Flu shot documentation

jnieto625

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Savannah, GA
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We hold flu clinics in our office for which the medical staff adds a simple visit note with the details of the flu shot which then generates the billing. My office manager wants to know if it is necessary to add a visit note or if the consent form is sufficient for us to bill manually. The vaccination is added to the patient's immunization log and the consent form lists the following on the bottom:

Please Print​
Primary Care Provider:

PARTICIPANT INFORMATION AND CONSENT

LAST NAME: FIRST NAME: Ml:​
ADDRESS: CITY: Bluffton STATE: SC ZIP: 29910​
PHONE: E-MAIL:
BIRTHDATE: AGE:​
PRIMARY INS: ID #:​
SECONDARY INS: ID #:
SIGNATURE: DATE:​


FOR CLINIC USE ONLY

MANUFACTURER : Seqirus Lot # 252673
EXPIRATION DATE: 06/30/2019
SITE OF INJECTION: IM R / L DELTOID
SIGNATURE AND TITLE OF VACCINE ADMINISTRATOR:

I feel like the proper way to document a patient coming in to the office is through a visit note but she has asked me to provide her proof from the insurances in writing where we have to document a flu shot in a visit note. Does anyone have any insight on this? How do other family practices handle this? I just don't want to miss billing any of these and I also want to make sure we are documenting properly.
 
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