ED Coding & Reimbursement Alert - 2021 Issue 1
Reader Questions: Take This Counsel, Know if You Can Bill for COVID Advice
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Article Overview
This article explains a Medicare billing question about counseling patients on COVID-19 precautions in connection with testing. It discusses CMS guidance, the settings where counseling may occur, and the general use of existing evaluation and management payment codes for reimbursement. The piece is intended for practices, billers, and coders who need to understand how COVID-era counseling guidance fits into Medicare payment policy.
Why This Topic Matters
It helps readers determine whether a common COVID-19 counseling interaction may be reimbursable under Medicare and where CMS says that counseling can take place. That makes it relevant for compliance, documentation awareness, and billing workflow decisions in clinical settings.
What You Will Learn
- How CMS addressed provider counseling related to COVID-19 testing
- What general topics patient counseling may include in this context
- Which broad payment framework CMS referenced for reimbursement
- Which care settings were mentioned as possible locations for the counseling encounter
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Clinicians providing Medicare-covered services
- Compliance staff
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