CMS increases Medicare payment for high-production coronavirus lab tests

Medicare will practically double the payment for certain lab assessments that use significant-throughput technologies to swiftly diagnose large numbers of 2019 Novel Coronavirus cases, the Centers for Medicare and Medicaid Companies declared nowadays.

Medicare will spend the higher payment of $a hundred for COVID-19 medical diagnostic lab assessments producing use of significant-throughput technologies created by the non-public sector that make it possible for for greater screening capacity, speedier final results, and a lot more powerful means of combating the distribute of the virus, CMS mentioned.

Medicare will spend laboratories for the assessments at $a hundred powerful April fourteen, by the length of the COVID-19 national crisis.

Significant-throughput lab assessments can approach a lot more than two hundred specimens a working day employing complex equipment that calls for specifically properly trained experts and a lot more time-intense processes to assure quality.

For other COVID-19 laboratory assessments, community Medicare Administrative Contractors continue to be dependable for developing the payment amount of money in their respective jurisdictions. MACs are presently paying out roughly $51 for all those assessments. As with other laboratory assessments, there is typically no beneficiary charge-sharing under primary Medicare.


The motion is staying taken to swiftly expand COVID-19 screening, significantly for all those with Medicare, which includes nursing dwelling inhabitants. Laboratories will have expanded capability to rapidly examination a lot more susceptible populations, like nursing dwelling individuals, and provide final results speedier, CMS mentioned.

Nursing dwelling inhabitants are amongst the most susceptible to COVID-19.

Far more than 3,600 COVID-19 deaths of the a lot more than 27,000 deaths in the U.S. are believed to be linked to nursing houses and assisted dwelling centers, according to 

THE Much larger Pattern

The announcement builds on modern CMS steps to expand screening for COVID-19. On March 30, CMS declared that hospitals, laboratories, and other entities can accomplish assessments for COVID-19 on individuals at dwelling and in other neighborhood-centered options outdoors of the healthcare facility. CMS mentioned Medicare would spend new specimen collection expenses for COVID-19 screening for homebound and non-healthcare facility inpatients.

In addition, CMS took motion to make it possible for health care systems, hospitals, and communities to established up screening web pages to discover COVID-19-optimistic individuals.

The endeavours arose from White House Coronavirus Task Pressure.

ON THE Record

“CMS has created a critical go to ensure adequate reimbursement for superior know-how that can approach a large volume of COVID-19 assessments swiftly and properly,” mentioned CMS Administrator Seema Verma. “This is an absolute match-changer for nursing houses, where risk of coronavirus an infection is significant amongst our most susceptible.”

Twitter: @SusanJMorse
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