Since the announcement on April 8 that all authorized pharmacists can administer COVID-19 tests, OmniSYS has been working directly with CMS, the CDC and the FDA to provide guidance on how to implement a clear pathway for pharmacies to enroll and bill for COVID-19 virus testing.
Formal guidance was released today, and we are pleased to share that it provides a simple path for the billing of COVID-19 tests through Medicare. Pharmacies can contact the provider enrollment hotline to provide the basic information listed below and receive temporary Medicare billing privileges for COVID-19 within two business days.
- Legal business name
- Tax identification number
- State license
- CLIA certificate number
- Phone number
Once the public health emergency ends, you will be required to complete a full CMS-855B enrollment application within 30 days to continue administering COVID-19 tests.
This is landmark decision that empowers pharmacies in urban, suburban and rural areas to improve COVID-19 testing rates.
Prepare Your Organization
You can access a free, step-by-step guide for how to fully operationalize COVID-19 testing in your pharmacy at the OmniSYS Training Center. Look for updates over the weekend with additional guidance on how to ensure you properly enroll with Medicare.
If you’re a CareCLAIM® customer, you will be able to submit claims for COVID-19 tests through CareCLAIM. Once you’ve confirmed your enrollment with CMS and you’re ready to begin submitting COVID-19 claims to CareCLAIM, contact our team to complete the setup process. If you are not a CareCLAIM customer and would like more information on our medical claim billing, let us know!
Document the Test
If you are an existing Strand-Rx™ customer, COVID-19 testing has already been added as an encounter type and you will be guided through all of the necessary elements for COVID-19 testing documentation. If you are not a Strand-Rx customer and would like more information on how our pharmacy EHR can support your documentation for COVID-19 testing encounters and other clinical services, you can learn more here.