As part of the CARES act, HHS will provide uninsured patient reimbursement based on the Medicare rates for testing uninsured patients for COVID-19 and treating uninsured patients with a COVID-19 diagnosis.

To participate, providers must attest to the following:

  • You have checked for health care coverage eligibility and confirmed that the patient is uninsured. You have verified that the patient does not have individual, employer-sponsored, Medicare, or Medicaid coverage, and no other payer will reimburse you for COVID-19 testing and/or care for that patient.
  • You will accept defined program reimbursement as payment in full.
  • You agree not to balance bill the patient.
  • You agree to program terms and conditions and may be subject to post-reimbursement audit review.

 Program timeline:

  • April 22 – Program Details launch
  • April 27 – Sign up period begins for the program
  • April 29 – On-Demand training starts
  • May 6 – Begin submitting claims electronically
  • Mid-May – Begin receiving reimbursement

What’s covered:

  • Specimen collection, diagnostic, and antibody testing.
  • Testing-related visits including in the following settings: office, urgent care, or emergency room or via telehealth.
  • Treatment: office visit (including via telehealth)
  • When an FDA-approved vaccine becomes available, it will also be covered.

Claims Submission:

This content will be available by Monday, April 27.

Link to the complete article about uninsured patient reimbursement: https://www.hrsa.gov/coviduninsuredclaim

 

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PRM is here to help make life easier for you and your office staff. Join our medical billing company today and enjoy our benefits! Contact Us

Lanny Menendez
Professional Reimbursement Managers
Professional Reimbursement Managers
www.prmbilling.com