It looks like you have an older browser that is not supported by this site. Please click here to update.

[September 8, 2020] New COVID-19 Positive $115 Add-on Billing Instructions - IHCA

It looks like you have an older browser that is not supported by this site. Please click here to update.

Article Open to All

[September 8, 2020] New COVID-19 Positive $115 Add-on Billing Instructions

Posted Sep 8, 20201 min Read

Back

In a surprise announcement during a recent phone call,  OMPP has decided to pay a full 21-days at $115/day for any resident that resided in a COVID-19 Ready facility and was in a COVID-unit.  Previous guidance and billing instruction indicated that they would pay up to 21-days and only the specific number of days the resident was in the COVID-unit.  The limitation on this is that any resident in a COVID-unit before the effective date of May 1 or after the end date of August 31 would be limited to the number of days that fell within the authorized payment period (example, resident in COVID-unit from April 25 to May 5 would be eligible for 5 days of the add-on, where as a resident in a COVID-unit from May 10 to May 17 would be eligible for the full 21-day payment).  New billing guidelines can be found here.

About the Author

Elizabeth Eichhorn, Director of Reimbursement Policy and Payor Affairs