Transcription of COVID-19 MEDICARE ADVANTAGE BILLING & …
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COVID-19 MEDICARE ADVANTAGE BILLING & …
COVID-19 MEDICARE ADVANTAGE BILLING & AUTHORIZATION GUIDELINES Table of Contents Increasing Available Care .. 3 Referral Requirements .. 3 Utilization Management Guidelines .. 3 Authorization Requirements .. 3 Post-Acute Care, DME and Elective Procedures .. 4 Pos t- Ac ute Care Review .. 4 DME .. 4 Elective Surgeries & Procedures (Outpatient & Inpatient) .. 4 1135 Waiver Information .. 4 Hospitals without Walls .. 4 Emergency Room and Trans port .. 5 Coronavirus Aid, relief , and Economic Security Act (CARES Act) .. 5 Sequestration .. 5 Inpatient Prospective Payment System (IPPS) Hospitals- DRG Payment Increase .. 6 Screening Guidelines .. 6 Testing Reimbursement.
Apr 18, 2022 · Eligibility should be confirmed prior to scheduling. Also note that medical necessity review is still required. ... Relief, and Economic Security Act (CARES Act) The CARES Act, passed on March 27, 2020, makes a number of changes to support the ability of ... increase in the MS-DRG weighting factor will also be required to have a positive COVID-19
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