As providers grapple with the effects of COVID-19, we continue to be your trusted partner, helping your business stay strong so you can focus on what’s most important – quality patient care. For important CMS updates, preparedness information, webinars, educational opportunities and many other resources to help you see your organization through this crisis, bookmark this page. Here’s the latest news:
- CMS suspends Advanced Payment Program: The Centers for Medicare & Medicaid Services (CMS) announced Sunday it will suspend advance Medicare payments to Part B suppliers, including physicians, other medical professionals and durable medical equipment suppliers, and is reevaluating accelerated payments to hospitals. An updated program fact sheet is available here.
- The future of telehealth: The need for telehealth services is now undeniable – so much so that CMS boosted rates for telehealth visits so they matched rates for in-clinic visits and would sustain providers during the pandemic. CMS also relaxed its guidelines governing the type of telehealth visits it would cover. But what does this mean for the future of these services?
- The COVID-19 Uninsured Program Portal: Healthcare providers who have conducted COVID-19 testing or provided treatment for uninsured COVID-19 individuals on or after February 4, 2020, can request claims reimbursement through this program electronically. They will be reimbursed generally at Medicare rates, subject to available funding. For more information and steps to participate, check here.
- SNF-eligible patient placement in a pandemic: The coding and billing rules and discharge challenges of COVID-19 are unlike that of any other disease. This is especially evident in the difficulties hospitals are currently experiencing getting patients who require care transferred to a skilled nursing facility (SNF). A RACmonitor editorial discusses the SNF placement options, including a scenario where CMS allows acute care hospitals to provide and bill for SNF care. Another scenario discusses how a hospital in a surge area that needs to create capacity could transfer a patient to a non-surge hospital where SNF-level care would be provided from the outset.