One of the major hurdles to the expansion of telehealth has been the Medicare “originating site” requirement. This requirement limits Medicare telehealth reimbursement to services delivered in a physician’s office or healthcare facility in a rural area, but not in a home or non-rural area. In a shift, the “Telehealth Services During Certain Emergency Periods […]
Monday, March 9, 2020 The Centers for Medicare and Medicaid Services (CMS) released several fact sheets on COVID-19 coverage and benefits, and announced a second Healthcare Common Procedure Coding System (HCPCS) code, U0002, for billing COVID-19 diagnostic tests. Medicare will accept claims with U0001 and U0002 starting on April 1, 2020, for dates of service […]
As part of emergency funding to combat the threat of the 2019 Novel Coronavirus (COVID-19), last week Congress waived many of the telehealth restrictions for Medicare services in certain situations. This monumental change could—depending on how it is implemented—radically alter how telehealth is performed in connection with the government’s most ubiquitous healthcare program. In a […]
TitleGuidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) by Hospice AgenciesMemo #QSO-20-16-HospicePosting Date2020-03-09Fiscal Year2020SummaryCMS is committed to protecting American patients by ensuring health care facilities have up-to-date information to adequately respond to COVID-19 concerns. • Coordination with the Centers for Disease Control and Prevention (CDC) and local public health departments – We […]
The U.S. Centers for Health & Human Services (CMS) has issued guidelines for protecting health care workers who operate in the home and community from COVID-19, including hospice providers. The CMS materials contain guidance for screening for and treatment of the virus in addition to when patients should be transitioned to higher acuity care. The agency recommended […]
Vice President Pence said Tuesday that a group of major health insurance companies have agreed not to charge patients copays when they get tested for coronavirus. Pence made the comments at a meeting at the White House with the CEOs of major health insurance companies aimed at encouraging people to get tested by removing cost […]
Thanks to COVID-19, we’re running low on personal protective equipment (PPE), hand sanitizers, and allegedly, in some cases, responsible oversight of government responders. Now it appears that we may run low on healthcare workers thanks to the growing number of such workers who self-quarantine. The first documented instance of community transmission of a patient in Vacaville, California, led to […]
As the COVID-19 outbreak encroaches into communities across the US, payers, providers, and vendors are using telehealth to expand access to care. By Samantha McGrail March 10, 2020 – Blue Cross Blue Shield Association (BCBSA) recently announced that its network of 36 independently owned BCBS companies will increase access to prescription drugs, enhanced telehealth, and other clinical support systems to […]
Populations most vulnerable to high out-of-pocket costs for COVID-19 testing include low-income, uninsured, underinsured, and immigrants. Source: Getty ImagesShare on Twitter By Kelsey Waddill March 09, 2020 – As the nation fights the spreading novel strain of coronavirus, payers must continue to be clear about which patients will receive coverage for their COVID-19 testing and which payers are providing […]
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C2-21-16 Baltimore, Maryland 21244-1850 Center for Clinical Standards and Quality/Quality, Safety & Oversight Group Ref: QSO-20-18-HHA DATE: March 10, 2020 TO: State Survey Agency Directors FROM: Director Quality, Safety & Oversight Group SUBJECT: Guidance for Infection Control and […]
After days of issuing updated guidance for skilled nursing operators and other Medicare providers regarding COVID-19, the U.S. Centers for Medicare & Medicaid Services (CMS) is now turning its attention to home health agencies. CMS issued home health guidance related to infection control and prevention for COVID-19 — often referred to as the coronavirus — on […]
On Thursday, the Senate approved a bill that will provide $8.3 billion in emergency funds to help mitigate the effects of COVID-19, otherwise known as the coronavirus. Apart from funding, the bill made major changes to telehealth statutes, possibly allowing home-based care providers to both rely heavier on telehealth tools and be properly reimbursed for […]
Insurance coverageIn a statement on March 6, 2020, the Board of Directors for America’s Health Insurance Plans (AHIP) announced that insurers are voluntarily covering the diagnostic testing of COVID-19 (coronavirus) when ordered by a physician. AHIP said that health insurers are taking action to ease network referral and prior authorization requirements and/or waiving patient cost-sharing. Additionally, AHIP […]
