The policy focuses on professional ED claims submitted with a level 5 (99285) E/M code for Medicare Advantage claims. 1, 2020 due to the COVID-19 public health emergency.
Note: some self-funded plans will implement a similar plan option, but must opt-in.
ACEP Reimbursement Manager Adam Krushinskie put together a quick synopsis of what he has gathered from researching all of the major insurer bulletins and policy change notices regarding COVID-19, plus the MAC TPE updates he's been able to find so far.