Clinical Diagnostic Laboratory Billing for COVID-19 Testing

We continue to monitor CMS updates for coding and billing information that will assist our client laboratories and other hospital laboratories to stay abreast of COVID-19 coding and billing during this public health emergency (PHE). CMS continues to expand billing and clarification for COVID-19 testing for clinical diagnostic laboratories.

UPDATE – Provider Telehealth Coding and Billing, effective April 1, 2020

CMS guidance for telehealth is changing rapidly. In an effort to continue providing coding and billing assistance to Panacea’s clients and the provider community during this public health emergency (PHE), we are updating the Telehealth coding and billing guidance for providers (physician, nurse practitioner, physician assistant) and have created a listing of eligible codes not […]

An Update from Panacea on COVID-19

We are all adjusting to a new reality in light of the COVID-19 pandemic. We extend heartfelt sympathy to anyone impacted by the virus, and sincere gratitude to the healthcare workers and providers on the front lines battling this unprecedented disease. We’re reaching out to update you on how Panacea is approaching this situation.

Panacea Developing News: New ICD-10-CM code for the 2019 Novel Coronavirus (COVID-19), April 1, 2020

On March 18, 2020, the CDC announced the decision to implement in the United States use of new emergency temporary ICD-10-CM diagnosis code, U07.1 COVID-19, effective for use April 1, 2020 to facilitate coding of claims during this pandemic.

Coronavirus Outbreak – Institutional (Facility) Coding and Billing for Telehealth Services

Panacea is providing guidance for institutional (facility) billing during this public health emergency. Hospitals will need to take additional steps to ensure coding and billing are appropriate during this time. For the most part, billing for telehealth services has not changed with exception of the information provided below. HCPCS code Q3014 (Telehealth facility fee) describes […]

Coronavirus Outbreak – Provider Telehealth Coding and Billing

In an effort to provide coding and billing assistance to Panacea’s clients and the provider community during this public health emergency, we have developed some general Telehealth coding and billing guidance and listing of eligible codes not only permitted for use by Medicare and Medicaid but at least two major payers (UnitedHealthcare and Blue Cross […]

UPDATE: CMS and AMA payment and coding guidance for COVID-19

Panacea has summarized the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) payment and coding updates being implemented during this public health emergency into the following sections:

Recommendations to Providers on Price Transparency Priorities to Address Now

Read Unpacking CMS’ 2020 Proposed Expanded Rules for Hospital Price Transparency to gain a better understanding of the Proposed Rules for Hospital Price Transparency released by CMS on July 29, 2019. The comment period ended September 27, 2019, and the final rule is forthcoming.

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Unpacking CMS’ 2020 Proposed Expanded Rules for Hospital Price Transparency

On January 1, 2019 the Hospital Price Transparency Rule took effect mandating hospitals publish their price lists online in a machine-readable format. Hospitals complied by making their charge description master (CDM) available via download in CSV or similar format. The result fell far short of CMS’ goal of empowering patients to become “active healthcare consumers” and the agency on July 29, 2019, in response to the Trump administration Executive Order on Price and Quality Transparency, proposed expanded rules aimed at more “consumer friendly” transparency.

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Summary of the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) payment and coding updates for Q4′ 2019

We’ve summarized the Centers for Medicare and Medicaid Services (CMS) and American Medical Association (AMA) payment and coding updates being implemented October 1, 2019. The updates should be reviewed for possible implementation in your hospital chargemaster and/or reviewed by applicable coding and billing staff.

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