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COVID-19 CMS Medicare Waivers

3/19/2020

Attention all Financial and Billing Staff

On March 13, 2020 the Centers for Medicare and Medicaid Services (CMS) issued a blanket waiver based on the declared public health emergency (PHE) COVID-19. This includes waivers for:
• 3 day qualifying hospital stay
• 60 day break in spell of illness. This extends an additional 100 day benefit period for residents who have recently exhausted Skilled Nursing benefits and must remain in a facility.

To view the full communication from CMS, click here.

PointClickCare is currently in communication with CMS to clarify billing and MDS requirements surrounding these waivers. To prepare for monthly billing, review the COVID-19 Waiver Billing Quick Reference Guide (QRG).

PointClickCare is currently working to bypass the UB Edit Check of missing occurrence span code 70 Qualifying Hospital Stay or the demonstration code if DR is on the claim. Continue to monitor the Home Page for more information.

Click here to view the COVID-19 Waiver Billing Quick Reference Guide (QRG) from PointClickCare.

If your SNF needs assistance with this setup, please contact our office.