BC Advantage - 2020 Issue 5
Special COVID Laboratory Specimen Coding Information
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Article Overview
This article summarizes CMS guidance issued during the COVID-19 public health emergency for laboratory specimen collection reporting and related travel allowances. It is aimed at coding and billing professionals who need a high-level understanding of specimen collection scenarios, homebound considerations, and documentation expectations tied to pandemic-era Medicare guidance. The article also notes that the guidance may differ from commercial payer policies.
Why This Topic Matters
Understanding these CMS updates helps billing and coding staff recognize when specimen collection and travel-related reporting may apply under emergency-era rules and what documentation CMS expects to support those claims.
Article Sections
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Specimen Collection Coding
Overview of CMS guidance for reporting laboratory specimen collection in the context of COVID-19 testing during the public health emergency. The section discusses the general circumstances under which specimen collection reporting may be relevant.
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CMS Definition of Homebound
Discussion of CMS’s homebound framework during the public health emergency and how temporary circumstances were described. The section also addresses how CMS framed related Medicare considerations.
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Documentation of Laboratory Specimen Collection of Homebound Patient
Summary of documentation expectations for supporting specimen collection when a patient meets homebound criteria. The section also mentions recordkeeping considerations for mileage and travel information.
What You Will Learn
- How CMS framed specimen collection reporting for COVID-19 laboratory testing during the public health emergency.
- What general homebound concepts were discussed in relation to Medicare guidance.
- What kinds of documentation CMS indicated should support specimen collection and travel-related reporting.
- How the article distinguishes CMS guidance from other payer policies.
Who Should Read This
- Medical coders
- Billing staff
- Laboratory billing personnel
- Compliance staff
- Revenue cycle professionals
Codes Discussed
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