Outpatient Facility Coding Alert - 2021 Issue 5
Reimbursement: Add 3 COVID-19-Related Updates to Your Policies
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Article Overview
This article is a reimbursement-focused update for Medicare Part B practices navigating COVID-19 policy changes during the public health emergency. It covers payment changes for vaccine administration, corrections to telehealth service listings in the Medicare Physician Fee Schedule, and expanded code lists related to claims submitted with the CS modifier. The piece is relevant to billers, coders, and compliance staff tracking CMS guidance and pandemic-era claim handling.
Why This Topic Matters
It helps practices stay aligned with evolving Medicare COVID-19 reimbursement policy and identify which types of claims guidance changed during the public health emergency.
Article Sections
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Get the Scoop on COVID-19 Vaccine Payment Increases
Discusses CMS payment updates related to COVID-19 vaccine administration and the reimbursement context for providers during the public health emergency. It also references toolkit updates and general billing considerations.
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Know the Codes Removed from the ‘Category 3’ Telehealth Services List
Summarizes a Medicare telehealth list correction tied to the CY 2021 Physician Fee Schedule and related CMS notice activity. The section focuses on policy maintenance for telehealth services during the pandemic period.
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Check Out 6 New Code Options to Use With the CS Modifier
Covers the addition of new acceptable code options associated with modifier CS and the broader COVID-19 testing-related claim context. It also notes related guidance for Medicare and private payer claim review.
What You Will Learn
- How CMS updated COVID-19 vaccine administration reimbursement during the public health emergency
- What type of telehealth-related Medicare correction was issued for CY 2021
- How CMS expanded the list of codes associated with claims involving modifier CS
- Which parts of Medicare claims guidance were affected by COVID-19 policy changes
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Medicare Part B providers
- Practice administrators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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