BC Advantage - 2020 Issue 4
NEWS ALERT - CMS COVID-19
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Article Overview
This CMS news alert compiles several COVID-19-related policy actions and emergency program updates issued in April 2020. It covers Medicare payment changes, CARES Act-related hospital and inpatient rehabilitation waivers, and approved Medicaid and CHIP emergency flexibilities for states and territories. The article is useful for coders, billing staff, compliance teams, and healthcare administrators tracking pandemic-era CMS guidance.
Why This Topic Matters
The update brings together multiple CMS emergency actions that affected reimbursement, facility operations, and state program administration during the COVID-19 public health emergency. It helps readers identify which areas of Medicare, hospital payment, rehabilitation coverage, and Medicaid/CHIP waiver activity may require attention.
Article Sections
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CMS Increases Medicare Payment for High-Production Coronavirus Lab Tests
Summarizes a CMS announcement about Medicare payment changes tied to rapid COVID-19 laboratory testing capacity. The section also references related CMS testing efforts during the public health emergency.
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CMS Implements CARES Act Hospital Payment and Inpatient Rehabilitation Facility Waivers
Covers CMS guidance related to CARES Act provisions affecting hospital and inpatient rehabilitation facility policies during the emergency period. It also points readers to related CMS emergency resources.
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CMS Approves Additional State Medicaid Waivers and Amendments to Give States Flexibility to Address Coronavirus Pandemic
Describes CMS approval activity for COVID-19-related Medicaid and CHIP waiver actions across states and territories. The section also notes the types of emergency flexibilities being used to support program administration.
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Section 1135 Waivers / 1915(c) Waiver Appendix K Amendments / Medicaid State Plan Amendments / CHIP State Plan Amendments
Lists the categories of waiver and amendment authorities referenced in the alert. These items identify the general program mechanisms discussed in the update.
What You Will Learn
- Which CMS COVID-19 response areas were highlighted in the update
- How the alert groups Medicare, hospital, rehabilitation, Medicaid, and CHIP actions
- What types of emergency waiver authorities and state flexibilities were referenced
- Which CMS resources and guidance categories were linked to the announcement
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance professionals
- Hospital administrators
- Health system revenue cycle teams
- Medicaid program administrators
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