The COVID-19 pandemic has impacted nearly every facet of our lives in recent months. We've all had to adapt to a new normal of social distancing measures and lockdown orders. Health insurance companies have not been immune to these changes and they too have had no choice but to evolve in this rapidly changing world. As restrictions are relaxed and practices return to business (though perhaps not business as usual), it is important for healthcare providers to be aware of how health insurance companies have been affected by this unprecedented event.

In recent months, the use of telemedicine options has gone from being seen as a luxury to an indispensable necessity. With the nationwide (and global) spread of COVID-19, and the resulting social distancing measures and state-mandated lockdowns, many healthcare providers across the country found themselves scrambling to implement telemedicine so they could continue to deliver care while minimizing viral exposure. However, it is important to recognize that the need for telehealth will not end with the fall of COVID-19.

In response to the COVID-19 outbreak, the majority of our country’s medical resources needed to be consolidated and redirected to treat the sudden flood of infected patients. In order to open up beds for overwhelmed facilities and minimize adding to the spread of infection, elective surgeries and procedures have been placed on hold for specialty practices for months. However, as certain states begin the process of reopening and lockdown restrictions are eased, many specialty practices will soon be resuming elective surgeries. In order to aid our readers in this effort, we are providing this blog to offer helpful tips on how to do so safely and responsibly.

For years, one of the biggest complaints that providers have had about the Promoting Interoperability program has been that they are unable to obtain direct messaging addresses for their coordinating providers. When I speak with practices, the number one reason I hear for why their Support Electronic Referral Loops by Sending Health Information and Support Electronic Referral Loops by Receiving and Incorporating Health Information measures are scoring low is that they cannot get others to exchange CCDAs with them because of this difficulty. CMS has heard this complaint but is still requiring that providers electronically exchange care coordination information. These two measures combined are worth 40% of a clinician or group’s total Promoting Interoperability score.

IMPORTANT NOTICE: As of April 26, 2020, CMS has suspended the Advanced Payment Program, effective immediately, and is reevaluating the Accelerated Payment Program. CMS Press Release on Program Suspension The current COVID-19 pandemic has impacted specialty practices across the country and around the world, resulting in low patient volumes and decreased revenues. As part of the CARES Act, the Centers for Medicare & Medicaid Services (CMS) authorized relief to providers in the form of Advanced Medicare Payments. However, it is important for providers to note that this Advance Payment Program is an interest free loan, not a grant.

The recent HIPAA Waiver that was included in the Coronavirus Preparedness and Response Supplemental Appropriations Act passed on March 15, 2020 has caused a bit of confusion among some in the healthcare community. Does this mean HIPAA rules do not apply for the duration of the COVID-19 pandemic? Are the rules for safeguarding PHI also suspended during this period? In this blog, we are going to offer our readers a closer look at the current state of HIPAA and PHI safeguards during the COVID-19 pandemic so everyone can stay secure and compliant.

The COVID-19 pandemic, it is pretty safe to say, has most of us feeling a little on edge right now. Those in the healthcare industry are being taxed especially hard, from trying to adjust to increased telehealth visits to caring for emergency patients. However, it is important to take the time to understand the need for self-care by learning to understand stress and anxiety as well as how to properly manage it and cope effectively. To assist our readers in finding healthy ways to process their feelings during the COVID-19 crisis, this blog will offer tips on dealing with stress and anxiety.

On March 30, 2020, the Centers for Medicare & Medicaid Services (CMS) announced the implementation of sweeping temporary regulatory changes that are intended to better equip the American healthcare system for dealing with the current COVID-19 pandemic. As the number of patients presenting to hospitals continues to surge, these new rules and waivers of preexisting federal requirements are designed to make sure hospitals and healthcare organizations have the capacity they need to adequately respond.