CMS Releases Additional Information on Coverage and Payment Information for COVID-19 Testing in Nursing Facilities

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

Today (September 18, 2020), the Centers for Medicare and Medicaid Services (CMS) released information to help states, nursing facilities, and other providers better understand the sources of Medicare and Medicaid coverage and payment for COVID-19 testing, including a flow chart detailing testing coverage for nursing facility residents. We encourage you to review.

To see a copy of the Coverage and Payment for COVID-19 Testing in Nursing Facilities Flow Chart, please visit https://edit.cms.gov/files/document/covid-medicare-payment-covid-19-viral-testing-flow-chart.pdf. This is the 1st page of the 6-page flowchart:

The other pages address:

  • Payer Hierarchies
    • Medicare
    • Medicaid and the Uninsured
    • Private Insurance
  • Additional Funding Sources
  • Medicare Coding and Billing