Diagnostic testing for COVID-19 has become a cornerstone of pandemic response for healthcare providers. However, rolling out testing services presents immense challenges around reimbursement and revenue cycle management. This definitive use case walks through COVID-19 testing billing and coding procedures in 2022 step-by-step, using examples to illustrate how to optimize claims submission and payment across […]
COVID-19 Test Billing, CPT Codes, Revenue Cycle Management
Cases of a new COVID-19 variant, temporarily designated JN.1, are rising rapidly nationwide. According to data from the U.S. Centers for Disease Control and Prevention, JN.1 now accounts for 44% of all COVID-19 infections in the country. That represents more than double its share compared to just a week prior, highlighting the dramatic growth rate […]
CMS, COVID-19 Testing Billing, JN.1, Revenue Cycle ManagementMedical billers occasionally run into a persistent myth: that each new COVID-19 variant, whether it’s EG.5, BA.2.86, or whatever strain is circulating this season, comes with its own diagnosis code or billing requirements. It doesn’t. Variant tracking is a genomic surveillance function run by the CDC and state health departments, and it has never translated […]
BA.2.86, COVID billing, EG.5, FL.1.5.1The COVID-19 pandemic has impacted the world significantly, causing widespread illness, death, and economic disruption. The virus, also known as SARS-CoV-2, primarily spreads through respiratory droplets when an infected person talks, coughs, or sneezes. COVID-19 symptoms range from mild to severe and may include fever, cough, fatigue, body aches, loss of taste or smell, and […]
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Understanding Outsourced Laboratory Billing In the medical industry, managing billing and reimbursement processes can be a daunting task. From insurance claims and patient billing to regulatory compliance and coding accuracy, there are many variables to consider. This is why many medical laboratories have chosen to outsource their billing operations to third-party providers. Outsourced laboratory billing […]
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COVID-19 Upset Provider-Payer Relationships The COVID-19 pandemic has affected most, if not all, businesses everywhere. For healthcare, in particular, the pandemic and its consequences altered the ways that payers and providers do business with one another. Let’s catch a momentary peek at several of the more immediate effects on provider-payer relationships, consisting of upturns in […]
Provider-Payer Relationship