News & Analysis

CMS provides updated guidance on billing for COVID-19 monoclonal antibody treatments

November 11, 2020
News & Insights

The two new FAQs address billing for monoclonal antibody treatments provided in the hospital outpatient setting.

Tackle CPT coding challenges and ICD-10-CM updates for behavioral health

November 1, 2020
Briefings on APCs

Review 2021 ICD-10-CM codes for behavioral health diagnoses and a breakdown of CPT guidelines for psychiatric diagnostic evaluations.

Clear up confusion surrounding ICD-10-CM and CPT coding for strabismus

November 1, 2020
Briefings on APCs

Debbie Jones, CPC, CCA, details ICD-10-CM coding for strabismus and CPT coding for surgical treatments used to correct eye misalignment.

CMS updates COVID-19 policies and guidance on testing, vaccination, and telehealth

November 1, 2020
Briefings on APCs

Valerie A. Rinkle, MPA, CHRI, writes about Medicare guidance on and updated payment policies for COVID-19 testing, vaccines, and telehealth services.

Q&A: Qualifying for additional reimbursement for COVID-19 diagnostic tests

October 26, 2020
News & Insights

Q: Starting January 1, 2021, CMS will be lowering reimbursement for high throughput novel coronavirus (COVID-19) diagnostic tests from $100 to $75. I understand that if certain requirements are met labs will be eligible to bill for a $25 add on code. How can we meet the requirements for the add on code?

CMS to reduce payments for some COVID-19 tests

October 21, 2020
News & Insights

CMS will reduce payments to laboratories that take longer than two days to complete high-throughput COVID-19 diagnostic tests effective January 1, 2021, according to an October 15 press release.

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