Medicare Fee-for-Service (FFS) Response to the COVID-19 PHE: Another Billing Update

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

CMS’ MLN Matters is reporting another update to SE20011 on July 1, 2020:

Billing Instructions
The following guidance provides specific instructions for using the QHS and benefit period waivers, as well as how this affects claims processing and SNF patient assessments.

To bill for the QHS waiver, include the DR condition code.

To bill for the benefit period waiver:

  • Submit a final discharge claim with patient status 01. 
  • Readmit the beneficiary (Day 101) to start the benefit period waiver. 

CMS previously updated SE20011 on June 26, 2020.  If you were not aware of that update (it’s significant), you’ll want to review this blog as well to get the whole picture.