COVID-19 Dx Code Effective 4/1/2020

CDC has announced a new COVID-19 Dx Code: U07.1 Acute Respiratory Disease. This will fall into the Pulmonary PDPM Category (see attached CDC document)

CARES Act: The Coronavirus Aid, Relief, and Economic Security Act

  • ADD ON: The bill provides additional 20% add-on payment under Medicare Inpatient Prospective Payment Systems for care providers to Patients with COVID-19 (importance of accurate coding)

  • Medicare Sequester: Of additional note, the CARES ACT eliminates the 2% financial reduction of the Medicare Sequester from May 1, 2020 through Dec 31, 2020

Access to PT/OT/ST: QRM continues to monitor closely CDC, CMS, AHCA and Leading Age guidance in regards to access and safe delivery of care for our patients, looking at all options available for our clinicians in accordance with practice acts and our clients directives.

Please reach out if there is anything at all we can help with.

Thank you to all of you who are on the front line and who are supporting those who are. Truly our heroes.

Let's Get to the Point:

Ensure all employees assigning ICD-10 codes, MDS, Billing and EMR software partners are aware of the 4/1 effective date of the new COVID-19 Diagnosis code for accurate reimbursement and PDPM category capture.
Most importantly, take care of yourselves.