Category Archives: Resources

Are you ready when vaccine temperatures go outside of normal limits?

Practices can have thousands of dollars in vaccine inventory sitting in refrigerators. No matter how good storage equipment is, exposure to high or low temperatures can happen. You can limit the damage by knowing what to do.
• Investigate and determine how long the vaccine temperatures have been out of range.
• Investigate whether or not the temperature data logger and notification system work.
• Pay attention to whether or not the refrigerator door was ajar or is making an unusual noise.
• Inventory the vaccine affected currently in the refrigerator.
• Inventory any temperature stabilizing items in the refrigerator (water bottles, coolant packs)
• Find out if there are other documented temperature excursions with the current refrigerator.
• Contact the vaccine manufactures to determine the status of the vaccine.
• Document the incident, results and actions taken to prevent another temperature excursion.

New Member Grant Opportunity! Announcing CPP’s 2nd Dose Program

Getting patients back in to your practice for follow-up shots is a challenge for most practices across the country, as evidenced by the following statistics:

Stats Table

CPP has launched the 2nd Dose Program, providing an opportunity for members to examine your practice’s 2nd dose immunization rates for meningococcal ACWY, meningococcal B, HPV, and/or adult pneumococcal, and earn an educational grant!  It is as easy as 1, 2, 3…

For information on how to participate, please contact the CPP office at cpp@nationwidechildrens.org or 877-277-9330.

 

 

 

Facing a vaccine price increase….what can you do?

Price increases in general are not fun.  Fortunately in the case of vaccines, buying group members receive 30 to 90 days of advanced notice before the new pricing becomes effective.  This timing enables a practice to take action to minimize the negative impact to their bottom line.  Here are several steps you can take:

  • Notify your payers of the change and refer them to the updated CDC Private Sector List price as the benchmark for reimbursements.
  • Update your billing rates accordingly
  • Purchase a refrigerator and freezer large enough to store extra vaccines purchased during this discount period
  • Strategically time your purchases so that you can purchase as much product as you can at the pre-increase price
  • Check all invoices to make sure the pre-increase price is honored through the implementation date

If you have any questions about the overall financial health of your immunization services, contact CPP for a free analysis!

AAP advocacy leads to change in coding for vaccine administration.

Medically unlikely edits (MUEs) are the daily limit placed by the Centers for Medicare & Medicaid Services (CMS) on billed CPT codes and are often used by private payers to reduce the likelihood of coding errors. With the assistance of the Section on Administration and Practice Management (SOAPM) and the Committee on Coding and Nomenclature (COCN), the Academy worked with CMS to update the MUEs associated with the vaccine administration codes 90460 and 90461 based on clinical rationale.

The updates are as follows:

  • Effective April 1, 2017, the MUE for 90460 will go from 6 to 9
  • Effective July 1, 2016, the MUE for 90461 will go from 5 to 8                                          (Since this update was published January 1, 2017 but was effective July 1, 2016, any denials since this date should be appealed.)

If you receive denials for MUEs, email the AAP coding hotline at aapcodinghotline@aap.org.  (Full Article)