Insights2020 COVID-19 Ep. 3
•Download as PPTX, PDF•
0 likes•81 views
The document provides updates on CMS policies and funding related to COVID-19. Key points include: CMS approving more Medicaid waivers for states; extending the MIPS submission deadline to April 30th and applying an automatic extreme circumstances policy; boosting Medicare Advantage and Part D rates; covering costs for uninsured COVID-19 patients using relief funds; allowing off-site screening and expanded hospital locations; increasing telehealth coverage; and providing information on Paycheck Protection and Economic Injury Disaster Loans for small businesses.
Recommended
Recommended
More Related Content
What's hot
What's hot (20)
Similar to Insights2020 COVID-19 Ep. 3
Similar to Insights2020 COVID-19 Ep. 3 (20)
More from Ben Quirk
More from Ben Quirk (20)
Recently uploaded
Recently uploaded (20)
Insights2020 COVID-19 Ep. 3
- 3. Medicaid Waivers *www.Medicaid.gov CMS approved more state Medicaid waiver requests under Section 1135 of the Social Security Act (Act), bringing the total number of approved Section 1135 waivers for states to 45.*
- 4. MIPS Extreme and Uncontrollable Circumstances Policy Submission deadline has been extended to April 30 If you do not submit by then, an automatic extreme and uncontrollable circumstances policy will be applied, and you will receive a neutral payment adjustment. It is still better to report and receive your highest payment
- 5. CMS Boosts Medicare Advantage and Part D Rate *www.Medicaid.gov https://www.cms.gov/newsroom/fact-sheets/2020- medicare-advantage-and-part-d-rate-announcement-and- final-call-letter-fact-sheet
- 6. Medicare Coverage for the Uninsured Costs for uninsured care are rapidly rising with the COVID-19 pandemic. Layoffs causing loss of coverage are intensifying the situation. The government is looking for ways to prevent barriers to care for the uninsured. $100 billion hospital and provider relief fund will be used to cover hospitals’ Medicare reimbursements. Hospitals may not balance bill. More money may go toward states with the most uninsured populations. Hospitals will be paid after care is administered and at Medicare, not commercial, rates..
- 7. Hospitals Flexibility With COVID-19 *www.Medicaid.gov Will apply during the time of the government’s emergency declaration Off-site patient screening Patients Over Paperwork Expansion Sites Critical Access Length of Stay requirements and rural location limits waived Etc. https://www.cms.gov/files/document/covid- hospitals.pdf
- 8. “Hospitals without walls” To increase hospital capacity, outside facilities are now allowed to receive transferred hospital patients and receive hospital Medicare payments: • Inpatient rehabilitation hospitals • Hotels • Dormitories Ambulatory Surgery Centers (ASCs) can contract with healthcare systems to provide hospital services and be billed as hospitals. Ambulances can transport patients to: • Community mental health centers • Federally Qualified Health Centers (FQHCs) • Physicians’ offices, • Urgent care facilities, • ASCs • Any locations furnishing dialysis services when an ESRD facility is not available. https://www.ascassociation.org/resourcecenter/latestnewsr esourcecenter/covid-19-cms-fed-emergency-rules-q-and-a
- 9. Telehealth: Emerging as a great way to ensure steady revenue stream • CMS will now pay for more than 80 additional telehealth services • Patients feel more comfortable when they can actually see their physicians • New billing codes and guidelines have been enacted : https://www.cms.gov/Medicare/Medicare- General-Information/Telehealth/Telehealth- Codes
- 10. Paycheck Protection Loan Economic Injury Disaster Loan
- 11. • Open to all small businesses with 500 or fewer employees • Retroactive to February 15 and runs through June 30 • Processing began April 3 • Will cover 2.5 times average monthly payroll up to $10 million • Loans can be forgiven if used for payroll, or mortgage interest, rent, and utility costs for the eight weeks after loan is made, as long as there are no layoffs or pay reductions. (At least 75% must be used for payroll.) https://www.sba.gov/funding-programs/loans/coronavirus-relief- options/paycheck-protection-program-ppp#section-header-3 Paycheck Protection Loan Meant to Keep Employees Employed
- 12. Economic Injury Disaster Loan • Loans up to $2M with 30-year repayment terms • No prepayment penalties • Available in all 50 states • Time-in-business requirement is waived (as long as business was in operation January 30, 2020) • Also available is a grant that makes it possible for any business meeting the minimum requirements to apply and receive $10,000 almost immediately (three days is the goal) • Must be used to pay fixed debts, payroll, accounts payable and other bills that could have been paid if not for the pandemic • Cannot be used for expansion, to pay down long-tern debt, or to consolidate debt https://www.sba.gov/funding-programs/loans/coronavirus-relief- options/economic-injury-disaster-loan-emergency-advance
- 13. Advance/ Accelerated Medicare Payments CMS recently announced Advance/Accelerated payments for Part A providers. Providers or suppliers must: • Have billed Medicare for claims within 180 days immediately prior to the date of signature on the provider's/supplier's request form • Not be in bankruptcy • Not be under active medical review or program integrity investigation • Not have any outstanding delinquent Medicare overpayments Our team of experts can assist in two ways: If you are comfortable with completing the application and submission on your own, we will provide written instructions for the entire process. This is a free service. We can take care of the entire process for you. This includes: Determining the best 90-day window Collecting all the data Helping you fill out the application Sending the application in These services will be billed on an hourly basis.
- 14. CareOptimize COVID-19 Template & Report As the number of COVID-19 cases rises, monitoring and reporting of patients remain two challenging areas. CareOptimize has developed two utilities to help: 1) A report showing all high-risk patients in your organization who should be considered for additional screening or other preventative measures. 2) A template for logging in data on patents who test positive. This template also allows streamlining notifications on those patients to the CDC, state health agency, and/or local health department.