Q: As utilization review case managers, we are often tasked with assessing our hospital's risk for novel coronavirus (COVID-19) denials. What are the most important measures we should be examining?
Take a closer look at recent Coding Clinic information on coding COVID-19, including ICD-10-CM coding for COVID-19 antibody testing, virus signs and symptoms, and comorbidities.
Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1.
Staying on top of coding guidelines for infectious diseases has never been more critical—or challenging. Review these questions on ICD-10-CM/PCS documentation and coding for infectious diseases including COVID-19, HIV, and related procedures.
Facing the unprecedented COVID-19 public health emergency, CMS released the 2021 OPPS proposed rule later than ever before, with the agency generally reinforcing its recent focus on site-neutral payment policies, lowering reimbursement for drugs purchased under the 340B program, and adding more services to the list of prior authorization.
