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Payment Expanded for Telehealth Services
The Centers for Medicare & Medicaid Services (CMS) has expanded the list of telehealth services that Medicare Fee-For-Service will pay for during the coronavirus disease 2019 (COVID-19) public health emergency. CMS is also providing additional support to state Medicaid and Children’s Health Insurance Program agencies in their efforts to expand access to telehealth. Medicare will begin paying eligible practitioners who furnish these newly added telehealth services effective immediately, and for the duration of the public health emergency. These new telehealth services include certain neurostimulator analysis and programming services, and cardiac and pulmonary rehabilitation services.
Web link    Date Added: 10/14/2020    Date Last Modified: Oct 14 2020 5:31PM  
CMS Releases Quick-Start Guide to Streamline Certification for Labs Testing for COVID-19
The Centers for Medicare & Medicaid Services (CMS) states every facility that conducts COVID-19 testing is considered a laboratory and must be certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA). View this quick-start guide to learn how your facility can apply to be CLIA certified.
Adobe PDF    Date Added: 10/09/2020    Date Last Modified: Oct 9 2020 5:44PM  
CMS Offers Comprehensive Support for Louisiana and Texas with Hurricane Laura
The Centers for Medicare & Medicaid Services (CMS) has announced efforts to support Louisiana and Texas in response to Hurricane Laura. Read this news release to learn more about the waivers available for health care providers in Louisiana and Texas affected by Hurricane Laura. This news release also lists more information about care for patients needing dialysis treatment, access to medical equipment and supplies and special enrollment for certain Medicare beneficiaries and individuals.
Web link    Date Added: 08/31/2020    Date Last Modified: Aug 31 2020 11:47AM  
CMS Interim Final Rule Updating Requirements for Reporting of SARS-CoV-2 Test Results
Read this interim final rule, CMS-3401-IFC, from the Centers for Medicare & Medicaid Services (CMS), that lists updated requirements for laboratories reporting SARS-CoV-2 test results and regulatory revisions in response to the COVID-19 public health emergency, including fines for nursing homes that fail to report COVID-19 data to the Centers for Disease Control and Prevention's National Healthcare Safety Network.
Adobe PDF    Date Added: 08/26/2020    Date Last Modified: Aug 26 2020 6:22PM  
CMS Unveils New Payment Model for Rural Health Care Providers
The Centers for Medicare & Medicaid Services (CMS) has announced new funding opportunities for rural health care providers associated with the Community Health Access and Rural Transformation Model.
Web link    Date Added: 08/11/2020    Date Last Modified: Aug 11 2020 6:51PM  
COVID-19: Coverage of Physician Telehealth Services Provided to SNF Residents
The current COVID-19 Public Health Emergency does not waive any requirements related to Skilled Nursing Facility (SNF) Consolidated Billing (CB); however, the Centers for Medicare & Medicaid Services added CPT codes 99441, 99442, and 99443, to the list of telehealth codes that are covered under the waiver during the COVID-19 Public Health Emergency. These codes designate three different time increments of telephone evaluation and management service provided by a physician. You can bill for these physician services separately under Part B when furnished to a SNF’s Part A resident.
Web link    Date Added: 08/02/2020    Date Last Modified: Jul 31 2020 5:28PM  
Provider Reimbursement Available for Counseling Patients to Self-Isolate at Time of COVID-19 Testing
On July 30, the Centers for Medicare & Medicaid Services and the Centers for Disease Control and Prevention announced that payment is available to physicians and health care providers to counsel patients, at the time of Coronavirus Disease 2019 (COVID-19) testing, and about the importance of self-isolation after they are tested and prior to the onset of symptoms.
Web link    Date Added: 07/31/2020    Date Last Modified: Jul 31 2020 12:33PM  
Preliminary Medicare COVID-19 Data Snapshot
The Centers for Medicare & Medicaid Services has released preliminary data on the impact of COVID-19 on the Medicare population. This data was derived from claims between Jan. 1 and May 16, 2020.
Web link    Date Added: 06/25/2020    Date Last Modified: Jun 25 2020 5:51PM  
New Data Details COVID-19 Impacts on Medicare Beneficiaries
Read this news release from the Centers for Medicare & Medicaid Services that gives more information about the total number of reported novel coronavirus 2019 (COVID-19) cases and hospitalizations among Medicare beneficiaries between Jan. 1 and May 16, 2020.
Web link    Date Added: 06/22/2020    Date Last Modified: Jun 22 2020 10:18PM  
Adjusting Operations to Manage Patient Surge due to COVID-19
View this Centers for Medicare & Medicaid Services webpage for resources to assist with managing patient surge due to COVID-19.
Web link    Date Added: 05/28/2020    Date Last Modified: May 28 2020 6:23PM  
Medicare Administrative Contractor COVID-19 Test Pricing
The Centers for Medicare & Medicaid Services has updated guidance to include payment details for additional CPT codes created by the American Medical Association.
Web link    Date Added: 05/24/2020    Date Last Modified: May 22 2020 3:51PM  
Medicare Coverage and Payment of Virtual Services Video
Watch this 24-minute video from the Centers for Medicare & Medicaid Services that provides updated answers to common questions about the expanded Medicare telehealth services benefit during the COVID-19 public health emergency.
Web link    Date Added: 05/11/2020    Date Last Modified: Jun 3 2020 6:04PM  
Medicare Shared Savings Program: CMS Flexibilities to Fight COVID-19
View this fact sheet for information on Centers for Medicare & Medicaid Services' (CMS) flexibilities to fight COVID-19.
Adobe PDF    Date Added: 05/08/2020    Date Last Modified: May 7 2020 8:02PM  
Medicare Advantage and Part D Plans: CMS Flexibilities to Fight COVID-19
View this fact sheet for information on the Centers for Medicare & Medicaid Services' (CMS) flexibilities to fight COVID-19.
Adobe PDF    Date Added: 05/08/2020    Date Last Modified: May 7 2020 7:59PM  
Rural Health Clinics and Federally Qualified Health Centers: CMS Flexibilities to Fight COVID-19
View this fact sheet for more information about flexibilities the Centers for Medicare & Medicaid Services has afforded to rural health clinics and federally qualified health centers in response to the COVID-19 pandemic.
Adobe PDF    Date Added: 05/08/2020    Date Last Modified: May 7 2020 7:28PM  
Physicians and Other Clinicians: CMS Flexibilities to Fight COVID-19
Read this Centers for Medicare & Medicaid Services (CMS) fact sheet to learn more about the flexibilities afforded to clinicians to use telehealth visits with Medicare beneficiaries during the COVID-19 pandemic.
Adobe PDF    Date Added: 05/08/2020    Date Last Modified: May 7 2020 6:58PM  
COVID-19 Frequently Asked Questions on Medicare Fee-for-Service Billing
Several changes in the interim final rule with comment period allow additional Medicare payment. The Centers for Medicare & Medicaid Services (CMS) has issued FAQs addressing Medicare fee-for-service billing issues.
Adobe PDF    Date Added: 05/07/2020    Date Last Modified: May 7 2020 8:09PM  
CMS Implementation Guide for Quality Reporting Document Architecture Category III
This update from the Centers for Medicare & Medicaid Services (CMS) provides information on a new COVID-19 Clinical Trials Improvement Activity for eligible clinicians for the Quality Payment Program Merit-Based Incentive Payment System (MIPS) 2020 performance period.
Adobe PDF    Date Added: 05/01/2020    Date Last Modified: May 1 2020 3:12PM  
CMS Letter to Clinicians Regarding Clinical Trials During the COVID-19 Pandemic
Read this letter from the Centers for Medicare & Medicaid Services to learn about the COVID-19 Clinical Trials Improvement Activity to the Quality Payment Program.
Adobe PDF    Date Added: 04/29/2020    Date Last Modified: Apr 29 2020 11:49PM  
CMS Coronavirus COVID-19 Recorded Stakeholder Calls Podcast and Transcripts
This page holds all Partner Relations Group Podcasts, transcripts and audio recordings. The Centers for Medicare & Medicaid Services (CMS) makes open door forums and other presentations available as audio podcasts.
Web link    Date Added: 04/21/2020    Date Last Modified: Apr 22 2020 11:06PM  
Quality Payment Program - COVID-19 Response (Updated 4/20/2020)
The Centers for Medicare & Medicaid Services (CMS) is implementing multiple flexibilities for the Quality Payment Program program in response to the 2019 Novel Coronavirus (COVID-19) pandemic.
Adobe PDF    Date Added: 04/21/2020    Date Last Modified: Apr 22 2020 10:06PM  
ClinicalTrials.gov
This database provides information on privately and publicly funded clinical studies currently being conducted on coronavirus.
Web link    Date Added: 04/21/2020    Date Last Modified: Apr 22 2020 9:58PM  
COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
CMS Releases Additional Blanket Waivers for Long-Term Care Hospitals, Rural Health Clinics, Federally Qualified Health Centers and Intermediate Care Facilities.
Adobe PDF    Date Added: 04/19/2020    Date Last Modified: May 5 2020 9:50AM  
CMS' April 14, 2020, Office Hours on COVID-19
Listen to this webinar from the Centers for Medicare & Medicaid Services (CMS) as they answer questions during office hours on April 14, 2020.
Audio    Date Added: 04/13/2020    Date Last Modified: Apr 29 2020 7:43AM  
CMS News: Expanded Coverage for Essential Services Amid COVID-19 Public Health Emergency
See these April 11, 2020, FAQs regarding implementation of the Families First Coronavirus Response Act (the FFCRA), the Coronavirus Aid, Relief, and Economic Security Act (the CARES Act), and other health coverage issues related to Coronavirus disease 2019 (COVID-19).
Adobe PDF    Date Added: 04/13/2020    Date Last Modified: Apr 28 2020 12:46PM  
The Official White House Response to COVID-19
Keep up with the important work the Task Force is doing in response to COVID-19.
Web link    Date Added: 04/13/2020    Date Last Modified: Apr 28 2020 1:36PM  
Updated: CMS Issues New Wave of Infection Control Guidance Based on CDC Guidelines to Protect Patients and Health Care Workers from COVID-19
The Centers for Medicare & Medicaid Services' (CMS) official website has the latest resources related to COVID-19. It is updated regularly with clinical and technical announcements for providers and facilities, as well as guidance on billing and codes, coverage, provider enrollment and more.
Web link    Date Added: 04/10/2020    Date Last Modified: Apr 30 2020 8:17AM  
COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
CMS announced the following blanket waivers are in effect, with a retroactive effective date of March 1, 2020, through the end of the emergency declaration.
Adobe PDF    Date Added: 04/10/2020    Date Last Modified: Apr 30 2020 7:16AM  
COVID-19 Interim Final Rule FAQs
Here are CMS' frequently asked questions (FAQs) on Medicare Fee-for-Service (FFS) billing during COVID-19.
Adobe PDF    Date Added: 04/10/2020    Date Last Modified: Apr 29 2020 11:51AM  
New CMS COVID-19 Contact Info
Email your COVID-19 questions to the Centers for Medicare & Medicaid Services (CMS) at Covid-19@cms.hhs.gov.
Web link    Date Added: 04/10/2020    Date Last Modified: Jun 1 2020 10:12AM  
CMS' April 9, 2020, Office Hours on COVID-19
Listen to this webinar from the Centers for Medicare & Medicaid Services (CMS) as they answer questions during office hours on April 9, 2020.
Audio    Date Added: 04/08/2020    Date Last Modified: Apr 30 2020 8:35AM  
NEW CMS Fact Sheet: Expansion of the Accelerated and Advance Payments Program for Providers and Suppliers During COVID-19 Emergency
The Centers for Medicare & Medicaid Services (CMS) has expanded its current Accelerated and Advance Payment Program to a broader group of Medicare Part A providers and Part B suppliers for the duration of the public health emergency
Adobe PDF    Date Added: 04/08/2020    Date Last Modified: Apr 30 2020 8:24AM  
CMS Medicare Learning Network (MLN) COVID-19 Update Call: April 7, 2020
On April 7, 2020, the Centers for Medicare & Medicaid Services (CMS) experts provided updates on recent actions taken to address the COVID-19 public health emergency.
Adobe PDF    Date Added: 04/07/2020    Date Last Modified: Apr 30 2020 8:53AM  
CMS Teleconference: Lessons from the Front Lines -- COVID-19
On April 3, 2020, CMS Administrator Seema Verma, Deborah Birx, MD, White House Coronavirus Task Force, and officials from the FDA, CDC, and FEMA participated in a call on COVID-19 flexibilities.
Audio    Date Added: 04/07/2020    Date Last Modified: Apr 30 2020 8:59AM  
Medicare Advantage and Part D Plans: CMS Flexibilities to Fight COVID-19
Here is a list of CMS changes due to COVID-19.
Adobe PDF    Date Added: 04/06/2020    Date Last Modified: May 5 2020 1:43PM  
March 27, 2020, CMS Guidance Memo: Quality Reporting and Value-based Purchasing Programs
Read about exceptions and extensions for Quality reporting requirements for acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care (LTC) hospitals, ambulatory surgical centers (ASC), renal dialysis facilities, and MIPS-eligible clinicians affected by COVID-19.
Adobe PDF    Date Added: 04/06/2020    Date Last Modified: May 5 2020 12:43PM  
CMS News Room
Read the latest actions the Centers for Medicare & Medicaid Services (CMS) has taken in response to coronavirus disease 2019 (COVID-19).
Web link    Date Added: 04/06/2020    Date Last Modified: May 5 2020 9:36AM  
Physicians and Other Clinicians: CMS Flexibilities to Fight COVID-19
CMS announced that clinicians can now provide more services to beneficiaries via telehealth so that clinicians can take care of their patients while mitigating the risk of the spread of the virus.
Adobe PDF    Date Added: 04/06/2020    Date Last Modified: May 5 2020 9:33AM  
Medicare Coverage and Payment of Virtual Services
This CMS Medicare Learning Network (MLN) video provides answers to common questions about the Medicare telehealth services benefit.
Video    Date Added: 04/06/2020    Date Last Modified: May 5 2020 9:15AM  
COVID-19 Updated Long-Term Care Facility Guidance
The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) are issuing new recommendations to state and local governments and long-term care facilities (also known as nursing homes) to help mitigate the spread of the 2019 Novel Coronavirus (COVID-19).
Adobe PDF    Date Added: 04/03/2020    Date Last Modified: May 6 2020 8:55AM  
Coronavirus Emergency Management Best Practices
The Federal Emergency Management Agency (FEMA) compiled the best practices and lessons learned that communities have already faced fighting COVID-19
Web link    Date Added: 04/03/2020    Date Last Modified: May 6 2020 8:52AM  
COVID-19 Checklists and Tools to Accelerate Relief for State Medicaid & CHIP Programs
The Centers for Medicare & Medicaid Services (CMS) released new tools to help speed states’ access to emergency flexibilities and resources.
Web link    Date Added: 04/03/2020    Date Last Modified: May 5 2020 2:33PM  
How to Apply for Section 1135 Waivers
CMS provides guidance to states on how to apply for Section 1135 waivers through the Medicaid Disaster Response Tool Kit.
Web link    Date Added: 04/03/2020    Date Last Modified: May 5 2020 2:02PM  
New COVID-19 Coding Guidelines
Ensemble Health Partners provides the latest coding updates due to COVID-19.
Adobe PDF    Date Added: 04/02/2020    Date Last Modified: May 11 2020 11:11AM  
CMS News: Covered Telehealth Services for COVID-19
Here is the Centers for Medicare & Medicaid Services' (CMS) list of services payable under the Medicare Physician Fee Schedule when furnished via telehealt
Web link    Date Added: 03/31/2020    Date Last Modified: May 20 2020 8:18AM  
CMS News: Coronavirus Waivers and Flexibilities
Here is a list of CMS' new 1135 waivers to respond to COVID-19.
Web link    Date Added: 03/31/2020    Date Last Modified: May 20 2020 8:07AM  
March 30, 2020: Sweeping Regulatory Changes Help U.S. Health Care System Address COVID-19 Patient Surge
The Centers for Medicare & Medicaid Services (CMS) announced changes that allow hospitals and health systems to deliver services at other locations to make room for COVID-19 patients needing acute care in their main facility. CMS’s announcement also waives certain requirements to enable and encourage hospitals to hire local physicians and other providers to address potential surges. New rules allow hospitals to support physician practices by transferring critical equipment, including items used for telehealth, as well as providing meals and childcare for their health care workers.
Web link    Date Added: 03/30/2020    Date Last Modified: May 20 2020 8:00AM  
CMS Fact Sheet: Expansion of the Accelerated and Advance Payments Program for Providers and Suppliers During COVID-19 Emergency
In order to increase cash flow to providers of services and suppliers impacted by the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) has expanded its current Accelerated and Advance Payment Program to a broader group of Medicare Part A providers and Part B suppliers.
Adobe PDF    Date Added: 03/30/2020    Date Last Modified: May 20 2020 8:26AM  
Telehealth Benefits in Medicare Are a Lifeline for Patients During Coronavirus Outbreak
The Centers for Medicare & Medicaid Services (CMS) issued a fact sheet with additional guidance for health care providers and patients about the telehealth benefits in the agency’s Medicare program.
Web link    Date Added: 03/27/2020    Date Last Modified: May 20 2020 9:23AM  
Medicare and Coronavirus
According to the Centers for Disease Control and Prevention (CDC), most people with Medicare are at higher risk for COVID-19. Here are Medicare's latest resources to keep you up to date.
Web link    Date Added: 03/27/2020    Date Last Modified: May 20 2020 9:11AM  
CMS News Alert: March 26, 2020
Here is a summary of recent Centers for Medicare & Medicaid Services (CMS) actions taken in response to COVID-19.
Web link    Date Added: 03/26/2020    Date Last Modified: May 20 2020 10:13AM  
CMS Memo #QSO-20-20-All: Prioritization of Survey Activities
CMS prioritized and suspended certain federal and SSA surveys, and delayed revisit surveys, for three weeks beginning March 23, 2020.
Adobe PDF    Date Added: 03/26/2020    Date Last Modified: May 20 2020 10:10AM  
CMS Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak
On March 17, 2020, CMS expanded Medicare telehealth coverage that enables beneficiaries to receive a wider range of health care services from their doctors without having to travel to a health care facility.
Web link    Date Added: 03/26/2020    Date Last Modified: May 20 2020 10:06AM  
General Provider Telehealth and Telemedicine Tool Kit
The Centers for Medicare & Medicaid Services (CMS) published a telehealth toolkit for general practitioners.
Adobe PDF    Date Added: 03/23/2020    Date Last Modified: May 20 2020 11:54AM  
CMS Issues FAQs on Catastrophic Health Coverage and the Coronavirus
On March 18, 2020, CMS answered frequently asked questions about catastrophic health coverage and the coronavirus (COVID-19).
Adobe PDF    Date Added: 03/19/2020    Date Last Modified: Jun 2 2020 8:30AM  
What You Should Know About COVID-19 to Protect Yourself and Others
The Centers for Medicare & Medicaid Services (CMS) published this fact sheet.
Adobe PDF    Date Added: 03/19/2020    Date Last Modified: May 28 2020 9:15AM  
Recommendations on Adult Elective Surgeries, Non-Essential Medical, Surgical, and Dental Procedures During COVID-19 Response
On March 18, 2020, the Centers for Medicare & Medicaid Services (CMS) announced that all elective surgeries, non-essential medical, surgical, and dental procedures be delayed during the 2019 Novel Coronavirus (COVID-19) outbreak.
Web link    Date Added: 03/19/2020    Date Last Modified: Jun 2 2020 1:31PM  
CMS COVID-19 Stakeholder Call Recordings and Transcripts
This page holds all COVID-19 podcasts, transcripts and audio recordings from the Centers for Medicare & Medicaid Services
Web link    Date Added: 03/19/2020    Date Last Modified: May 28 2020 8:51AM  
CMS QIO Resources
The Centers for Medicare & Medicaid Services' (CMS) Quality Improvement Organization (QIO) program developed this page to share resources to prevent and treat COVID-19, also known as the Coronavirus, as it spreads throughout the United States.
Web link    Date Added: 03/18/2020    Date Last Modified: May 28 2020 9:13AM  
CMS Coronavirus (COVID-19) Partner Toolkit
The Centers for Medicare & Medicaid Services (CMS) developed this toolkit to help you stay informed on CMS and HHS materials available on COVID-19.
Web link    Date Added: 03/17/2020    Date Last Modified: Jun 3 2020 8:12AM  
Medicaid State Plan Fee-for-Service Payments for Services Delivered Via Telehealth
This document is intended to assist states in understanding policy options for paying Medicaid providers that use telehealth technology to deliver services.
Web link    Date Added: 03/17/2020    Date Last Modified: Jun 2 2020 3:01PM  
COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
The Centers for Medicare & Medicaid Services (CMS) announced the following blanket waivers are in effect, with a retroactive effective date of March 1, 2020, through the end of the emergency declaration.
Adobe PDF    Date Added: 03/13/2020    Date Last Modified: Jun 3 2020 8:51AM  
COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
The Centers for Medicare & Medicaid Services (CMS) announced the following blanket waivers are in effect, with a retroactive effective date of March 1, 2020, through the end of the emergency declaration.
Adobe PDF    Date Added: 03/13/2020    Date Last Modified: Jun 3 2020 8:42AM  
Medicare Administrative Contractor (MAC) COVID-19 Test Pricing
CMS released this memo on May 19, 2020.
Adobe PDF    Date Added: 03/13/2020    Date Last Modified: Jun 3 2020 8:39AM  
FAQs on Essential Health Benefit Coverage and the Coronavirus (COVID-19)
CMS released these frequently asked questions on March 12, 2020.
Adobe PDF    Date Added: 03/13/2020    Date Last Modified: Jun 3 2020 12:08PM  
CMS Takes Action Nationwide to Aggressively Respond to Coronavirus National Emergency
CMS is authorized to waive certain Medicare, Medicaid and Children’s Health Insurance Program (CHIP) program requirements and conditions of participation under Section 1135 of the Social Security Act.
Web link    Date Added: 03/13/2020    Date Last Modified: Jun 3 2020 9:23AM  
COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
The Centers for Medicare & Medicaid Services (CMS) announced the following blanket waivers are in effect, with a retroactive effective date of March 1, 2020, through the end of the emergency declaration.
Adobe PDF    Date Added: 03/12/2020    Date Last Modified: Jun 4 2020 8:10AM  
COVID-19 FAQs for State Medicaid and Children's Health Insurance Program (CHIP) Agencies
On March 12, 2020, the Centers for Medicare & Medicaid Services (CMS) posted frequently asked questions (FAQs) to the Medicaid.gov website to aid state Medicaid and Children’s Health Insurance Program (CHIP) agencies in their response to the 2019 Novel Coronavirus (COVID-19) outbreak.
Web link    Date Added: 03/12/2020    Date Last Modified: Jun 3 2020 8:55AM  
CMS Develops Additional Code for Coronavirus Lab Tests
The Centers for Medicare & Medicaid Services (CMS) has developed a second Healthcare Common Procedure Coding System (HCPCS) code that can be used by laboratories to bill for certain COVID-19 diagnostic tests to help increase testing and track new cases.
Web link    Date Added: 03/06/2020    Date Last Modified: Jun 3 2020 12:24PM  
CMS Announces Actions to Address Spread of Coronavirus
CMS calls on all health care providers to activate infection control practices and issues guidance to inspectors as they inspect facilities affected by Coronavirus.
Web link    Date Added: 03/04/2020    Date Last Modified: Jun 3 2020 12:37PM