Medicare’s average fee-for-service payment was $ 23,094. Data reported by CMS also includes a range of payments for fee-for-service COVID-19 hospitalizations.
A version of this article was first published on June 30, 2020 by HCPro’s Income Cycle Advisor, a sister publication of HealthLeaders.
CMS released data on novel coronavirus (COVID-19) hospitalizations in the first half of 2020, highlighting total Medicare payment for fee-for-service hospitalizations, discharge statuses and average duration stay.
Medicare’s total payment for fee-for-service COVID-19 hospitalizations was $ 1.9 billion until May 16, according to CMS.
The report covers health insurance claims and encounter data for services rendered between January 1 and May 16, 2020. During this period, there were 81,227 paid COVID-19 hospitalizations in total, according to CMS. Medicare’s average fee-for-service payment was $ 23,094. Data reported by CMS also includes a range of payments for fee-for-service COVID-19 hospitalizations. The 95th percentile for payments was $ 63,721, while the fifth percentile was $ 5,303.
Additionally, the CMS report provided data on COVID-19 releases and length of stay.
Here is the breakdown of discharge status for the 109,607 hospitalizations related to COVID-19:
- Expired (28%)
- Home (27%)
- Qualified nursing facility (21%)
- Home health care (11%)
- Hospice (5%)
- Another health facility (5%)
- Assisted living / nursing home (2%)
- Other (1%)
Fifty percent of people hospitalized for COVID-19 experienced a length of stay of seven days or less. At the same time, 34% of individuals experienced a length of stay of 8 to 15 days (18% between 8 and 10 days and 16% between 11 and 15 days). Finally, 16% of people hospitalized for COVID-19 experienced a length of stay of 16 days or more (7% were hospitalized between 16 and 20 days, 6% were hospitalized between 21 and 30 days and 3% were hospitalized for 31 or more days).
The full breakdown of the data is available on the CMS website.
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