Billing News May 2020



Civil Monetary Penalties May Apply for Non-Published COVID-19 Diagnostic Testing

  • May 19, 2020

As a reminder to those who are performing COVID-19 testing, the CARES act requires publication of the COVID-19 diagnostic testing cash price on your website. Please refer to the CARES Act, Section 4202: Pricing of Diagnostic Testing: https://www.congress.gov/bill/116th-congress/senate-bill/3548/text Additional information: https://www.jdsupra....

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During Pandemic, Limited Civil Immunity Given to Oklahoma Healthcare Providers, Facilities

  • May 13, 2020

April 21, 2020, Governor Stitt issued a third amendment to Executive Order 2020-13 (available here) ordering that for as long as the Legislature concurs with his declared health emergency in Oklahoma any health care provider or health care facility (or alternate care location designated by the state) shall be covered under the Limited...

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Commercial Labs Push for Piece of $100b Coronavirus Relief

  • May 13, 2020

The American Clinical Laboratory Association, whose members include Quest Diagnostics and LabCorp, is asking the Department of Health and Human Services to immediately begin accepting applications from commercial labs for a $100 billion fund created under the Coronavirus Aid, Relief, and Economic Security...

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5 Things to Know about Surprise Billing during the COVID-19 Pandemic

  • May 13, 2020

The days of surprise medical billing may be numbered due to emerging legislation around the COVID-19 pandemic.  Here's some recent information on surprise medical billing:  Hospitals taking federal funds to treat COVID-19 patients could be banned from balance billing patients, according to HHS stipulations.  HHS worded...

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HHS: Here's How Remaining $70b in COVID-19 Funding Will Be Distributed to Providers

  • May 13, 2020

The U.S. Department of Health and Human Services (HHS) allocated $30 billion to providers out of a $100 billion pot passed in an economic stimulus package by Congress a few weeks ago. Here is how the remainder will be allocated in the coming weeks: $20 billion to providers that will build on the general $30 billion and will be based on...

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OIG Follows the Stark Law COVID-19 Waivers for Anti-Kickback Statute

  • May 13, 2020

On April 3, 2020, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) issued a policy statement announcing that the OIG will exercise its enforcement discretion not to impose administrative sanctions under the federal Anti-Kickback Statute (AKS) for remuneration related to the 2019 novel coronavirus...

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CVS, Walgreens Pledge to Ramp up COVID-19 Testing Efforts as White House Takes Aim at Reopening Economy

  • May 13, 2020

The White House unveiled COVID-19 testing and tracing guidance Monday evening, April 27th, with buy-in from many of the nation's largest pharmacy chains. At the briefing, representatives from major pharmacy chains including CVS Health, Walgreens, Walmart, and Kroger pledged to significantly boost their use of self-swab COVID-19 tests. CVS ...

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FDA to Harmonize COVID-19 Data with New Terminology Codes

  • May 13, 2020

In a bid to standardize the reporting of diagnostic test results and improve data gathering and analysis, the US Food and Drug Administration said it plans to develop new terminology codes. The agency described a program to develop the new codes on Wednesday during its fifth weekly town hall meetings with SARS-CoV-2 diagnostic developers. The...

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