CMS is proposing that hospitals report inpatient payer-specific median negotiated rates with Medicare Advantage organizations and third-party payers on the hospital cost report, according to the fiscal year (FY) 2021 Inpatient Prospective Payment System (IPPS) proposed rule.
Q: HRSA says that COVID-19 diagnoses must be in the primary/principal diagnosis field for hospitals to be reimbursed for treatment of uninsured patients, but this violates the coding guidance we’ve received from CMS and Coding Clinic. How should we handle such claims?
COVID-19 was officially classified as a global pandemic on March 11 by the World Health Organization (WHO). The rate of fatality varies by age group, with the elderly being more at risk. The statistical projections by the Society of Critical Care Medicine anticipate that approximately 4.8 million people will be hospitalized for COVID-19 in the United States. Some mathematical models predict that this new virus will infect over half the U.S. population.
