COVID-19 DRG Coding and CARES Act Funding

April 15, 2020

Today, IHA provided updates to member hospital and health systems related to: (1) 20% add-on payment to diagnosis-related groups (DRGs) for Medicare-enrolled COVID-19 patients, and (2) $100 billion in funds for providers under the Public Health and Social Services Emergency Fund (PHSSEF). Specifically, the Centers for Medicare & Medicaid Services (CMS) released guidance specifying a 20% increase to the weighting factor for DRGs for Medicare-enrolled individuals that are diagnosed with COVID-19 and discharged during the emergency period.

Additionally, a Department of Health and Human Services CARES Provider Relief Hotline has been established for providers with questions about the first tranche of PSSEF funding. Members can call 866-569-3522 with questions regarding these funds.

More information on the Medicare add-on and PHSSEF funding can be found on the IHA website in our automatic and federal funding opportunities resource documents.