Costs are up and admissions are down under COVID-19, a new industry survey shows. “The admission refusal rate of prospective patient admissions in May was 9.38 percent of referred patients,” says a new survey conducted in June by the National Association for Home Care & Hospice. “Of those patients on service, 9.51 percent of the physician-ordered visits were rejected by the patients,” the respondents said based on their experience in May. Respondents to the June survey also indicate “that the COVID-19 related cost increases are expected to lead to an annual service cost increase of 9.69 percent for HHAs,” NAHC reports. Shortfall: “This cost increase alone far exceeds the financial supports that have been provided to HHAs through the CARES Act Provider Relief Fund through which Medicare HHAs received an April distribution equal to 6.2 percent of 2019 Medicare fee-for-service revenues,” NAHC maintains.