Q: How can we submit a claim that hits an edit for a noncovered procedure? Can we submit a claim for the covered procedures? Can we appeal if the provider believes the procedure should be covered?
Medicare increased payments for patients diagnosed with the novel coronavirus (COVID-19). MLN Matters SE20015, implements provisions of the Coronavirus Aid, Relief, and Economic Security (CARES) Act for hospitals paid under the Inpatient Prospective Payment System (IPPS), long-term care hospitals (LTCH) PPS, and inpatient rehabilitation facilities (IRF) PPS.
This week’s Medicare updates include guidance for long-term care facilities on resident transfers during the COVID-19 pandemic, increased payment for certain COVID-19 tests, the FY 2021 inpatient rehab facility prospective payment system proposed rule, and more!
CMS updated its novel coronavirus (COVID-19) billing and coding FAQs on April 9 to address new information on payment for specimen collection, diagnostic laboratory services, and hospital services including temporary expansion sites.
This week’s Medicare updates include proposed rules for the inpatient psychiatric facility, skilled nursing facility, and hospice prospective payment systems; updated guidance on infection control for multiple provider types; additional waivers to relax regulatory requirements during the pandemic, and more!
