Hi Dana,
We talked about this subject a couple of months ago but I still need some help. The billing company we are contracted with is stating that when we bill straight MO Medicaid, for adults with a Managed Care plan, for both the vaccine cpt code & admin cpt code, the admin codes are getting denied. According to the billing company, this is the denial they are receiving regarding the admin codes being billed:
”CO-24 : Charges are covered under a capitation agreement/managed care plan.” when patient has a Medicaid MCO plan to pay medical claims
What am I missing? What are we doing wrong?