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Billing has indicated that they are receiving rejections (OCE edit 28) on Medicare vaccination
claims. As the new physician practice manager, you have decided to review the chargemaster for
influenza, pneumonia, and hepatitis B vaccination charges to identify the issue(s), since these
claims would be hard-coded.
The practice sees only adult patients, with a significant portion of
them having Medicare as their payer, so it is important to resolve the error(s) quickly. Review the
relevant portion of the chargemaster below and revise as necessary. Use the following information
in your review:
The hepatitis B vaccines given at this practice are two- or three-dose intramuscular vaccinations.
Afluria, Flulaval, Fluvirin, Fluzone, and other not specified flu vaccines are administered to the
Medicare population.
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