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NDC# with Pediatric Immunization

Hi,

We aren’t reporting NDC numbers with Immunization Procedures for a Pediatric clinic. Almost all payers are paying them without the issue, we saw a recent denial from a commercial payer for missing NDC number on a claim for Flu vaccine. Having said that I just want to confirm the general concept of reporting NDC with vaccination codes. Is it required for all payers, commercials or govt. payers? can we get away with this ? or should we be getting recoupements at some point for missing NDCs paid claims?

Thanks!

Medical Billing and Coding Forum

CMS Releases Pediatric Measure Set

The Centers for Medicare & Medicaid Services (CMS) announced today the release of a Pediatric measure set as part of the Core Quality Measures Collaborative (CQMC). The Pediatric measure set includes nine measures for use at the provider level for solo providers or provider groups. Seven of the nine measures coincide with existing state-level measures […]
AAPC Knowledge Center

CMMI Needs More Info to Develop Pediatric APM

Section 3021 of the Affordable Care Act gives the Center for Medicare and Medicaid Innovation (CMMI) the authority to test alternate payment models (APMs). The goals of these APMs are to reduce program expenditures while preserving or enhancing the quality of care for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) beneficiarie
AAPC Knowledge Center