tci Medicare Compliance & Reimbursement - 2021 Issue Q2
Reimbursement: Bolster Your COVID-19 Checklist With 3 Updates
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Article Overview
This article summarizes recent Medicare policy updates tied to the COVID-19 public health emergency. It covers changes to vaccine administration reimbursement, corrections to the Medicare telehealth services list, and new code options associated with modifier CS for certain claims. The piece is intended for billing, coding, and reimbursement professionals who need a current view of CMS guidance and related claims impacts.
Why This Topic Matters
These updates can affect how Medicare providers report services and how claims are paid during the pandemic period. Staying current helps billing teams avoid avoidable claim issues and understand which CMS references and service categories have changed.
Article Sections
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Get the Scoop on COVID-19 Vaccine Payment Increases
Discusses Medicare payment updates related to COVID-19 vaccine administration and related CMS toolkit revisions. Also notes general beneficiary cost-sharing considerations and where the update is reflected in CMS guidance.
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Know the Codes Removed from the ‘Category 3’ Telehealth Services List
Covers CMS corrections to the Medicare telehealth services list within the Medicare Physician Fee Schedule. The section explains that certain previously listed telehealth items were removed retroactively.
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Check Out 6 New Code Options to Use With the CS Modifier
Summarizes CMS updates to the list of codes that may be paired with modifier CS during the public health emergency. It also references related guidance for Medicare Part B claims and payer-specific review.
What You Will Learn
- How CMS updated COVID-19 vaccine administration reimbursement during the public health emergency
- How corrections to the Medicare telehealth services list affected certain previously listed items
- How the list of codes associated with modifier CS was expanded for Medicare claims
- Which CMS and MLN resources are referenced for further review
Who Should Read This
- Medical coders
- Billing specialists
- Reimbursement staff
- Practice managers
- Compliance professionals
- Medicare providers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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