CMS releases updated billing and coding FAQs for COVID-19

COVID-19 billing and coding
CMS releases updated billing and coding FAQs for COVID-19

CMS updated it’s novel coronavirus (COVID-19) billing and coding FAQs on April 9 to mirror recent rules, new waivers, and emergency regulations. The new and updated FAQs address payment for specimen collection, diagnostic laboratory services, and health facility services which include brief enlargement web sites.

Independent laboratories will be paid for specimen collection from beneficiaries who’re homebound or inpatients no longer in a health center under positive situations. This consists of a specimen series fee and fees for transportation and employee prices. The nominal specimen series price for COVID-19 trying out for homebound and nonhospital inpatients is $23.46.

Hospital-brief-growth websites are considered company-based; but, CMS has waived the company-based necessities at 413.65 and there aren’t any extra enrollment necessities for transient growth websites. Excepted provider-primarily based departments may additionally retain to invoice with modifier -PO and nonexcepted provider-based totally departments have to retain to bill with modifier -PN.

Hospitals might also begin billing for offerings furnished of their surge places or growth websites beneath their current CMS certification number. No additional enrollment moves are required.

Ambulatory surgical facilities (ASC) may issuer clinic inpatient offerings under association for a clinic or they will become provider-based totally to a medical institution. If an ASC enrolls as a clinic it should feature as a sanatorium supplying inpatient and outpatient offerings and follow any sanatorium Conditions of Participation that have no longer been waived. ASCs that join as hospitals will not be required to post a full Medicare cost record. ACSs that don’t provide medical institution services under an arrangement or do now not enroll as a hospital themselves can also best offer services at the ASC protected strategies listing.

The FAQ also addresses questions precise to rural health clinics and federally qualified fitness centers, telehealth services, and greater.


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