DecisionHealth, DecisionHealth - 2019 Issue 1 (January)

Be careful about Part D-covered vaccines to avoid payment issues

Question: I’m confused by vaccine coverage when some of the shots aren’t covered by my payer. For instance, I’m getting denials on tetanus vaccines. How do I know which ones are covered? And what should I do when a patient comes in needing a shot that my practice may not get paid for?

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