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CMS Increases Medicare Payment for High-Production Coronavirus Lab Tests

April 15, 2020 Medicare will pay the higher payment of $100 for COVID-19 clinical diagnostic lab tests making use of high-throughput technologies developed by the private sector that allow for increased testing capacity, faster results, and more effective means of combating the spread of the virus. High-throughput lab tests can process more than two hundred […]

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Accelerated and Advance Medicare payments now available

March 30, 2020 Accelerated and advance Medicare payments provide emergency funding and address cash flow issues based on historical payments when there is disruption in claims submission and/or claims processing. These expedited payments are typically offered in natural disasters to accelerate cash flow to the impacted health care providers and suppliers. In this situation, CMS […]

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CMS Re-implements AMCC Lab Panels Claim Logic

May 05, 2019 CMS has released official notification of the return to enforcement of Panel billing for certain combinations of laboratory tests.  After coming under fire by the GAO for allowing individual billing for the commonly bundled so called ‘organ panels’, CMS has announced a retro-active start date of January 2019 for this update. Read […]

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Medicare Mileage Allowance Updated for 2019

January 2019 CMS has announced an updated Travel Allowance for 2019.  The update impacts travel allowance payment amounts when billed on a per mileage basis using HCPCS code P9603 and when billed on a flat rate basis using HCPCS code P9604. Read the entire MLN Matters Newsletter here.

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