“Each rapid antigen test kit costs physicians approximately $35-40. However, CMA has heard from several physicians that Anthem and UnitedHealthcare have reimbursed at less than half of the physicians’ costs,” the statement said. “When payers shift the financial responsibility for COVID-19 testing to physicians, it becomes financially untenable for physicians to utilize the rapid test for their patients.”
The organization confirmed that UnitedHealthcare has issued multiple notices to providers indicating that services with specific COVID-19 test codes that took place between Jan. 1 and Dec. 31, 2021, will be reimbursed at 100 percent of the CMS rate.
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.