Let’s parse what the #healthplans are saying & not saying—1. Admin. statements last week that the plans are waiving Pt cost sharing for “treatment” are not clear at best...Insurers Widen Coverage For Coronavirus Screenings To Office Visits via @Forbes forbes.com/sites/brucejap…
2/ 2. Plans have said that they will waive cost sharing for #COVID19 testing; 3. Unprecedented in my experience, CPT editorial panel approved last Friday night in an emergency meeting CPT 87635—infectious agent detection by nucleic acid [RNA, DNA] acut respiratory syndrome...
3/ 3. Coronavirus 2, amplified syndrome technique (reimbursement by MCA $31-56) is the code for testing; 4. Aside from possibly @Cigna (in the office POS) the other health plans are waiving cost sharing for this CPT, not for treatment of cough, fever and related HPIs or R/Os...
4/ 4. ACEPNow & @EDPMA are advocating that the health plans expand waiver of cost sharing for TREATMENT and testing + expansion of gov’t & commercial health plan reimbursement for #telehealth for the @EmergencyDocs E/M codes—but there will be time to sort that all out later ...
Sorry “acute”
5/ Link to CPT code descriptor is here ama-assn.org/practice-manag…
6/ 4. physician practices that seek 2 waive Pt. cost sharing 4 #COVID19 treatment where the health plans are not waiving same, consult w/ healthcare counsel as both state and federal laws may be implicated—ounce of prevention & y’all know rest—& this is not legal advice bla bla .
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