OIG Plans to Audit COVID-19 Discharges

Health Leaders: The Office of Inspector General (OIG) will be reviewing Medicare payments for the novel coronavirus (COVID-19) discharges, according to a recent update to its Work Plan.

Section 3710 of the CARES Act increased the MS-DRG weighting by 20% for a COVID-19 diagnosis for the duration of the public health emergency. Effective September 1, COVID-19 claims will require a positive viral test result documented in the medical record to be eligible for the 20% MS-DRG weighting increase.

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