Medical Billing Forum

Billing => Billing => : TXBiller September 20, 2019, 05:31:20 PM

: Flu Shots
: TXBiller September 20, 2019, 05:31:20 PM
Hi All

I hope someone can help me with this one.

We are a physician's office.  The physician wants to send a medical assistant to an independent living senior apartment complex to give flu shots.  Any ideas how I might bill this?  Does the physician need to be present?  I'm confused about this one.  I've never billed for one like this before.  I know I'll need a demo & a copy of their insurance card(s).  Do I need to go and check eligibility & collect info?

Any ideas would be greatly appreciated.  The majority are Medicare patients.

TIA
: Re: Flu Shots
: kristin September 22, 2019, 03:18:56 AM
You need to check with your MAC to see if a licensed MA is a NPP. My guess it they are not, so the flu shots cannot be billed, unless a MD/DO or other licensed practitioner is providing the service, following Medicare's guidelines for billing.