It is only Medicare patients (which are the majority of patients hospitalized with COVID) but it is the entire hospital bill because that is the DRG. Hospitals bill a set fee based on dx, complexity and other factors. There’s a very complicated scale that goes into it. This document is saying that there will be an increase of 20% on the DRG which is the entire amount, if the dx is COVID19 and remdesivir is on the claim. Please tell me more about how medicare billing is your specialty.
It is only Medicare patients (which are the majority of patients hospitalized with COVID) but it is the entire hospital bill because that is the DRG. Hospitals bill a set fee based on dx, complexity and other factors. There’s a very complicated scale that goes into it. This document is saying that there will be an increase of 20% on the DRG which is the entire amount of the dx is COVID19 and remdesivir is on the claim. Please tell me more about how medicare billing is your specialty.