Q: There have been frequent waivers and regulatory changes throughout the COVID-19 public health emergency. What are the most important changes that case managers need to be aware of?
This week’s Medicare updates include clarifications on interstate license compacts, a new national coverage determination on acupuncture, a list of hospital outpatient therapeutic services with supervision level changes, and more!
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?
