Tus Muab Kev Digest | Qhov teeb meem 6

2022-2023 influenza billing/coding hloov tshiab

Cov tshuaj tiv thaiv muaj pes tsawg leeg rau xyoo 2022-23 US influenza

Pawg neeg pom zoo hais tias lub quadrivalent formulation ntawm qe raws li Cov tshuaj tiv thaiv kab mob khaub thuas rau US 2022-2023 lub caij mob khaub thuas muaj cov hauv qab no:

• A/Victoria/2570/2019 (H1N1) pdm09-zoo li tus kab mob no.
• A/Darwin/9/2021 (H3N2)-zoo li tus kab mob.
• B/Austria/1359417/2021-zoo li tus kab mob (B/Victoria kab).
• B/Phuket/3073/2013-zoo li tus kab mob (B/Yamagata kab).

Pawg neeg pom zoo hais tias lub quadrivalent formulation ntawm cell-los yog recombinant-based Cov tshuaj tiv thaiv kab mob khaub thuas rau US 2022-2023 lub caij mob khaub thuas muaj cov hauv qab no:

• A/Wisconsin/588/2019 (H1N1) pdm09-zoo li tus kab mob.
• A/Darwin/6/2021 (H3N2)-zoo li tus kab mob.
• B/Austria/1359417/2021-zoo li tus kab mob (B/Victoria kab).
• B/Phuket/3073/2013-zoo li tus kab mob (B/Yamagata kab).

Kev hloov pauv ntawm cov tshuaj tiv thaiv 2021-22:

1. A(H3N2) tivthaiv tau hloov mus rau A/Darwin/9/2021 (H3N2)-zoo li tus kab mob rau cov tshuaj tiv thaiv qe.
2. Tus kab mob A/Darwin/6/2021 (H3N2) zoo li rau cov tshuaj tiv thaiv ntawm tes los yog rov ua dua.
3. Cov lus pom zoo B/Victoria tau hloov mus rau B/Austria/1359417/2021-zoo li tus kab mob.

(Kev Tshaj Tawm Txog Kev Mob thiab Kev Tuag Txhua Lub Limtiam, Lub Xya Hli 22, 2022 / 71(29); 913-919)

Txhua Alliance kab ntawm kev lag luam (Hnub Pib Pib Lub Cuaj Hli 1, 2022 txog Lub Rau Hli 30, 2023)
Siv rau cov tswv cuab txuas rau koj qhov kev coj ua, cov tswv cuab tsis sib txuas (tsis xav tau xa mus) lossis cov tswv cuab tswj hwm:
Tshuaj tiv thaiv npe	Kev noj tshuaj	Hnub nyoog Group	CPT Code
Afluria® (IIV4)	0.5 mL PFS 10-bx *	3 xyoos thiab laus dua	90686
	5ml wb 24.5 mcg / dos	3 xyoos thiab laus dua	90688
Afluria® Pediatric (IIV4)	0.25 mL PFS 10-bx *	6 rau 35 muaj	90687
Fluad® (IV)	0.5 mL PFS 10-bx *	65 xyoo thiab laus dua	90694
Fluarix® (IIV4)	0.5 mL PFS 10-bx *	6 hli thiab laus dua	90686
Flublok® (RIV4)	0.5 mL PFS 10-bx *	18 xyoo thiab laus dua	90682
Flucelvax® (CCIIV4)	0.5 mL PFS 10-bx *	2 xyoos thiab laus dua	90674
	5ml wb 25 mcg / dos	2 xyoos thiab laus dua	90756
FluLaval® (IIV4)	0.5 mL PFS 10-bx *	6 hli thiab laus dua	90686
FluMist® (LAIV4)	0.2 mL tshuaj tsuag 10-bx *	2a49 xya	90672
Fluzone® (IIV4)	0.5 mL PFS 10-bx *	6 hli thiab laus dua	90686
	0.5 mL SDV 10-bx*	6 hli thiab laus dua	90686
	5ml wb 25 mcg / dos	6 rau 35 muaj	90687
	5ml wb 25 mcg / dos	3 xyoos thiab laus dua	90688
Fluzone® High-Dose (IV)	0.7 mL PFS 10-bx *	65 xyoo thiab laus dua	90662

* Kho CVX code rau npe txhaj tshuaj tiv thaiv yog xav tau rau Care Based Incentive (CBI).

Cov npe txhaj tshuaj tiv thaiv kab mob
Tshuaj tiv thaiv npe	Kev Tiv Thaiv Lub Npe nrog CVX*
Afluria® (IIV4)	Influenza, txhaj, quadrivalent, pres dawb (150)
	Influenza, txhaj, quadrivalent (158)
Afluria® Pediatric (IIV4)	Influenza, injectable, quadrivalent, pres free, ped (158)
Fluad® (IV)	Influenza, trivalent, adjuvanted (144)
Fluad® (allV4)	Influenza, txhaj, quadrivalent, pres dawb (205)
Fluarix® (IIV4)	Influenza, txhaj, quadrivalent, pres dawb (150)
Flublok® (RIV4)	Influenza, recombinant, quad, txhaj, pres free (185)
Flucelvax® (CCIIV4)	Influenza, injectable, MDCK, pres free, quadrivalent (171)
	Influenza, injectable, MDCK, quadrivalent (186)
FluLaval® (IIV4)	Influenza, txhaj, quadrivalent, pres dawb (150)
FluMist® (LAIV4)	Influenza, nyob, intranasal, quadrivalent (149)
Fluzone® (IIV4)	Influenza, txhaj, quadrivalent, pres dawb (150)
	Influenza, txhaj, quadrivalent (158)
Fluzone® High-Dose (IV)	Influenza, koob tshuaj ntau lub caij (197, 135)

Tshuaj tiv thaiv rau menyuam yaus

Lub Cov tshuaj tiv thaiv rau menyuam yaus (VFC). yog ib qhov kev pab cuam nyiaj txiag tseem ceeb uas muab tshuaj tiv thaiv tsis tau nqi rau cov menyuam yaus tsim nyog uas tej zaum yuav tsis tau txhaj tshuaj tiv thaiv vim tsis muaj peev xwm them taus.

Nov yog qee qhov tseem ceeb ntawm VFC program:

• Tsuas yog cov menyuam yaus hnub nyoog qis dua 19 xyoos tau txais kev pabcuam VFC.
• Cov menyuam yaus tsim nyog yog tias lawv yog ib qho ntawm cov hauv qab no:
  • Medicaid tsim nyog.
  • Tsis muaj pov hwm.
  • Tsis muaj kev pov hwm.
  • American Indian/Native American.
• Thaum siv VFC Tshuag, append modifier SL rau tus lej tshuaj tiv thaiv. Modifier SL qhia VFC cov khoom siv thiab tsuas yog tso cai them rov qab rau kev tswj hwm tshuaj tiv thaiv.

Raws li Medi-Cal cov lus qhia: “Medi-Cal cov cai txhaj tshuaj tiv thaiv kab mob them nqi rau cov neeg tau txais kev tsim nyog tau txais cov tshuaj tiv thaiv VFC yuav raug them rov qab tsuas yog hauv cov ntaub ntawv ntawm cov tshuaj tiv thaiv tsis txaus, kab mob sib kis, teeb meem xa tshuaj tiv thaiv lossis qhov xwm txheej thaum tus neeg tau txais tsis tau raws li qhov xwm txheej tshwj xeeb. yuav tsum tau txhaj tshuaj tiv thaiv tshwj xeeb VFC. Ib tus kws kho mob tsis tuaj koom rau hauv qhov kev pab cuam VFC tsis yog ib qho kev zam. "

Txawm li cas los xij, Alliance yuav ua qhov kev zam rau cov uas tsis yog VFC cov chaw muab kev pab.

Yuav them nqi li cas yog tias koj tsis yog tus muab kev pabcuam VFC:

• Tsis txhob them tus lej CPT nrog SL hloov kho.
• Cov ntaub ntawv "tsis yog-VFC" hauv lub thawv 19 ntawm CMS daim ntawv thov lossis lub thawv 80 ntawm UB-04 daim ntawv thov.

Cov ntawv thov

Txhua qhov kev thov yuav tsum raug them nqi ntawm UB-04, CMS-1500 lossis lawv qhov sib npaug hauv hluav taws xob.

Sau npe rau lub Cuaj Hli Ntuj Kev Pabcuam Kev Pabcuam Raws Li Kev Pabcuam

Kev tso npe tam sim no qhib rau Alliance's 2023 Care-Based Incentive (CBI) Rhiav Webinar. Lub webinar yuav muaj lub Cuaj Hlis 14, tav su-1:30 teev tsaus ntuj, suav nrog cov ntaub ntawv ntawm:

• Tshiab thiab kho tshiab CBI programmatic, FFS thiab soj ntsuam ntsuas zoo li cov tshiab $200 Tus Nqi-Rau-Service Measure for Adverse Childhood Experiences (ACEs) Training and Attestation.
• Cov cuab yeej sib txuas lus zoo.
• Alliance cov peev txheej.

Leej twg yuav tsum tuaj koom:

• Cov kws kho mob thawj zaug.
• Cov kws kho mob.
• Cov neeg ua haujlwm pem hauv ntej thiab cov nqi them nqi, cov neeg ua haujlwm hauv chaw ua haujlwm.

Yog xav paub ntxiv thiab sau npe, thov mus saib hauv nplooj ntawv sau npe tshwm sim los yog hu rau Tus Neeg Saib Xyuas Kev Sib Raug Zoo ntawm 800-700-3874, ext. 5504 ib.

Koj tuaj yeem nrhiav cov ntaub ntawv ntxiv txog CBI program ntawm peb lub vev xaib.

Lub Cuaj Hlis 2022 Kev Qhia Txog Kev Txhaj Tshuaj Tiv Thaiv Virtual

Thaum Lub Cuaj Hlis 8, Central California Alliance for Health tau koom tes nrog California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (CDPH) los tuav kev cob qhia kev txhaj tshuaj rau peb lub nroog.

Cov ntsiab lus sib tham yuav suav nrog:

• Hloov tshiab los ntawm Alliance thiab Merced County. Alliance cov neeg ua haujlwm yuav faib cov nqi txhaj tshuaj, cov peev txheej thiab kev txhaj tshuaj tiv thaiv Cov Kev Txhawb Zog Rau Kev Saib Xyuas.
• Kev cob qhia tshuaj tiv thaiv kab mob khaub thuas thiab COVID-19 nrog Steven Vantine, Tus Kws Pab Tswv Yim Kawm Ntawv nrog CDPH.

Peb vam tias koj koom nrog peb! Qhov no yog kev cob qhia virtual, yog li thov txuas ntxiv qhov kev caw no rau lwm tus koj xav tias yuav tau txais txiaj ntsig los ntawm nws.

Puas muaj lus nug?

• Cheeb Nroog Merced: Thov hu rau Veronica Lozano, QI Program Advisor II nrog Alliance, ntawm [email protected].
• Monterey thiab Santa Cruz counties: Thov hu rau Jo Pirie, QI Program Advisor II nrog Alliance, ntawm [email protected].

Thov sau npe hnub no!