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 is aimed at providers, coders, and reimbursement staff who need to track vaccine administration payment changes, telehealth list corrections, and updated code options linked to claims reporting requirements during the PHE.
Why This Topic Matters
These updates affect how Medicare claims are paid and which service codes remain valid under temporary COVID-era policies. Staying current helps organizations avoid billing errors and align claims submission practices with revised CMS guidance.
Article Sections
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Get the Scoop on COVID-19 Vaccine Payment Increases
Discusses a CMS payment update affecting vaccine administration reimbursement during the COVID-19 public health emergency. It also notes related toolkit and claims guidance for different payer categories.
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Know the Codes Removed from the ‘Category 3’ Telehealth Services List
Reviews a CMS correction related to the Medicare telehealth services list and a retroactive removal from a temporary telehealth category. The section focuses on the policy update and the affected code listing.
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Check Out 6 New Code Options to Use With the CS Modifier
Covers CMS updates to the list of codes accepted with modifier CS during the COVID-19 public health emergency. The section also references prior and replacement code groupings and related payer guidance.
What You Will Learn
- How CMS updated COVID-19 vaccine administration payment policy
- What changed in the Medicare telehealth services list
- Which additional service codes were added for claims associated with modifier CS
- How the article connects these updates to Medicare reimbursement and claims processing
Who Should Read This
- Medical coders
- Billing staff
- Reimbursement specialists
- Compliance professionals
- Medicare providers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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