tci Medicare Compliance & Reimbursement - 2021 Issue Q2
Reimbursement: Bolster Your COVID-19 Checklist With 3 Updates
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Article Overview
This premium article explains three Medicare policy updates related to COVID-19-era reimbursement. It is aimed at providers, billers, coders, and compliance staff who need a current overview of vaccine administration payment changes, telehealth list revisions, and claim submission updates involving specific code sets and a modifier during the public health emergency.
Why This Topic Matters
The article helps readers track Medicare policy shifts that can affect claims processing, reimbursement accuracy, and compliance during the COVID-19 public health emergency. It is especially useful for practices that bill vaccine administration, telehealth, and related services under Medicare Part B.
Article Sections
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COVID-19 vaccine payment increases
Discusses updated Medicare payment information for COVID-19 vaccine administration and related reimbursement timing. It also notes changes reflected in CMS toolkits and claims guidance.
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Codes removed from the Category 3 telehealth services list
Summarizes corrections to the Medicare telehealth services list and the removal of codes that were previously included in Category 3. The section focuses on the policy update and its retroactive effective date.
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New code options to use with the CS modifier
Reviews additional acceptable codes associated with a Medicare claims modifier during the public health emergency. It also notes the related transition among certain services and the need to confirm payer-specific guidance.
What You Will Learn
- How recent Medicare updates affect COVID-19 vaccine administration reimbursement
- What changed in the Medicare telehealth services list during the public health emergency
- Which code categories received additional options for use with a Medicare claims modifier
- Why payer-specific guidance matters when submitting claims during the public health emergency
Who Should Read This
- Medical coders
- Billers
- Revenue cycle staff
- Compliance professionals
- Primary care practices
- Telehealth providers
- Vaccination providers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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