COVID-19 Coronavirus Information

Message from Health Prime

As companies rise to meet the challenges placed in front of them during this crisis, they all must continue to ensure the primary priority is the health and well being of their team. At Health Prime, we follow this practice so we can continue providing for our clients who are working on the front line. We are all in this fight together.

COVID-19 Novel Coronavirus Facts

As our country is actively trying to mitigate the spread of COVID-19, we want to be able to help you with your billing questions on how your services related to COVID19 will be reimbursed during this time. Given that President Trump declared a national emergency in response to COVID19, there are some waivers to services provided to Medicare beneficiaries. Please look at your state’s regulations to see if there is any flexibility to services provided to patients during this time. This information is available via the CMS.GOV website.

Emergency Declaration Health Care Providers Fact Sheet provided by Medicare will help answer frequently asked questions during this time.

The health of our providers and medical staff is important to all of us at Health Prime. Telehealth allows for you to safely consult with your patients during this time. As your partner, we want to be able to assist you with your reimbursements for these services. Here are some useful links to review on Telemedicine and Payer guidelines.

Medicare Telemedicine Provider Fact Sheet

Medicare Fee Schedule for Telehealth

Telehealth/COVID19 and HIPAA

Enroll for temporary Medicare privileges for non-certified part B providers

Laboratory billing for COVID19

Medicaid Disaster response tool – kit.

CMS: MLN booklet from Medicare regarding routine telemedicine services

CMS Fact Sheet: Coverage and Payment Related to COVID-19

Health Prime Telehealth and COVID-19 Power Point.

CMS Advance Payment Information

The Centers for Medicare & Medicaid Services (CMS) has announced an expansion of its accelerated and advance payment program to lessen the financial hardships of providers facing extraordinary challenges related to the COVID-19 pandemic, which is causing significant disruption to the health care industry, and ensures the nation’s providers can focus on patient care.

CMS is expanding the program to all Medicare providers and supplier throughout the country for the duration of the public health emergency related to COVID-19. The payments can be requested by hospitals, doctors, durable medical equipment suppliers and other Medicare Part A and Part B providers and suppliers.

Accelerated and advance Medicare payments provide emergency funding and address cash flow issues based on historical payments when there is disruption in claims submission and/or claims processing for impacted healthcare providers and suppliers.

 

Press Release: https://www.cms.gov/newsroom/press-releases/trump-administration-provides-financial-relief-medicare-providers

CMS Informational Fact Sheet: www.cms.gov/files/document/Accelerated-and-Advanced-Payments-Fact-Sheet.pdf.

Links to Commercial Payers

We also are providing you with useful links for commercial payers to review for Telemedicine and Payer guidelines.

 

Aetna

Coding (CPT/HCPC/ICD10), reimbursement, guidelines for Telehealth visit, patient responsibility waived,

https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq.html

 

Blue Cross Blue Shield

Blue Cross Blue Shield has provided an interactive map for providers to choose the state their practice located. Please ensure you navigate to the for-provider link for COVID-19 guidelines

https://www.bcbs.com/coronavirus-updates

 

Blue Cross Blue Shield (Federal Employee)

For details on guidelines Blue Cross Blue Shield Federal:

https://www.fepblue.org/coronavirus

 

Cigna

Complete Guide for COVID-19/Telehealth includes billing and payer guidelines

https://codingintel.com/wp-content/uploads/2020/03/Cignaupdate031720.pdf

 

Humana

Information on diagnosis codes, telehealth guidelines, COVID-19 benefits for patients

https://www.humana.com/provider/coronavirus

 

Tricare

Frequently asked questions regarding COVID-19 and Telemedicine guidelines

https://www.humanamilitary.com/coronavirus/provider

United Healthcare

Launches a special enrollment period, reduces prior authorization requirements and expands telehealth coverage

Press Release

Telehealth Policies

Coding and Reimbursement

Authorization Requirements

We will continue to update information regarding billing for COVID19 services and any other impacted services as the information is made available to us. We are here to assist in any way that we can, so please feel free to reach out to us.