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COVID-19, Compensation and Quality: COVID-19 Updates

August 26, 2020

COVID-19, Compensation and Quality: COVID-19 Updates

COVID-19 updates continue to fill our inboxes. The information below summarizes some of the most recent updates and resources.

UPDATED! Provider Relief Funds

HHS has extended the deadline for Medicaid and CHIP providers to apply for General Distribution Funds to August 28, 2020. In addition, beginning on August 10, certain Medicare providers who experienced challenges (e.g., changed tax ID numbers) will have a second opportunity to apply for funding from the General Distribution (Phase 1).

CODING RESOURCE! Novitas Solutions has created a grid sheet for all Part A and B providers describing modifiers used during the PHE

NEW! Medicare will now reimburse providers for counseling patients at the time of their testing no matter where a test is administered. CMS will use existing evaluation and management (E/M) payment codes to reimburse providers who are eligible to bill. When furnishing these services during 2020, physicians and other practitioners spending more than 50 percent of the face-to-face time (for non-inpatient services) or more than 50 percent of the floor time (for inpatient services) providing counseling or coordination of care, use time to select the level of visit reported.

See also the CMS Counseling Checklist and Provider Talking Points and Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) and Provider Q & A.

LAMMICO COVID-19 Resources

In the Members Only section of the LAMMICO website, there are some new and updated COVID-19 specific resources. Log in as a Member at lammico.com to access them.

NEW! Telehealth Documentation Tips, Strategies and Resource List: This resource provides recommended practices, tips, suggestions and a list of external resources for practices delivering telehealth services and virtual services.

NEW! Testing and Specimen Collection Coding and Reimbursement Resource: Consolidated information on the ever changing methods, coding, patient obligations and reimbursement for diagnostic and antibody testing for physicians, labs, hospitals and facilities.

UPDATED! Upcoming Dates: An at-a-glance matrix of the upcoming state and federal PHE expiration dates, payor virtual care and cost share dates,Quality Payment Program and financial relief application, and data submission deadlines.

UPDATED! Financial Relief: Current information on the federal relief programs from the CARES, PPP, PPPFA and FFCRA legislation. Information on applications, deadlines, requirements and mandated reporting is included. 

UPDATED! Telemedicine and Telehealth Matrix: Medicare, Medicaid, commercial and third-party payor policies and procedures related to telehealth and virtual care. This comprehensive matrix includes current information and links to the payor policies, coding, reimbursement, effective dates and patient cost share obligations. 

These resources are provided to you through Practice Solutions, a program created to help LAMMICO insureds mitigate their malpractice risk as well as navigate the regulatory and financial burdens on physicians and their practices. Contact Natalie B. Cohen at 504.841.2727. 

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