HCPro, JustCoding Outpatient - 2020 Issue 22 (June)
Healthcare News: CMS releases payment rates for three COVID-19 testing codes
June 2nd, 2020
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Article Overview
This article reviews CMS guidance on Medicare payment rates for several COVID-19 laboratory test codes, including recent pricing updates and related test categories. It is aimed at coding professionals, billing staff, laboratory organizations, and provider offices that track federal payment guidance and code-set changes.
Why This Topic Matters
The article helps readers stay current on CMS reimbursement updates tied to COVID-19 testing and understand how the guidance fits into broader laboratory coding and claims workflow updates.
Article Sections
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CMS COVID-19 test pricing update
Overview of the CMS guidance announcing Medicare payment rates for newly addressed COVID-19 laboratory testing services and the timing of the update.
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Payment rates for three CPT codes
Discussion of the CPT code pricing update for COVID-19 testing and the broader context of laboratory reporting categories covered by the guidance.
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Previously released HCPCS guidance
Summary of earlier CMS payment information for HCPCS code groups related to CDC and non-CDC COVID-19 testing.
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Rapid result laboratory test codes
Coverage of the later-released HCPCS codes tied to rapid-result laboratory testing and the effective date referenced by CMS.
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Provider reporting and system updates
Notes on provider responsibilities for loading code information into electronic health record systems and the connection to the early release process.
What You Will Learn
- How CMS updated Medicare payment information for COVID-19 laboratory testing.
- Which broad code sets are discussed in relation to COVID-19 testing guidance.
- How the article frames earlier and later CMS test-pricing updates.
- What provider workflow considerations are mentioned for code system updates.
Who Should Read This
- Medical coders
- Billing staff
- Laboratory billing teams
- Provider compliance staff
- Revenue cycle professionals
- Health IT/EHR administrators
Codes Discussed
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