HCPro, JustCoding Outpatient - 2020 Issue 42 (November)
Healthcare News: CMS announces Medicare reimbursement rates for COVID-19 vaccine
November 3rd, 2020
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Article Overview
This news item covers a CMS interim final rule affecting Medicare payment policy for COVID-19-related services, with emphasis on physician administration payment for vaccines and outpatient hospital reimbursement changes for COVID-19 drugs and biologicals when furnished with comprehensive APC services. It is relevant to coders, billers, hospital outpatient departments, physician practices, and compliance staff tracking Medicare coverage, payment, and public health emergency updates. The article also notes related provider toolkits and the rule’s comment process.
Why This Topic Matters
Payment policy changes can affect claim submission, reimbursement expectations, and operational planning for COVID-19 vaccination and treatment services. Readers monitoring Medicare OPPS and public health emergency guidance will want to understand the scope of the CMS update and its implementation context.
What You Will Learn
- The Medicare payment policy changes announced by CMS for COVID-19 vaccine administration
- How outpatient hospital reimbursement is being treated for certain COVID-19 drug services during the public health emergency
- What kinds of provider resources accompanied the rule
- How the update relates to Medicare coverage and payment operations
Who Should Read This
- Medical coders
- Medical billers
- Hospital outpatient departments
- Physician practices
- Compliance professionals
- Revenue cycle staff
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