Full-service revenue cycle management for phycisian practices and hospitals

  • On May 19, 2020, the Centers for Medicare and Medicaid (CMS) published the payment rates for the new Covid-19 antibody testing codes.  Please see below.
  • On March 13, 2020, the American Medical Association (AMA) created CPT code 87635 for infectious agent detection by nucleic acid tests.
  • On April 10, 2020, the AMA created CPT codes 86769 and 86328 for serology tests.  Laboratories and qualified physician practices performing these tests may bill Medicare for services that occurred after their respective effective dates.

Local Medicare Administrative Contractors (MACs) are responsible for developing the payment amount for claims they receive for these newly created HCPCS codes in their respective jurisdictions until Medicare establishes national payment rates. The payment amounts are identified below.  As with other laboratory tests, there is generally no beneficiary cost-sharing under Original Medicare.

Covid-19 antibody testing payment amounts are identified below.

Covid-19 Antibody Testing Amounts


Medical billing services that maximize profit and cash flow

We understand that your practice needs a swift, reliable revenue stream in order to thrive. And, we know that it takes more than a slick software package to make it happen.  Definitely, It takes the right people. Therefore, we created unique medical billing services to make your life easier, It backed by our experience serving physicians since 1995.

We make sure our clients are supported by a billing and collections team carefully chosen for their industry expertise and dedication to customer service. In addition, your PRM team takes full responsibility for the financial health of your practice. If you don’t get paid, we don’t get paid. As a result, this performance-based model keeps our operations lean and focused, and help us achieve one of the highest collection rates in the billing industry.

Finally, when you know the right people are handling your revenue cycle, you can relax and focus on what you do best- delivering excellent medical care.

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