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 rule changes: Last Friday, the Centers for Medicare & Medicaid Services (CMS) finalized requirements that will increase access to telehealth for seniors in Medicare Advantage (MA) plans, expand the types of supplemental benefits available for beneficiaries with an MA plan who have chronic diseases, provide support for more MA options for beneficiaries in rural communities, and expand access to MA for patients with End Stage Renal Disease (ESRD).
- Historic federal funding for Skilled Nursing Facilities (SNFs): The HHS Office of the Inspector General (OIG) announced investigations into nursing home response to COVID-19 last Friday. One investigation will focus on auditing nursing homes’ infection control programs, and another will analyze CMS oversight efforts during the ongoing pandemic. Each SNF in the country will receive a baseline payment of $50,000, plus an additional $2,500 per bed, according to the HHS. Still, it may not be enough for providers to conduct necessary testing at facilities, according to one of the nation’s largest nursing home chains.
- Testing shortfalls: More than half of U.S. nursing homes failed to meet a federal recommendation to test all residents and employees by May 24. The American Health Care Association, the nation’s largest organization representing nursing homes, calculates a one-time cost of $440 million for the testing of each resident and staff member in the U.S.
- COVID-19 investigation: The HHS Office of the Inspector General (OIG) announced investigations into nursing home response to COVID-19 last Friday. One investigation will focus on auditing nursing homes’ infection control programs, and another will analyze CMS oversight efforts during the ongoing pandemic.
- Claims for oxygen and infusion pumps: An important note for Durable Medical Equipment providers with CGS and Noridian COVID-19 claims that were submitted without a Certificate of Medical Necessity or DME MAC Information Form (DIF) and denied – CMS is allowing Medicare beneficiaries to obtain DME oxygen equipment without a Certificate of Medical Necessity (CMN) for oxygen and without a DME MAC Information Form (DIF) for external infusion pumps.
We understand your commitment to provide the best care possible to your patients and communities. At eSolutions, we’re dedicated to ensuring you are reimbursed accurately and rapidly, providing world-class service and enabling access to solutions you need to strengthen your revenue health. If you have questions or concerns, we are available to assist you. Call us at 866.633.4726.