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H1N1 vaccine 2 shot # 1 not potent enough

  1. #1
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default H1N1 vaccine 2 shot # 1 not potent enough
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    Would a modifier be used for this senario?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  2. #2
    Question
    Did the patient have to get two shots during the same visit? or what is a seperate visit?

  3. #3
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Pts were told that the first vaccine was not potent enough so they are bring them back for a 2nd vaccine.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  4. #4
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    I would believe that if the vaccine wasn't potent on the first time that this administration should be a no charge. looking forward to responses.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  5. #5
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Any takers on this question?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  6. #6
    Location
    Dover Seacoast New Hampshire
    Posts
    1,971
    Default
    Hi, Karen. I wouldn't charge the patient for this. This is similar to when a patient returns for an additional pap due to insufficient endocervical cells. It's not their fault that we didn't get a decent specimen.

    RE: the H1N1...Could you bill it? Sure, it's medically necessary to give them the correct dosage. Probably not a good idea from a patient satisfaction perspective, though. And it might not get paid a second time, no matter how ineffective your first dosage was. I'd bite the bullet and call it a cost of doing business. Pam

  7. #7
    Location
    St. Cloud, MN
    Posts
    58
    Smile
    Was this a child and needed to have it split into two doses? In that case, would you not just bill it out twice like you would the regular flu that needs to be split for initial childrens shot? That is what the state is telling us to do however per their guidelines. I could get you the data if needed that we got from the state for your reference. It is billable twice in this instance and recommended as well.

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