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UnitedHealthCare Resourses to Aid Claim Submissions and Processing 04272020
To help you manage the claim submission and reimbursement process with UnitedHealthcare, as well as access the CARES ACT funding available to health care professionals, here’s a summary of resources to address your most common questions and concerns. Use this link to view the list.
| CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program |
| From MLN Matters – Special Edition- On April 26, the Centers for Medicare & Medicaid Services (CMS) announced that it is reevaluating the amounts that will be paid under its Accelerated Payment Program and suspending its Advance Payment Program to Part B suppliers effective immediately. The agency made this announcement following the successful payment of over $100 billion to health care providers and suppliers through these programs and in light of the $175 billion recently appropriated for health care provider relief payments |
Get your telecommunication cost covered though out the pandemic.
See information provided by CMS IP Technologies regarding –
The COVID-19 Telehealth Program
The Program will provide immediate support to eligible health care providers responding to the COVID-19 pandemic by fully funding their telecommunications services, information services, and devices necessary to provide critical connected care services until the program’s funds have been expended or the COVID-19 pandemic has ended.
Telehealth Chart from TMA
TMA has a great chart to help answer your telehealth questions. Here is the link…https://www.texmed.org/uploadedFiles/Current/2016_Practice_Help/Health_Information_Technology/Telemedicine/Telemedicine%20Quick%20Reference%20Chart%20for%20Payers.pdf
Elective Surgeries?
Texas Medical Board Press Release
FOR IMMEDIATE RELEASE
April 21, 2020
Media contact: Jarrett Schneider, 512-305-7018
Customer service: 512-305-7030 or 800-248-4062
TMB Adopts Emergency Rule to Enforce Gov. Abbott’s Executive Order GA-15
Following Governor Greg Abbott’s issuance of Executive Order GA-15, the Texas Medical Board’s Executive Committee today adopted rules on an emergency basis to enforce the Governor’s Executive Order which continues the postponement of certain surgeries and procedures as outlined in the order.
The adopted rule amends 22 TAC Chapter 190.8 Violation Guidelines, and adds to the definition of “Unprofessional and Dishonorable Conduct” under 22 TAC §190.8(2)(U). The adopted emergency rule goes into effect later today at 11:59 p.m. when GA-15 goes into effect.
The rule adds to the definition to include the following:
(U) a violation of Texas Executive Order GA-15, issued April 17, 2020, which states: “All licensed health care professionals and all licensed health care facilities shall postpone all surgeries and procedures that are not medically necessary to diagnose or correct a serious medical condition of, or to preserve the life of, a patient who without timely performance of the surgery or procedure would be at risk for serious adverse medical consequences or death, as determined by the patient’s physician; provided, however, that this prohibition shall not apply to either of the following:
(i) any procedure that, if performed in accordance with the commonly accepted standard of clinical practice, would not deplete the hospital capacity or the personal protective equipment needed to cope with the COVID-19 disaster; or
(ii) any surgery or procedure performed in a licensed health care facility that has certified in writing to the Texas Health and Human Services Commission both:
(1) that it will reserve at least 25% of its hospital capacity for treatment of COVID-19 patients, accounting for the range of clinical severity of COVID-l9 patients; and
(2) that it will not request any personal protective equipment from any public source, whether federal, state, or local, for the duration of the COVID-19 disaster.”
The Executive Committee also withdrew emergency rules related to Executive Order GA-09 effective today at 11:59 p.m.
The Board has published updated FAQs on the TMB website at www.tmb.state.tx.us/page/coronavirus.
For the latest COVID-19 information for health providers and the public, visit the Department of State Health Services (DSHS) COVID-19 web page at dshs.texas.gov/coronavirus/.
APRIL 22,2020 UPDATE FROM TMA : Please see link for further clarification provided by TMA. https://www.texmed.org/uploadedFiles/Current/2016_Public_Health/Infectious_Diseases/Emergency%20rule%20guidance%20-%203.25%20Update.pdf
TMA Toolkit for COVID-19
TMA offers help with Payer’s COVID-19 Policies. This is open to all Texas physicians now. To View
HHS CARES Act Portal News
From MGMA – April 16, 2020
Regulatory alert: HHS CARES Act grant funding Attestation Portal now open
The Attestation Portal for the initial $30 billion general distribution from the Department of Health & Human Services (HHS) is now open. Providers that received a payment from HHS as part of the Provider Relief Fund authorized under the CARES Act must sign an attestation confirming receipt of the funds and agreeing to the terms and conditions within 30 days of receiving payment.
To complete the attestation, billing entities must provide their Taxpayer Identification Number. Should you choose to reject the funds, you must also complete the attestation to indicate this. The Portal will guide you through the attestation process to accept or reject the funds.
Group practices with questions about the grant funds can call the Provider Relief hotline at (866) 569-3522. Please note that the terms and conditions are subject to further clarification by HHS, and MGMA will pass along any additional guidance if it is made available.
Need Telehealth Interpretation services?
Found this today and thought it might be helpful to someone
From MGMA Community:
Subject: Telehealth Resources
Hi everyone, we use Bluestream health for our interpretation services. In light of the current situation around COVID-19 they have released a free, HIPAA compliant telehealth portal for anyone to use, no cost or contracts. I am not trying to market anything but sharing resources. I shared this with our local community and they recommended I share it here in case anyone needs it.
The link is here www.bluestreamhealth.com/rapid-response/…
Sorry if I violated any rules, I am not affiliated with this company at all just sharing good info.
Good luck to everyone!
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Daman Kaur
Frederick Foot and Ankle
Frederick MD
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Cigna Medicare PCP Newsletter April 2020
Attached is the PCP E-Newsletter for the month of April. Topics this month include:
- Patient Assistance Programs
- World Immunization Week
- 2020 Formulary QRG
- CAHPS Corner
- Valuable Insights: News You Can Use
How do you protect your staff?
Do you require your patients to wear masks? See how another office is approaching these questions. View Link.
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