Coverage & Payment

Portal for providers who received Provider Relief Fund (PRF) payments to comply with reporting requirements.

Coverage and payment for monoclonal antibody administration, including for in-home settings.

HHS fact sheet explaining that while providers should request patient identification information to verify insurance status, this information is not required for any individual in the U.S. to receive COVID-19 vaccination.

Resource developed and maintained by the American Medical Association.

Effective March 15, 2021, the new Medicare payment rate for administering a COVID-19 vaccine will be approximately $40 per dose. This CMS page includes details about billing codes and payment allowances.

U.S. Department of Health and Human Services (HHS) guidance on eligibility and how to apply.

Centers for Medicare and Medicaid Services (CMS) guidance on Medicare COVID-19 coverage. 

Portal to submit claims for COVID-19 testing and treatment for uninsured patients. 

Twelve new ICD-10 procedure codes to describe the introduction or infusion of therapeutics including remdesivir and convalescent plasma.

Coding guide from the American Medical Association (AMA) with clinical vignettes covering various settings including telehealth. 

Coding flowchart from the AMA. 

Information on CMS’s expanded Accelerated and Advanced Payments Program and telehealth flexibilities.  

June 19 memo from CMS summarizing updated COVID-19 testing guidelines and Medicare/Medicare Advantage coverage of lab tests in nursing home settings. 

Clinical Trials will earn Improvement Activity credit in the Merit-based Incentive Payment System (MIPS).

Frequently asked questions regarding Medicare fee-for-service billing.  

CMS FAQ on new enrollment flexibilities.  

Applications to Health Resources & Services Administration for payments from the Provider Relief Fund and American Rescue Plan rural funding due by Oct. 26.

New CPT codes for each of two coronavirus vaccines as well as administration codes unique to each vaccine.

Interim final CMS rule proposes new vaccine coverage and treatment reimbursement policies.

Amended terms for payments issued under the Accelerated and Advance Payment Program.