Posted on 09/06/2023 12:04:23 PM PDT by Vendome
COVID-19 Vaccine Provider Incentive program
Getting vaccinated against COVID-19 is one of the best and safest ways people can protect themselves and their families against the virus. As a participating practice in the COVID-19 Provider Vaccine Incentive program, we recognize your hard work by offering incentives for helping patients make the choice to become vaccinated.
Eligibility
The COVID-19 Vaccine Provider Incentive program is open to you if you are a participating Kentucky primary care provider with an Anthem Blue Cross and Blue Shield Medicaid (Anthem) panel size of 25 or more members. All Anthem members identified as receiving COVID-19 vaccination services are included in the methodology. Vaccine results will be determined by a COVID-19 vaccine claim or by confirmation from the Kentucky Vaccine Registry.
The results will be calculated for two time periods:
• September 1, 2021 ̶ Initial incentive payment
• December 31, 2021 ̶ Final incentive payment
How you can qualify for a bonus
If your practice meets the below thresholds for vaccination with at least one dose by September 1, 2021, you will receive the initial incentive payment based on the following rates:
• 30% Anthem members vaccinated ̶ $20 bonus per vaccinated member
• 40% Anthem members vaccinated ̶ $45 bonus per vaccinated member
• 50% Anthem members vaccinated ̶ $70 bonus per vaccinated member
• 60% Anthem members vaccinated ̶ $100 bonus per vaccinated member
• 75% Anthem members vaccinated ̶ $125 bonus per vaccinated member
The final incentive payment is calculated based on members who are newly vaccinated between September 1, 2021 and December 31, 2021 (see the Appendix for calculation examples). If your practice meets the below thresholds for vaccination with at least one dose by December 1, 2021, you will receive the final incentive payment based on the following rates:
• 30%Anthem members vaccinated ̶ $100 bonus per newly vaccinated member
• 40% Anthem members vaccinated ̶ $150 bonus per newly vaccinated member
• 50% Anthem members vaccinated ̶ $175 bonus per newly vaccinated member
• 60% Anthem members vaccinated ̶ $200 bonus per newly vaccinated member
• 75% Anthem members vaccinated ̶ $250 bonus per newly vaccinated membeR
Getting vaccinated against COVID-19 is one of the best and safest ways people can protect themselves and their families against the virus.
TOTAL BS LIE... but sensible people are well aware of this.
https://providers.anthem.com/docs/gpp/KY_CAID_PU_COVID19VaccineProviderIncentiveProgram.pdf?v=202110
LOL
If you’re going to pay me to get the clot shot I’m in.
$5,000,000 is my price. Firm.
ROFL!!! Best of the day!
Great post...
When bribery and medicine mix—what could possibly go wrong?
;-)
(If buildings and bridges fall down after inspectors are bribed guess what happens when doctors are bribed.)
Interesting though, isn’t it, that the vast majority of those vaxxed couldn’t get the shot from a primary care provider.
That instead they got it from people who had to pre-register and be pre-approved by the federal government.
Most were/are likely public health employees.
Or nurses moonlighting.
People who didn’t know you or your medical history from Adam’s housecat.
I’m gonna post this for every state so people see what the scam is...
That's because vaccines are a "public health" measure. They have nothing to do with medical practice, as the latter is conventionally understood. Which is why most physicians know next to nothing about the subject, much as they pose and posture and pretend that they do.
Problem is, "public health," as it is practiced today, is pretty much a bullshit scam. "Public health," as it was historically (and correctly) understood, was about building sanitary sewer systems and pouring oil on swamps to cut down on the mosquito population. Things like that. Governmental action, basic infrastructure improvement on a societal scale.
That people would today just so blithely accept the government, at any level, dictating what one must put into their body -- as a "public health" measure -- shows just how far we've fallen as a society generally. Fear of disease and death, which so often develops into hypochondria among the self-absorbed elderly, drives this societal deterioration.
It's quite shameful, really. It leads to the disgraceful behavior we saw during the pandemic, when the young were made to sacrifice for the old. That's the sign of a society in terminal decline.
Safeway/Albertson’s has and still is bribing people to get vaxxed. 10% off your shopping order.
This is a long post u the 3rd paragraph & if that doesn’t grab you, move on. It’s medical billing/coding language & not everyone’s going to get it.
The following are the guidelines by which we in the medical industry use to report the diagnoses to the insurance companies (and also to entities that are tracking morbidity, such as CDC, WHO & whomever.
There are NO instructions on Covid as an incidental diagnosis or a diagnosis in addition to symptoms. It’s all predicated on the ideology that Covid is the presumed cause of the illness, such as pneumonia “due to” Covid. These are the guidelines that medical coders are to use when coding: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2021, published both by the CDC and also by CMS.
You can find it here if you want. ICD-10-CM FY2021 Guidelines
This link will lead you to the Covid-specific diagnosis codes to use. ICD-10-CM Official Coding and Reporting GuidelinesApril 1, 2020 through September 30, 2020
Notice the dates. The information below is what was published and instructed for use AFTER Sept 30, 2020, so it’s now what is currently in place.
In short a patient is either presumed to have a manifestation of Covid in another comorbid condition (”due to Covid”) OR it’s an illness without Covid, period and even if Covid is present, it’s not reported as there is no code for Covid incidental. For example: There’s no code for a patient having pneumonia caused by or due to strep B and oh, by the way, also has Covid. The pneumonia is presumed to have been caused by the Covid & Strep B be damned. Therefore, the code for Covid would be listed FIRST (as the cause) followed by the manifestation of Covid (Pneumonia) and anything else the patient has (Strep B) - even if Strep B was actually the cause.
The instruction is simply flawed, never mind that we see asymptomatic patients all the time who test positive for Covid.
Make of this what you will. See item (g) below, you’ll see what I mean. “Coronavirus infections
1) COVID-19 infection (infection due to SARS-CoV-2)
(a) Code only confirmed cases Code only a confirmed diagnosis of the 2019 novel coronavirus disease (COVID-19) as documented by the provider or documentation of a positive COVID19 test result. For a confirmed diagnosis, assign code U07.1, COVID-19. This is an exception to the hospital inpatient guideline Section II, H. In this context, “confirmation” does not require documentation of a positive test result for COVID-19; the provider’s documentation that the individual has COVID-19 is sufficient.
If the provider documents “suspected,” “possible,” “probable,” or “inconclusive” COVID-19, do not assign code U07.1. Instead, code the signs and symptoms reported. See guideline I.C.1.g.1.g.
(b) Sequencing of codes When COVID-19 meets the definition of principal diagnosis, code U07.1, COVID-19, should be sequenced first, followed by the appropriate codes for associated manifestations, except when another guideline requires that certain codes be sequenced first, such as obstetrics, sepsis, or transplant complications.
For a COVID-19 infection that progresses to sepsis, see Section I.C.1.d. Sepsis, Severe Sepsis, and Septic Shock See Section I.C.15.s. for COVID-19 infection in pregnancy, childbirth, and the puerperium See Section I.C.16.h. for COVID-19 infection in newborn For a COVID-19 infection in a lung transplant patient, see Section I.C.19.g.3.a. Transplant complications other than kidney.
(c) Acute respiratory manifestations of COVID-19 When the reason for the encounter/admission is a respiratory manifestation of COVID-19, assign code U07.1, COVID-19, as the principal/first-listed diagnosis and assign code(s) for the respiratory manifestation(s) as additional diagnoses. The following conditions are examples of common respiratory manifestations of COVID-19.
(i) Pneumonia For a patient with pneumonia confirmed as due to COVID-19, assign codes U07.1, COVID-19, and J12.89, Other viral pneumonia.
(ii) Acute bronchitis
For a patient with acute bronchitis confirmed as due to COVID-19, assign codes U07.1, and J20.8, Acute bronchitis due to other specified organisms. Bronchitis not otherwise specified (NOS) due to COVID-19 should be coded using code U07.1 and J40, Bronchitis, not specified as acute or chronic.
(iii) Lower respiratory infection If the COVID-19 is documented as being associated with a lower respiratory infection, not otherwise specified (NOS), or an acute respiratory infection, NOS, codes U07.1 and J22, Unspecified acute lower respiratory infection, should be assigned. If the COVID-19 is documented as being associated with a respiratory infection, NOS, codes U07.1 and J98.8, Other specified respiratory disorders, should be assigned.
(iv) Acute respiratory distress syndrome For acute respiratory distress syndrome (ARDS) due to COVID-19, assign codes U07.1, and J80, Acute respiratory distress syndrome.
(v) Acute respiratory failure For acute respiratory failure due to COVID-19, assign code U07.1, and code J96.0-, Acute respiratory failure. (d) Non-respiratory manifestations of COVID-19 When the reason for the encounter/admission is a non-respiratory manifestation (e.g., viral enteritis) of COVID-19, assign code U07.1, COVID-19, as the principal/first-listed diagnosis and assign code(s) for the manifestation(s) as additional diagnoses.
(e) Exposure to COVID-19 For asymptomatic individuals with actual or suspected exposure to COVID-19, assign code Z20.828, Contact with and (suspected) exposure to other viral communicable diseases. For symptomatic individuals with actual or suspected exposure to COVID-19 and the infection has been ruled out, or test results are inconclusive or unknown, assign code Z20.828, Contact with and (suspected) exposure to other viral communicable diseases. See guideline I.C.21.c.1, Contact/Exposure, for additional guidance regarding the use of category Z20 codes.
If COVID-19 is confirmed, see guideline I.C.1.g.1.a.
(f) Screening for COVID-19 During the COVID-19 pandemic, a screening code is generally not appropriate. For encounters for COVID-19 testing, including preoperative testing, code as exposure to COVID-19 (guideline I.C.1.g.1.e).
Coding guidance will be updated as new information concerning any changes in the pandemic status becomes available.
(g) Signs and symptoms without definitive diagnosis of COVID-19 For patients presenting with any signs/symptoms associated with COVID-19 (such as fever, etc.) but a definitive diagnosis has not been established, assign the appropriate code(s) for each of the presenting signs and symptoms such as: • R05 Cough • R06.02 Shortness of breath • R50.9 Fever, unspecified
If a patient with signs/symptoms associated with COVID-19 also has an actual or suspected contact with or exposure to COVID-19, assign Z20.828, Contact with and (suspected) exposure to other viral communicable diseases, as an additional code.
(h) Asymptomatic individuals who test positive for COVID-19 For asymptomatic individuals who test positive for COVID-19, see guideline I.C.1.g.1.a. Although the individual is asymptomatic, the individual has tested positive and is considered to have the COVID-19 infection.
(i) Personal history of COVID-19 For patients with a history of COVID-19, assign code Z86.19, Personal history of other infectious and parasitic diseases.
(j) Follow-up visits after COVID-19 infection has resolved For individuals who previously had COVID-19 and are being seen for follow-up evaluation, and COVID-19 test results are negative, assign codes Z09, Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm, and Z86.19, Personal history of other infectious and parasitic diseases.
(k) Encounter for antibody testing For an encounter for antibody testing that is not being performed to confirm a current COVID-19 infection, nor is a follow-up test after resolution of COVID-19, assign Z01.84, Encounter for antibody response examination.
Follow the applicable guidelines above if the individual is being tested to confirm a current COVID-19 infection.
Medical bill coding is how they get the incentive that never was yours to start with back.
To the lay man that is like saying we will give you $20 to put in your front pocket, and make you feel good about it, while we pick your back pocket for $100.
This whole farce is beyond ridiculously criminal
Or worked at CVS or Walgreens
That is a fact.
To ensure the effectiveness of the shots, each person is to shower first in the provided facilities.
2: Receive 10% off your next grocery purchasehttps://www.safeway.com/pharmacy.htmlOffer valid until 12/31/23 for receiving a qualifying immunization. Qualifying items do not include immunizations received in AR, immunizations received by customers under 60 years old in NJ and immunizations other than COVID-19 vaccines in NY. 10% off on a single grocery purchase of qualifying items up to $200 (up to $20 total value). $40 minimum purchase required. Must provide HIPAA Marketing Consent to confirm eligibility and receive pharmacy rewards. Must have a loyalty account. Offer discount provided as a digital coupon loaded to your loyalty account and automatically applied for your next grocery purchase in-store or online. Limit 1 coupon per transaction. Offer discount (and any qualifying grocery purchase where discount is applied) excludes prescription items, prescription co-payments, alcohol, tobacco, fuel, fluid dairy (including dairy substitutes), bus/commuter passes, fishing/hunting licenses and tags, stamps, money orders/transfers, ski/amusement park/event/lottery tickets, phone/gift cards, regulatory fees (e.g. bottle deposits, bag fees), and taxes. No monetary value. Cannot be transferred, sold, or exchanged. We reserve the right to modify/cancel the offer or correct errors. Void where prohibited by law. In the event of a return, coupon savings may be deducted from refund. Not valid toward previous purchase.
This states that they definitely offer the 10% for the covid jab in NY; I'm inclined to go press for a handout listing 'qualifying' shots since they do NOT disclose on their website (I think we all know the answer).
Caveat: The discount MUST be used with online purchase (I refuse to download their app to use their digital coupons and, as such, have taken the bulk of my non-convenience shopping elsewhere).
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