As part of the CARES act, HHS will provide 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:

https://www.hrsa.gov/coviduninsuredclaim

 

Professional Reimbursement Managers

You work hard to earn your fees. At Professional Reimbursement Managers (PRM), we work even harder to collect them. Established in 1995, PRM Billing has a proven track record of increasing and accelerating cash flow for hardworking medical professionals.

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Lanny Menendez

Professional Reimbursement Managers

www.PRMbilling.com