Payment

Adult Vaccine Billing Guide:

CPP’s Adult Billing Guide

Vaccine Payor Resources: (Protected)REGISTERLOGIN

Vaccine management tips to help protect your bottom line.

The Business Case for Pricing Vaccines:

The AAP’s Business Case for Pricing Vaccines

Vaccines for Children Program (VFC) Act of 2021 Support Letter:

The Strengthening the Vaccines for Children Program (VFC) Act of 2021

Benchmarking:

CDC – Vaccine Private Sector Price List

AAP – Vaccine Payment Benchmark Summary

Simplified Financial Analysis: (Protected)REGISTERLOGIN

Check your profitability for individual vaccines and identify any areas of concern.

Payer Mix Worksheet: 

Compare payment rates for each vaccine CPT code across your major payers to easily identify areas of concern

CMS Guidance:

CMS PFS Relative Value (RVU) Files

Medicare Coverage for Vaccines

Vendor Partner Vaccine Reimbursement Helplines:

Sanofi Pasteur: 800-822-2463  (Sanofi Pediatric Vaccine Inquiry Form)

Merck: 800-734-6282

Pfizer: 800-666-7248