Impact of the COVID-19 Pandemic on Healthcare Fraud
During the pandemic, healthcare claim fraud prevails as new fraud schemes develop and adapt to the changes in healthcare guidelines enacted, so providers can continue to treat patients. Two major areas of FWA expansion during the pandemic include Telehealth and COVID-19-related laboratory testing add-on services.
Janssen Single-Dose COVID-19 Vaccine is Pending FDA Emergency Use Authorization
Janssen Biotech, Inc. applied to the FDA for Emergency Use Authorization (EUA) of its single-dose COVID-19 vaccine, which may be a highly desirable weapon used to fight the virus based on characteristics and efficacy data.
Effective dates now known for Pfizer and Moderna vaccines, AstraZeneca vaccine coming
Pfizer and Moderna Covid vaccine codes receive effective dates, AstraZeneca vaccine assigned procedure codes but not yet effective.
New COVID-19 Vaccine Codes Released, Effective Pending FDA Approval
AMA has released a series of new, unique CPT Category I codes for use in reporting COVID-19 FDA approved vaccines. The codes will become active as soon as the FDA approves the first two COVID-19 vaccines produced by Pfizer and Moderna.
CMS Adds New HCPCS COVID-19 Lab Code
CMS is adjusting its payment policy for COVID-19 laboratory tests starting in Jan 1, 2021 in order to incentivize high throughput COVID-19 laboratory test results and ensure turnaround of results are provided in a clinically meaningful timeframe.