CMS releases data for COVID-19 hospital payments, patient discharge status



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.

Income Cycle Advisor combines all of HCPro’s Medicare regulatory and reimbursement resources into one convenient, easy-to-access portal. The news is not simply repeated from other sources. It is analyzed by our Medicare experts so that professionals can understand in detail any new rule and regulatory update. Learn more.


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