Set up and map Custom SIM Codes for Immunizations Billing Set up Vaccine Billing Administration codes. Before you set up the vaccine inventory, select your practice’s default NDC Library and set up the NDC Library. Note: This enables the system to display the NDC details in the NDC Lookup when you add or update the vaccine inventory; or when you administer Immunizations in the Immunizations module. For accurate billing of alternate Medicare billing codes of certain Flu vaccines, your billing administrators also need to set up the NDC ID codes in the NDC Library. If you administer VFC Immunizations to VFC-eligible patients in your practice, for VFC billing purposes, you can configure unique custom SIM codes for the VFC and non-VFC patients for each location. Setting Up and Mapping Custom SIM Cod

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Enter the Vaccine Information on the Vaccines Tab

On the Vaccines tab, in the Orders Details section, enter the appropriate information for the specific vaccine (for example, Vaccine Name, Available Units). Note: In the Orders Details section, these fields are automatically filled in and cannot be changed: Status, Proc, Procedure Code Description, CVX code, and CVX Vaccine Name. Enter the Vaccine Name (required) for the Vaccine Inventory item. Select the Strength of the vaccine and the Quantity. Select the Route (method) in which the vaccine is administered, such as one of the following: Intramuscular, Oral, Subcutaneous, Nasal (Intranasal), Intravenous, or Intradermal. Note: To ensure the appropriate route displays when administering vaccines, select a route from the list. Your selection can only be one of the six routes displayed. Enter the Brand Name, select the vaccine Manufacturer, and enter the Lot Number, which may be indicated on the package. To verify that this is a valid NDC ID, do any of the following: View the CDC Vaccine

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Setting up Immunizations Practice Preferences

After setting up the Vaccine Inventory and the VIS documents, determine the Immunizations options for your practice. You can set up the following practice preferences in File Maintenance: Ignore Pediatric Vaccine Recommendations for Adult Patients Allergy Review VIS Print mode Default Registry Default VIS Category Vaccine Favorites Vaccine Schedule Flu Season Vaccine Schedule Show Registry History and Forecast tab Require Patient Confirmation for Immunization Query Enable Vaccine Dose Validation Disable Adult Dose Validation Note: To ensure appropriate billing notification, you must set up the group to notify. For more information about setting billing notifications, see Set up Billing Error Notification. Access the Immunizations Practice Preferences Disable the Automatic Display of the Vaccine Allergy Review Set up Billing Error Notification Hiding Pediatric Vaccines Recommendations for Adult Patients Select the Default VIS Category Adding or Updating Vaccine Favorites Select the Defa