Mind your modifiers: Attach a modifier to your COVID-19 testing-related E/M claims, CMS says

Why This Topic Matters

The guidance affects how certain Medicare claims are identified and processed during the emergency period, including whether cost-sharing is waived and whether claims are paid at full fee schedule rates. Knowing the scope of the CMS update helps billing teams recognize which claims may be affected and understand the administrative follow-up mentioned in the article.

Article Sections

1. CMS guidance on COVID-19 testing-related Medicare claims

   Introduces the Medicare billing update and the general purpose of the modifier discussed in the article. Summarizes the claim context and the agency communication referenced by the source.

2. Cost-sharing waiver and applicable services

   Covers the Medicare Part B cost-sharing waiver framework for COVID-19 testing-related services and the broad categories of E/M encounters referenced by CMS. Also notes the service date window discussed in the article.

3. Claims already submitted and MAC follow-up

   Describes the administrative follow-up CMS addressed for claims submitted without the modifier. Focuses on the need to contact the Medicare administrative contractor and the general resubmission issue mentioned by the source.