Here are some important storylines for hospitals to follow to ensure compliance with Medicare rules on billing for inpatients diagnosed with COVID-19, according to Deloitte.[1] There’s a 20% add-on payment during the public health emergency if hospitals have documentation of a positive coronavirus test in the patient’s medical record. Contact Kelly Sauders, a partner in Deloitte, at ksauders@deloitte.com.
20% add-on payment for COVID-19 inpatient MS-DRGs
CMS changed the documentation requirements effective with inpatient admissions as of September 1, 2020.
MLN Matters Number: MM11764, July 2020 Quarterly Update to the IPPS FY 2020 Pricer Release date: 4/24/2020. Effective date: 7/27/2020. |
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MLN Matters Number: SE20015 Revised New Waivers for IPPS, LTCHs and IRFs due to Provisions of the CARES ACT Release date: 8/17/2020. Updated: 9/11/2020. |
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Note: Does not change the Official Coding Guidelines for patients being worked up or treated for COVID-19 |
Source:
July 2020 IPPS update: https://www.cms.gov/files/document/mm11764.pdf; https://www.cms.gov/files/document/r10058CP.pdf.
September 11, 2020, Revised MLN: https://www.cms.gov/files/document/se20015.pdf