Hospitals oppose Trump administration’s requirement that they document patients’ positive Covid-19 test results as a condition of receiving enhanced Medicare reimbursements
Many health-care companies and hospital industry groups are fighting a Trump administration policy tying extra federal coronavirus reimbursements to test results proving that patients are positive for Covid-19, saying the requirement unfairly deprives them of relief money established by Congress.to the standard federal Medicare reimbursement for each patient admitted for coronavirus.
But the Centers for Medicare and Medicaid Services added a requirement, which took effect Sept. 1: For hospitals to receive the funding, each patient must have a documented positive Covid-19 lab test. CMS officials said the requirement was added to protect against fraud since the funding was increased. “As part of Medicare’s longstanding standard payment policies, Medicare providers are required to accurately document and bill for services provided based on a beneficiary’s diagnosis,” a spokesman said.
CMS is concerned that without a lab test showing someone has Covid-19, hospitals may code them incorrectly as having the virus and erroneously receive the 20% add-on. The agency said that it will review patient records after payments are made to confirm positive test results, and those lacking results would see their payments accounted for as overpayments.
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