tci Medicare Compliance & Reimbursement - 2020 Issue Q2

Reader Question: Know These Modifier CS Essentials

Question: With all the COVID-19 billing updates coming down the pike, our practice is confused about the CS modifier? What exactly is it for and how should we use it? Ohio Subscriber Answer: In coordination with the Families First Coronavirus Response Act (FFCRA), the Centers for Medicare & Medicaid Services (CMS) is waiving cost-sharing for patients that meet a specific set of COVID-19 testing criteria during E/M visits. Then: “Previously, CMS made available the CS modifier for the gulf oil spill in 2010,” but it is now repurposing it for COVID-19, agency guidance explains. Now: As part...

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