The costs referenced have been established by the DRG for quite some time and they vary by region due to outside cost factors, but they are generally pretty consistent. There is no Medicare or ICD-10 coding for COVID-19, so they looked to similar existing codes to capture the current pandemic, i.e., existing codes that represent respiratory issues that require ventilators, which has been in the $36K- $44K range for some time, subject to region of the country. This isn’t a new development.
As for the CARES Act, it does provide a 20% add-on to IPPS reimbursements, but these are billed based on COVID-19 discharges and were put in place to help ease the massive shortfall health systems are experiencing with no elective surgeries taking place coupled with added costs of caring for COVID-19 patients.
I’m sure the OP is just regurgitating whatever his local “entertainment news” is spewing. Sure, there could be a minimal financial gain to diagnose non-COVID cases as COVID cases, but there is zero financial gain in inflating the deaths. Sure, there is financial gain to putting someone on a ventilator who doesn’t need it, but you’d have to be a fucking idiot to believe that is happening. There’s zero gain to classify a non- COVID respiratory patient as COVID-19, since the reimbursement figure was taken directly from that existing DRG code. Even inflating the cases is useless, it would be a minimal financial gain, but losing your accreditation with Medicare would be disastrous and I can’t see any legitimate organization taking the chance to lose 30-40% of their revenue for pennies.
The final kicker, the elephant in the room and not the agenda driven mouse in the corner, these health systems are struggling due to the massive cut offs of many of their revenue streams, mainly elective surgeries. They are losing millions upon millions, hundreds of thousands are laid off, their medical plans are being cut, retirement contributions reduced/eliminated, but let’s talk about some story some right/left wing entertainment site ran and I’ll swallow it hook, line and sinker.
Come on people.
As for the CARES Act, it does provide a 20% add-on to IPPS reimbursements, but these are billed based on COVID-19 discharges and were put in place to help ease the massive shortfall health systems are experiencing with no elective surgeries taking place coupled with added costs of caring for COVID-19 patients.
I’m sure the OP is just regurgitating whatever his local “entertainment news” is spewing. Sure, there could be a minimal financial gain to diagnose non-COVID cases as COVID cases, but there is zero financial gain in inflating the deaths. Sure, there is financial gain to putting someone on a ventilator who doesn’t need it, but you’d have to be a fucking idiot to believe that is happening. There’s zero gain to classify a non- COVID respiratory patient as COVID-19, since the reimbursement figure was taken directly from that existing DRG code. Even inflating the cases is useless, it would be a minimal financial gain, but losing your accreditation with Medicare would be disastrous and I can’t see any legitimate organization taking the chance to lose 30-40% of their revenue for pennies.
The final kicker, the elephant in the room and not the agenda driven mouse in the corner, these health systems are struggling due to the massive cut offs of many of their revenue streams, mainly elective surgeries. They are losing millions upon millions, hundreds of thousands are laid off, their medical plans are being cut, retirement contributions reduced/eliminated, but let’s talk about some story some right/left wing entertainment site ran and I’ll swallow it hook, line and sinker.
Come on people.