CMS provided clarification on submitting inpatient claims for patients diagnosed with novel coronavirus (COVID-19) without a positive viral test, in an update to MLN Matters SE20015 released September 11.
UnitedHealthcare’s (UHC) plan to require in-network, freestanding and outpatient laboratory claims to contain a unique code for most lab testing services is poorly timed and poses significant implementation hurdles, the American Hospital Association (AHA) said in an August 14 letter.
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.
The AMA on August 10 announced four new CPT® codes for reporting COVID-19 laboratory testing, including two codes for reporting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody detection.
CMS’ latest round of updates to its novel coronavirus FAQs on Medicare fee-for-service billing provides additional information on hospital billing for remote services, including a decision tree guiding hospitals through their options for billing for telemedicine.
NAHRI’s July 28 Quarterly Call featured a jam-packed hour of association updates and informative, detailed presentations on revenue reconciliation and coding tips for novel coronavirus (COVID-19) claims.
The guidelines are effective October 1 and highlights include new instructions for reporting manifestations of novel coronavirus (COVID-19), vaping, and social determinants of health among other changes.
The Duke University Health System in Durham, North Carolina, has more than 1,200 inpatient beds, handles two million outpatient visits annually, and serves as one of the country’s leading research institutions. As the director of revenue and documentation integrity at Duke Health, Garland Goins, MBA is tasked with structuring its complex revenue integrity department.
