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H.H.C. Group Updates Claims Processing System for COVID-19 Increased IPPS Payments

May 01, 2020 H.H.C. Group announced today that it has updated its reimbursement functions in accordance with CMS guidance related to implementation of the Coronavirus Aid, Relief, and Economic Security (CARES) Act. To implement this temporary adjustment, H.H.C. Group's claims processing systems will apply an adjustment factor to increase the Medicare Severity-Diagnosis Related Group (MS-DRG) relative weight that would otherwise be applied by 20 percent when determining Inpatient Prospective Payment System (IPPS) operating payments for discharges with applicable diagnosis coding.

"H.H.C. Group continues to monitor the latest developments issued by CMS in order to stay on top of all updates related to COVID-19 and associated specimen collection and testing.", said Dr. Bruce D. Roffé. "We'll be glad to answer any questions people have regarding COVID-19 related payment guidelines and assist in any other way we can in these challenging times."

About H.H.C. Group

H.H.C. Group provides containment solutions for Insurers, Third Party Administrators, Self-Insured Employee Health Plans, Health Maintenance Organizations (HMOs), ERISA and Government Health Plans. H.H.C. Group utilizes a combination of highly skilled professionals and advanced information technology tools to consistently deliver targeted solutions, significant savings and exceptional client service.

H.H.C. Group's services include Claim Negotiation, Claim Repricing, Medicare Based Pricing, DRG Validation, Medical Bill Review (Audit), Claims Editing, Medical Peer Reviews/Independent Reviews, Independent Medical Examinations (IME), and Pharmacy Consulting. H.H.C. Group is an URAC accredited Independent Review Organization for Internal and External Reviews.
For additional information about H.H.C. Group and our services, visit www.hhcgroup.com or contact Bob Serber at rserber@hhcgroup.com or 301-963-0762 ext. 163.