Tag: COVID-19 Reimbursement

Biden Administration Recommits to COVID-19 Reimbursement

The Biden administration will provide COVID-19 reimbursement to clinicians vaccinating uninsured patients, according to new CMS guidance. The guidance released on Feb. 26, 2021, stated that providers can still seek reimbursement from the FFCRA Relief Fund and the Paycheck Protection Program and Health Care Enhancement Act (PPPHCEA), as well as the Provider Relief Fund, for the […]
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CMS Moves to Streamline Coverage and Reimbursement for COVID Testing and Vaccination

Federal officials are ordering plans and insurers to cover testing without cost-sharing – for virtually any purpose. Federal officials have issued new guidance intended to streamline the process through which Americans can get easy, free access to COVID-19 diagnostic testing and/or vaccinations. “This guidance makes clear that private group health plans and issuers generally cannot […]
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New PPE Code

CPT/AMA Announces a New PPE code – But is it Payable?

Some third-party payers have reimbursed and will continue to reimburse providers for this new CPT code; others won’t. The American Medical Association (AMA) published a new CPT® code on Sept. 8 that accounts for extra provisions to ensure patient and provider safety during a public health emergency (PHE). The code is effective immediately: CPT 99072 – Additional supplies, materials, and clinical staff time over and above […]
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Get Paid for COVID-19 Testing/Treatment of Uninsured

Payers are reimbursing providers for all COVID-19-related testing and treatment they are furnishing to their insured members, but what if the patient is uninsured? Healthcare providers need not write off COVID-19 testing and treatment services rendered to uninsured patients. Compensation is available! The public health emergency for COVID-19 requires the healthcare industry to focus their […]
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Safeguarding COVID-19 Reimbursement

Waivers, modifiers, lab tests, multiple diagnosis codes…the layers and specifics of COVID-19 coding cannot be overlooked when ensuring appropriate reimbursement and safeguarding claims against third-party payer audits. As hospitals and healthcare organizations begin to assess the required steps necessary to prepare for the transition back to a pre-COVID-19 operating environment, apart from timelines and state […]
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