Reimbursement and Payment Methodologies

CMS lifted some restrictions on telehealth coverage in a bid to keep non-critically ill patients out of clinics and hospitals to slow down the spread of the novel coronavirus (COVID-19), but other still apply to hospitals.

The pandemic crisis is disrupting the revenue cycle, including the revenue ramifications of cancelling elective procedures.

Q: We are seeing an influx of possible novel coronavirus (COVID-19) patients at our facility. How can we prepare to query for COVID-19-related documentation and coding issues that are bound to come our way due to the newness of the diagnosis?

CMS announced blanket waivers of certain Medicare requirements to prevent gaps in care for beneficiaries affected by the novel coronavirus (COVID-19) public health emergency. The agency released billing instructions and a set of Q&As.

The following is a chronological list of COVID-19 gudiance recently released by CMS and HHS.