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COVID-19 Medicare FFS Billing

The Centers for Medicare and Medicaid Services (CMS) published and continues to update an expansive frequently asked questions (FAQ) document on COVID-19 Medicare fee-for-service (FFS) billing. The document contains discrete sections for each provider type and covers issues ranging from specimen collection fees to telehealth billing codes.

While not providing much additional detail, the Skilled Nursing Facility (SNF) Services portion of the FAQs does address waiver flexibility, confirming that the 3-day qualifying hospital stay waiver applies to all SNF-level beneficiaries under Medicare Part A, regardless of whether the care the beneficiary requires has a direct relationship to COVID-19. It also notes that a patient with a continued skilled care need (such as a feeding tube) that is unrelated to the COVID-19 emergency cannot renew his or her SNF benefits under the waiver, as it is this continued skilled care in the SNF rather than the emergency that is preventing the beneficiary from beginning the 60-day wellness period.

The FAQs also formally remind Medicare providers that CMS has extended cost report due dates for all provider types based on the chart below.

Cost Reporting Period Ending

Initial Due Date

Extended Due Date

Oct. 31, 2019

March 31, 2020

June 30, 2020

Nov. 30, 2019

April 30, 2020

June 30, 2020

Dec. 31, 2019

May 31, 2020

July 31, 2020

To view the entire CMS FAQ document, which was most recently updated on April 26th, click here.

Contact: Ken Allison, kallison@leadingageny.org, 518-867-8820