Telehealth: Is It Here To Stay?

The National Committee for Quality Assurance (NCQA), the Alliance for Connected Care, and the American Telemedicine Association (ATA) have assembled the Taskforce on Telehealth Policy to work together to advocate for the healthcare industries continued use of technology in patient care. Read more below!nnOverall, the Taskforce focuses on three main areas: expanding telehealth and its effect on the total cost of care, enhancing patient safety and program integrity in remote care services, and data flow, care integration, and quality measurement.nnThe Taskforce released a proposal on September 15th addressing the retention of telehealth throughout the industry. This proposal sited several areas within the healthcare industry that have seen positive influences on patient care, including skilled nursing facilities and rural areas with geographic restrictions.nnThe full report is available here, along with a webinar recording covering their findings and suggestions.nnClick here to read more from the NCQA

Colorado COVID Telehealth & Coding Update

Welter Healthcare Partners is sharing updated information regarding Colorado COVID Telehealth and coding. Read below to find out more about these new CPT codes and new deadlines for Telehealth and benefits.nnClick here for the most recent COVID-19 updates from the Colorado payers. As you can see, most of the commercial payers have extended the deadlines for Telehealth and other expanded benefits through December 31st, 2020. These deadlines are still subject to change and our team will continue to monitor the market for these updates. This update serves as the highlights for each of the payers to keep your team up to date with the notes. The links for the full updates are included on Page 3 for your reference.nnIn addition to these changes with the commercial payers, there are some new CPT codes that have been released in response to the PHE, 99702, and 86413. For quick reference, the long descriptors for these codes are:n

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  • 99072 – Additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a Public Health Emergency as defined by law, due to respiratory-transmitted infectious disease
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  • 86413 – Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative
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nThe above codes went into effect on 9/8/2020 and it is clear in the CPT assistant information that it is for use once a PHE is declared. Colorado’s PHE was declared 3/13/2020, so it meets that description.    While these new codes have been released, effective immediately, we have yet to see the payers adopt these codes and outline expected reimbursement. We suspect it will be based on the calculation of supplies (like 99070) but CMS is currently silent on this topic. You can find additional information included in the link below from AMA with the release notes for these new codes. Our team will continue to monitor the coming changes with these codes to update you accordingly.nn

Flu Season During COVID-19

Just when we thought the past 6 months of 2020 have been hard enough, we now are quickly approaching our annual flu season. According to the CDC, flu season occurs in fall and winter with recommendations for flu shots administration in September and October. Read below to find out more.nnIn the past few years, flu vaccine administration has been increasing among adults 18 and older, and with the added concern and uncertainty of COVID-19, experts are optimistic that this flu season will not only persuade patients who have been hesitant about vaccines but also encourage them to reestablish care with a primary care provider (PCP).nnWith so many national and local pharmacies administering vaccines, clinicians and private practices are being encouraged to ramp up their team for the uncertain road ahead. Start with offering immunizations to your patient populations. Begin a marketing campaign to get the word out about your vaccines. Offer vaccines to your patient’s curbside. And continue to care for patients with telehealth opportunities.nnCMS even has a Flu Vaccine Partner Toolkit that can help you and your practice prepare. Click here to read it!

Stakeholders Urge CMS to Drop Proposed ACO Quality Changes

Recently, stakeholders have come forward to urge CMS to drop their proposed ACO quality changes. Since this is a time of uncertainty and challenges, many believe these changes are significant and are concerned with mandating these changes during a pandemic. Read the article below to find out more.nnCiting concerns about mandating sweeping new reporting requirements in the middle of a pandemic, some of the nation’s largest physician and hospital associations on Wednesday asked the federal government to drop changes on how Medicare accountable care organizations are assessed for quality.nn”The ACO quality changes proposed are significant and come at a time when ACOs are continuing to deal with challenges and uncertainty caused by the COVID-19 pandemic,” the American Medical Association and nine other stakeholder groups wrote in a joint letter to Centers for Medicare & Medicaid Services Administrator Seema Verma.nn”Just as CMS has proposed to delay moving forward with the MIPS Value Pathways approach due to concerns with COVID-19, CMS should also postpone such a drastic and significant change to the way ACO quality is measured, assessed, reported and scored for purposes of both the MSSP and MIPS programs,” the letter said.nn”The proposed rule, set to take effect in 20201, mandates of how ACOs and other alternative payment models are assessed on quality in the Medicare Shared Savings Program and Merit-Based Incentive Payment System.nnThe stakeholders also complain that the delayed release of the final rule cuts into the time ACOs and other APMs would have to implement the changes.nnSpecifically, the stakeholders urged Verma to reconsider:n

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  • Ending the use of the Web Interface reporting mechanism, which has been used since the MSSP’s inception.
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  • Removing the pay-for-reporting year currently provided to ACOs beginning an initial MSSP contract as well as individual measures that are newly introduced to the measure set.
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  • Changes to the quality measure set ACOs must report under the APM Performance Pathway.
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  • Replacing the existing MIPS APM Scoring Standard, which the stakeholders claim “allows each APM to have its own set of unique quality measures and scoring approaches that best fit the particular model.”
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nThe letter was signed by the AMA, American College of Physicians, America’s Essential Hospitals, America’s Physician Groups, AMGA, Association of American Medical Colleges, Federation of American Hospitals, Medical Group Management Association, National Association of ACOs, and Premier.nnOriginal article published on healthleadersmedia.com

September is International Update Your Resumé Month

It is always a good idea to update your resume, so why not take the initiative now since September is international update your resumé month. Read below for more!nnOne of my favorite things to wake up to in the morning is our local newscasters telling us what is today’s “Nation Day of”. As a connoisseur of mac n’ cheese, and French fries, I especially like to keep an eye on when these days are coming up so that indulgence is less guilt-ridden. In addition to these seemingly underappreciated days, we all know of some of the greater know awareness months out there like breast cancer in October and Heart disease in February. But with so many worthy causes, each month is stacked with a plethora to choose from. Here is one I bet you were not aware of.nnSo be sure to mark your calendars moving forward and use September to reflect on your accomplishments over the previous year and update your resume to include all of your achievements!nnFor more information on updating your resumé, click here!

AMA Introduces New COVID-19 CPT Codes

The AMA has released new COVID-19 CPT codes that healthcare providers can use as a response to additional expenses. Read below for more information on the CPT codes and what each code entails.nnThe American Medical Association (AMA) on September 8 published two new CPT codes for novel coronavirus (COVID-19)-related services, including one that accounts for additional supplies and clinical staff time used to mitigate spread of the virus.nnHealthcare providers can now use CPT code 99072 (additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service[s], when performed during a public health emergency as defined by law, due to respiratory-transmitted infectious disease) to describe the additional supplies and staff time required to support safe in-person interactions with patients during the COVID-19 public health emergency (PHE).nnThis new code was established in response to the significant, additional practice expenses related to activities required to safely provide medical services to patients during the PHE, according to the AMA.nnAs explained in a special edition of CPT® Assistant, providers should use code 99072 only when safety measures are over and above those usually included during an office visit or service. Notably, the new code may only be reported for services rendered in the non-facility place of service settings.nnThe AMA also released a new laboratory testing code 86413 (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] [COVID-19] antibody, quantitative) for laboratory testing that provides quantitative measurements of SARS-CoV-2 antibodies.nnOther laboratory testing codes for COVID-19 describe qualitative assessments (positive/negative) of SAR-CoV-2 antibodies.nnBoth new codes went into effect immediately and remain effective until end of the COVID-19 PHE.nnHealthcare professionals can find additional information, including clinical examples for the appropriate use of the new codes, in the accompanying CPT Assistant.nnOriginal article published on healthleadersmedia.com