Monday, March 1, 2021

Very Brief Blog: CMS Issues Guidance on Commercial Payer COVID Test Payments

 As highlighted in a March 1, 2021 article in HealthCareDive by Nick Taylor, CMS has finally issued a major guidance on how and when private health plans must pay for COVID testing at commercial laboratories.

  • See the HealthCareDive article here.
  • MedCityNews here.
  • 360Dx here.
  • See the 11-page CMS document here, issued February 26.
    • CMS also issued a press release here.
    • ACLA praised the document here.
    • But on Feb 22, ACLA had been very annoyed at the confusion in recent policy (here).
  • See Biden's January 21 executive order about a COVID pandemic testing board here.

Of separate interest, see an article in medCityNews on the high barriers created by prior authorization - here.