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Looks like September 1st will be the magic day of miraculous decline of COVID-19 hospitalizations. Starting September 1st health care providers will have to show COVID-19 viral test positive results for hospitalized patients in order to get paid the 20% "add-on". If they can't produce said results within 14 days (including a test performed by an entity other than the hospital) and have already been paid, money will be recovered.

Link to download the pdf https://www.cms.gov/files/document/se20015.pdf

To address potential Medicare program integrity risks, effective with admissions occurring on or after September 1, 2020, claims eligible for the 20 percent increase in the MS-DRG weighting factor will also be required to have a positive COVID-19 laboratory test documented in the patient’s medical record. Positive tests must be demonstrated using only the results of viral testing (i.e., molecular or antigen), consistent with CDC guidelines. The test may be performed either during the hospital admission or prior to the hospital admission. For this purpose, a viral test performed within 14 days of the hospital admission, including a test performed by an entity other than the hospital, can be manually entered into the patient’s medical record to satisfy this documentation requirement. For example, a copy of a positive COVID-19 test result that was obtained a week before the admission from a local government- run testing center can be added to the patient’s medical record. In the rare circumstance where a viral test was performed more than 14 days prior to the hospital admission, CMS will consider whether there are complex medical factors in addition to that test result for purposes of this documentation requirement. The Pricer will continue to apply an adjustment factor to increase the MS-DRG relative weight that would otherwise be applied by 20 percent when determining IPPS operating payments for discharges that report the ICD‑10‑CM diagnosis code U07.1 (COVID-19). CMS may conduct post-payment medical review to confirm the presence of a positive COVID-19 laboratory test and, if no such test is contained in the medical record, the additional payment resulting from the 20 percent increase in the MS-DRG relative weight will be recouped.

1 posted on 09/01/2020 10:12:35 AM PDT by BigDaddyTX
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To: BigDaddyTX

In before the intolerant fearpers.


2 posted on 09/01/2020 10:13:35 AM PDT by treetopsandroofs
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To: BigDaddyTX

Let’s Celebrate.
Fire Fauci and Birx.
And the head of the FDA for starters.


3 posted on 09/01/2020 10:15:47 AM PDT by tennmountainman (The Liberals Are Baby Killers)
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To: BigDaddyTX

https://www.freerepublic.com/focus/f-news/3879841/posts

Oops: It Looks Like the Vast Majority of Positive COVID Results Should Have Been Negative
Townhall ^ | August 29, 2020 | Bronson Stocking
Posted on 9/1/2020, 12:33:01 PM by yoe

...... But now we’re learning the overwhelming majority of those who have tested positive for the coronavirus should really have been found negative after all.

***According to (The New York Times), potentially 90 percent of those who have tested positive for COVID-19 have such insignificant amounts of the virus present in their bodies that such individuals do not need to isolate nor are they candidates for contact tracing.***


13 posted on 09/01/2020 12:03:27 PM PDT by boxlunch (The US Pravda ( MSM), Demcheviks, leftists, Chicomms, Soros. All in this together.)
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