Don’t charge patients extra for vaccines covered by insurance

Why This Topic Matters

Vaccine reimbursement and payer contract terms can directly affect practice revenue and patient billing decisions. The article also highlights a coding update that may influence how certain catheterization services are billed in conjunction with other procedures.

Article Sections

1. Vaccine reimbursement and patient billing

   Discusses the general issue of vaccine payment levels, payer contracts, and why practices may need to review their pricing and billing approach. Covers broad practice-management options when reimbursement is below cost.

2. CCI changes feature catheterization

   Summarizes a set of Correct Coding Initiative updates affecting bladder catheterization billing and their general relevance to office and procedural settings.

3. AAP policy on setting vaccine prices

   Describes the American Academy of Pediatrics’ general pricing guidance for vaccine reimbursement relative to practice costs and administration expenses.

4. If you go the surcharge route...

   Addresses the controversy around optional surcharge approaches in some practices and discusses broad considerations raised by that approach.