CMS provided clarification on submitting inpatient claims for patients diagnosed with novel coronavirus (COVID-19) without a positive viral test, in an update to MLN Matters SE20015 released September 11. Earlier this year, the CARES Act increased the MS-DRG weighting by 20% for a COVID-19 diagnosis. Although the CARES Act doesn’t specify that the diagnosis must be supported by a […]
Clinical judgment is sufficient for COVID-19 diagnosis. When I was a third-year resident, in 1987, I saw a really sick kid in the ED. He was about 5 years old, had a fever of 104°, and was lethargic in his mother’s arms. His eyes were swollen and infected, and he had a runny nose and […]