Billing Beat

FAQ updated 5/19/2023: CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency

June 14, 2023

Can a pharmacy still perform COVID-19 testing and be paid by Medicare for it? A pharmacy that acquires a CLIA certificate (including, for example, a certificate of waiver) can enroll with Medicare as a clinical diagnostic laboratory to conduct and bill for clinical diagnostic laboratory tests authorized under their certificate, and many pharmacies have done this to furnish and bill for COVID-19 diagnostic laboratory tests during the PHE. This is permissible under current permanent Medicare policies. After the PHE ends, the test must be ordered by a physician or certain other health care providers, such as physician assistants and nurse practitioners.

Source: https://www.xifin.com/resources/industry-news/202306/faq-updated-5192023-cms-waivers-flexibilities-and-end-covid-19-public

CMS

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