Today, October 5, begins Phase 3 of the Coronavirus Aid, Relief and Economic Security (CARES) Act, with an additional $20 billion in Provider Relief Funds becoming available. These funds are reserved for providers who have diagnosed, tested, or cared for actual or possible COVID-19 patients on or after January 31, 2020. For the purpose of this program, HHS broadly views every patient as a possible case of COVID-19 for purposes of eligibility. Payment must be used to prevent, prepare for, and respond to coronavirus, and reimburse expenses or lost revenues attributable to coronavirus.

We urge practices to apply for this funding as soon as possible.

The application portal will be open from Octobe...

CMS has recently announced updates to its reimbursement strategy to further accomodate physicians who are providing remote care due to the coronavirus outbreak. A broad range of clinicians, including physicians, can now provide certain services bytelephone to their patients. These changes are retroactive to services provided since March 1.

According to CMS' published guidelines:

Medicare payment for the telephone evaluation and management visits (CPT codes99441-99443) is equivalent to the Medicare payment for office/outpatient visits with established patients effective March 1, 2020.

When clinicians are furnishing an evaluation and management (E/M) service that wouldotherwise be reported as an ...

In our continuing effort to simplify the information being distributed by top insurers during this pandemic regarding their current adjusted billing rules, we are providing this summary. It contains information taken directly from each insurer’s website, augmented by our telephone conversations with representatives of the various companies. Additionally, for further clarity we are providing links to the most complete explanations each payer has distributed to date. We have highlighted certain points in bold to facilitate your ability to quickly review the information. We must caution this is a guide based on the most current information available to us.

Please reach out to us if you are...