Key Provisions Affecting Medical Groups in the “Cares” Act

“Cares” Coronavirus Aid, Relief, and Economic Security Act

On March 27, 2020, the House of Representatives passed the third stimulus bill (the “CARES” Act). Since both chambers of Congress voted to pass the bill, it now goes to President Trump’s desk to get signed into law. The CARES Act provides $2 trillion in economic stimulus and financial assistance to address the COVID-19 public health emergency and includes several provisions significant to medical groups. View the entire article.

Key Provisions Affecting Medical Groups in the “Cares” Act

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Cigna MA Coronavirus Provider Notice, Billing Guidelines, FAQ 3/26/2020

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Pandemic Fall Out 3/26/2020

On March 24th, MGMA presented a discussion with office managers in Washington State that are in the thick of COVID-19.

Their discussion could help you prepare for the fallout of pandemic on your office.  They offer possible solutions and what they have learned.

Click to view the video. 

Here is a Link to the Latest from Catalyst 3/26/2020

Follow this link.

CIGNA MA Coronavirus- Provider Notice-Billing Guidelines-FAQ 3/20/2020

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Need Sanitizer? Soap?

I received an email today from a former contact in technology. I wanted to pass his company’s offer on to anyone interested.

“Fresh and Beautiful Cosmetics, is a global company https://www.freshbeautifulcosmetics.com/ based outside of Nashville, TN. Our leadership team has a long history in healthcare and PE funded companies so we understand the challenges healthcare organizations are having at this moment for basic supplies.

We have traditionally supplied products to major cosmetic firms. In an effort to support the US Healthcare delivery system, our CEO has asked the management team to retrofit our facility to produce hand sanitizer and soap. We are currently taking orders from healthcare organizations exclusively to be sold at manufacturers pricing. We are committed to run 24X7 shifts if necessary. 

Be advised, raw materials and components are 15 – 30 days out. Healthcare organizations can secure time in our facility designated for them. We are taking orders ranging from $10K to $2M. 

Our 73,000 sq. ft. facility is located in La Vergne, TN and we would like to help. We are committed to run 24X7 shifts if necessary. It is vital for these organizations to secure spots as we are building out production time. 

We are asking all of our friends and colleagues to spread the word.  If anyone is interested, please pass them my contact info.   I will call you soon regardless.”

David Reimer – Director of Technology Innovation freshbeautifulcosmetics.com

615.619.9955 484.256.8574, cell

Molina update March 23, 2020

From Molina March 23,2020:

All MCOs:

Claims for Telephone (Audio-Only) Medical Services

Background: Providers may bill codes 99201-99205 and 99211-99215 for dates of service of March 20, 2020, through April 30, 2020, to receive Medicaid reimbursement for telephone (audio-only) medical services.

Key Details: To help ensure continuity of care during the COVID-19 (coronavirus) response, HHSC is authorizing providers to bill codes 99201-99205 and 99211-99215 for telephone (audio-only) medical (physician delivered) evaluation and management services delivered on March 20, 2020, through April 30, 2020.

Providers should continue to use the 95 modifier to indicate that remote delivery has occurred.

Telephonic evaluation and management services are not to be billed if clinical decision-making dictates a need to see the patient for an in-person or telemedicine (video) office visit within 24 hours or at the next available appointment. In those circumstances, the telephone service shall be considered a part of the subsequent office visit.

If the telephone call follows an office visit performed and reported within the past seven calendar days for the same diagnosis, then the telephone services are considered part of the previous office visit and are not separately billed.

Additional Information:

Providers can refer to the Texas Medicaid Provider Procedures Manual, Telecommunication Services Handbook for additional information about the Texas Medicaid telemedicine services benefit.

Resources: http://www.tmhp.com/Pages/Medicaid/Medicaid_Publications_

ProviderManual_Curr ent.aspx

Contact: [email protected]​[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2020/03/Molina-03232020.pdf” download=”all” viewer=”google”]

Molina, Claims for Telephone (Audio-Only) 3/23/2020

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MGMA Telehealth and Telemedicine Tool Kit March 2020

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