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COVID-19 Vaccination providers enrolled in the federal COVID-19 Vaccination Program must report all vaccine administration errors, all serious adverse events. Billing Covid administration is a critical element that can be convoluted and difficult.
The Centers for Medicare and Medicaid (CMS) Release Billing Guidelines for COVID-19 Vaccine, ASP-RCM Solutions support you with our Billing expertise on getting these Vaccine Administration reimbursed.
The American Medical Association (AMA) has published updates to the Current Procedural Terminology (CPT®) code set that includes new vaccine-specific codes to report immunizations for the novel coronavirus (SARS-CoV-2). The code set will continue to be updated as additional vaccines receive emergency use authorization (EUA) approval by the U.S. Food & Drug Administration (FDA).

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The following codes have been published as of November 10, 2020 and CMS payment allowance for each CPT code listed below
CPT Code CPT Short Descriptor Vaccine Name Vaccine/Procedure Name Payment Allowance
91300 SARSCOV2 VAC 30MCG/0.3ML IM Pfizer Pfizer-Biotech Covid-19 Vaccine $0.01
0001A ADM SARSCOV2 VAC 30MCG/0.3ML 1ST Pfizer Pfizer-Biotech Covid-19 Vaccine Administration – First Dose $40
0002A ADM SARSCOV2 VAC 30MCG/0.3ML 2ND. Pfizer Pfizer-Biotech Covid-19 Vaccine Administration – Second Dose $40
91301 SARSCOV2 VAC 30MCG/0.3ML IM Moderna Moderna Covid-19 Vaccine $0.01
0011A ADM SARSCOV2 VAC 100MCG/0.5ML 1ST Moderna Moderna Covid-19 Vaccine Administration – First Dose $40
0012A ADM SARSCOV2 VAC 100MCG/0.5ML 2ND Moderna Moderna Covid-19 Vaccine Administration – First Dose $40

Our Certified Billers provide your practice with end-to-end Billing solution for COVID19 administration, so you can focus on your practice patient care. Our COVID 19 Vaccine Billing services provide accelerated reimbursement for our clients while Optimizing costs.

Claims Entry & Claim submission
We ensure that your Vaccine administration Charges being entered in billing system without any errors and avoid any Data rejection errors from billing system

Claim Rejection and Re-submission
We capture all claim level details to ensure that all CMS requirements are met for COVID19 vaccine billing, which include NDC, CLIA if required

Self Pay Billing & Patient statements* (soft collections, up to 3 past due notices)
We also help you to support on any Self pay billing, which includes sending patient invoices/statements and follow up the invoice cycle up to 3 cycles

Claims Entry & Claim submission
We ensure that your Vaccine administration Charges being entered in billing system without any errors and avoid any Data rejection errors from billing system

Claim Rejection and Re-submission
We capture all claim level details to ensure that all CMS requirements are met for COVID19 vaccine billing, which include NDC, CLIA if required

Self Pay Billing & Patient statements* (soft collections, up to 3 past due notices)
We also help you to support on any Self pay billing, which includes sending patient invoices/statements and follow up the invoice cycle up to 3 cycles

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Payment Posting / Adjustments/ Reconciliation
Perform EOB and ERA posting in billing system and ensuring all payments are reconciled

Denial & Appeal Management & Tracking / Claims Management
Capture all Line item denials – we capture all denials pertaining to Vaccine Billing and track for appeals and follow-ups

Our goal is to provide remarkably easy customer service experience to all our clients with our team focusing on payer nuances in billing, starting from claim creation and quick submissions, follow-ups, and denial Management, to appeals, payment posting.
Call us for free consultation to discuss on your Covid 19 Billing requirement

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