COVID-19 Informational Resource Page (Updated 4/09/20, 1:00P)

The Virginia MGMA has created this page as a resource for medical practice management professionals regarding COVID-19. It includes current information, webinars, articles, documents, etc. we are receiving on this rapidly changing situation. Our Corporate Sponsors have also submitted helpful information. Please check this page often for updates.
NOTE: VMGMA has not vetted these resources and recommends you consult your attorney or CPA before making any changes to how you conduct business. This page is for your information only.             

WEBINARS

(4/8/20; 4:00P) Free Webinar Series - Practice Comeback Plan: Weekly Webinar Series for Healthcare Practices
4-part series starting April 8th, 2020    Register HERE
Presented by SolutionReach. Questions? Contact Lori Curtis <[email protected]>
How does your practice bounce back from COVID-19? Here's our plan to get you back in the game - ideas for communication, preparation, and things you can do RIGHT NOW. Everyone loves a good comeback story. Let's start writing yours.

The Practice Comeback Plan weekly webinar series includes four one-hour sessions. Register for the series and attend what you can. We'll send recordings for any sessions you have to miss!
Series Breakdown:
April 8th: Practice Comeback Plan Overview
April 15th: Stage 1: Urgent - "Do This Now" - Deep Dive and FAQs
April 22nd: Stage 2: Recovery - "Ready to Reopen" - Deep Dive and FAQs
April 29th: Stage 3: Growth - "Thrive Going Forward" - Deep Dive and FAQs

(4/7/20; 11:00A) Free Webinar: Leading Change Through Turmoil & Turbulence for Practice Managers
SPEAKER: Mary Kelly, PhD, CSP, CDR, US Navy (retired), Productive Leaders
Register in advance for this webinar at:
https://zoom.us/webinar/register/WN_vRW0ImNySbGWVmI5m8nOXw
After registering, you will receive a confirmation email containing information about joining the webinar.
This webinar is being run through Mary's platform.
If you have any problems registering, please contact Mary Kelly at: [email protected]

For additional resources, visit Mary's website.

ON DEMAND WEBINARS

- On Demand Webinar: Updating COVID-19 Protocols For Your Rep Community
Brought to you by RxVantage, a new 2020 VMGMA Bronze Corporate Sponsor

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(4/3/20; 2:00P) MGMA Webinar - Washington Update: COVID-19 Legislative & Regulatory Actions To Date Recording

Speakers:
Drew Voytal and Claire Ernst
Description:
This update will provide the latest information from the National MGMA Government Affairs team on the latest actions taken by Congress and federal regulatory agencies in response to the COVID-19 outbreak. Attendees will learn about recent legislative and regulatory developments affecting medical groups, gain a deeper understanding of these changes and their impact on the day-to-day activities of medical group practices, and be directed to clarifying resources. Topics include: The Coronavirus Aid, Relief, and Economic Security (“CARES”) Act; CMS Advanced Payments; Medicare Telehealth; MGMA Advocacy and Resources.
Brought to you by GoToWebinar® Webinars Made Easy®
Lisa Beard, Executive Director
MGMA/Alabama /
www.almgma.com
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(3/27/20) NCMGMA presented a webinar on "Families First Coronavirus Response Act." Jefferson P. Whisenaut, attorney with Young Moore & Henderson, P.A. shared updates on this Act.
Webinar Recording; Webinar Presentation (PDF); Webinar Handouts (PDF)
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Lisa Beard, MGMA Alabama, Executive Director([email protected])
Resource Page
For The Following Webinars:

(4/02/20)
Navigating SBA Loan Options for Your Medical Practice
(4/01/20)
Families First Coronavirus Response Act (FFCRA): What Are Your
                Obligations For Paid & Unpaid Leave
(3/27/20)
Taking Care of Your Business: Creating a Recovery Mindset
(3/26/20)
HIPAA Rules During COVID-19
(3/25/20)
Billing for Physician Services During A Public Health Emergency
(3/24/20)
Medical Practice Priority Checklist - Tips From Washington State

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VMGMA 2020 Corporate Sponsor Resources

McKesson Medical Surgical
 - McKesson Medical-Surgical Covid-19 Support Portal
Coverys
- FAQ For Policy Holders & Helpful Information
- COVID-19 Article
RxVantage
- Sample Policy: COVID-19 Vendor/Rep Visitation Protocol Update
- Insight/Guidance on Vendor/Rep Visitation Article
RCM&D
- Please click HERE for COVID-19 information.
MSVIA / MSV
- Please click HERE for MSVIA COVID-19 information.
- Please click HERE for MSV COVID-19 information.
HandCraft Linen & Uniform Specialists
- Article: How To Reduce Contamination in Patient Rooms
Curi
- COVID-19 resource PAGE
The Doctors Company
- COVID-19 Malpractice Coverage FAQ Page. Although it is written for TDC members, there is general information included as well.
- COVID-19 Resource Center
LabCorp
- Link to LabCorp Informational Page

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Virginia Department of Health: Click HERE
CDC
: Click HERE

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Centers For Medicare & Medicaid Services (Philadelphia Regional Office)

To keep up with the important work the Task Force is doing in response to COVID-19, please click HERE. For a complete and updated list of CMS actions, guidance and other information in response to COVID-19, please visit the Current Emergencies Website.
(4/9/20) CMS Issues New Wave of Infection Control Guidance Based on CDC Guidelines to Protect Patients and Healthcare Workers from COVID-19
The Centers for Medicare & Medicaid Services (CMS) has issued a series of updated guidance documents focused on infection control to prevent the spread of the 2019 Novel Coronavirus (COVID-19) in a variety of inpatient and outpatient care settings. The guidance, based on Centers for Disease Control and Prevention (CDC) guidelines, will help ensure infection control in the context of patient triage, screening and treatment, the use of alternate testing and treatment sites and telehealth, drive-through screenings, limiting visitations, cleaning and disinfection guidelines, staffing and more.
The guidance is designed to empower local hospitals and healthcare systems, helping them to rapidly expand their capacity to isolate and treat patients infected with COVID-19 from those who are not. Critically, the guidance released today includes new instructions for dialysis facilities as they work to protect patients with End-Stage Renal Disease (ESRD), who, because of their immunocompromised state and frequent trips to health care settings, are some of the most vulnerable Americans to complications arising from COVID-19. The guidance is part of the unprecedented array of temporary regulatory waivers and new policies CMS issued on March 30, 2020 that gives the nation’s healthcare system maximum flexibility to respond to the COVID-19 pandemic.
“CMS is helping the healthcare system fight back and keep patients safe by equipping providers and clinicians with clear guidance based on CDC recommendations that reemphasizes and reinforces longstanding infection control requirements,” said CMS Administrator Seema Verma.
The guidance is particularly timely for dialysis facilities. Dialysis facilities care for immunocompromised Americans who require regular dialysis treatments and are therefore particularly susceptible to complications from the virus. Today’s updated guidance has multiple facets, including the option of providing Home Dialysis Training and Support services – to help some dialysis patients stay home during this challenging time – and establishment of Special Purpose Renal Dialysis Facilities (SPRDFs), which can allow dialysis facilities to isolate vulnerable or infected patients. These temporary changes allow for the establishment of facilities to treat those patients who tested positive for COVID-19 to be treated in separate locations.
In addition to dialysis facilities, the infection control guidance affects a broad range of settings including hospitals, Critical Access Hospitals (CAHs), psychiatric hospitals, Ambulatory Surgical Centers (ASCs), Community Mental Health Centers (CMHCs), Comprehensive Outpatient Rehabilitation Facilities (CORFs), Outpatient Physical Therapy or Speech Pathology Services (OPTs), Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDs) and Psychiatric Residential Treatment Facilities (PRTFs).
For hospitals, psychiatric hospitals and CAHs, the revised guidance, for example, provides expanded recommendations on screening and visitation restrictions, discharge to subsequent care locations for patients with COVID-19, recommendations related to staff screening and testing, and return-to-work policies.
Similarly, for hospitals and CAHs, the revised guidance on the Emergency Medical Labor and Treatment Act (EMTALA) includes a detailed discussion of: patient triage, appropriate medical screening and treatment; the use of alternate testing sites; telehealth; and appropriate medical screening examinations performed at alternate screening locations, which are not subject to EMTALA, as long as the national emergency remains in force. This step will allow hospitals and CAHs to screen patients at a location offsite from the hospital’s campus to prevent the spread of COVID-19.
For outpatient clinical settings, such as ASCs, FQHCs, and others, guidance discusses recommendations to mitigate transmission including screening, restricting visitors, cleaning and disinfection, and closures, and addresses issues related to supply scarcity, and Federal Drug Administration (FDA) recommendations. In addition, CMS encourages ASCs and other outpatient settings to partner with others in their community to conserve and share critical resources during this national emergency.
Updated guidance for ICF/IIDs, and PRTFs include practices related to screening of visitors and outside health care service providers, community activities, staffing, and more.
CMS will continue to monitor and review the impact of the COVID-19 pandemic on the clinicians, providers, facilities and programs, and will update regulations and guidance as needed.
To view the latest updates to these CMS guidance documents on infection control, click HERE.
(4/7/20) Lessons from The Front Lines: COVID-19
On April 3, 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. Several physician guests on the front lines presented best practices from their COVID-19 experience(s). You can listen to the conversation HERE.
(4/6/20) CMS COVID-19 Updates:
New Video Available on Medicare Coverage and Payment of Virtual Services
CMS released a video providing answers to common questions about the Medicare telehealth services benefit. CMS is expanding this benefit on a temporary and emergency basis under the 1135 waiver authority and Coronavirus Preparedness and Response Supplemental Appropriations Act.
(4/6/20) CMS Approves Additional State Medicaid Waivers and Amendments to Give States Flexibility to Address Coronavirus Pandemic
CMS approved its 45th Medicaid waiver to the District of Columbia, delivering urgent regulatory relief to ensure the District can quickly and effectively care for their most vulnerable citizens. In light of the urgent and evolving needs of states during the COVID-19 crisis, CMS developed a toolkit to facilitate expedited application and approval of State waivers requests in record time. The waivers support President Trump’s commitment to a COVID-19 response that is locally executed, state managed and federally supported.
(4/2/20) Recordings for CMS National Stakeholder Calls on COVID-19
CMS has been hosting regular calls with a variety of clinicians, hospitals, and other facilities in an effort to keep stakeholders updated on our COVID-19 efforts.  As we know not everyone is available to attend the calls live, we are happy to share that you can access recordings of the calls along with transcripts on the following LINK.
(3/30/20) Trump Administration Makes Sweeping Regulatory Changes to Help U.S. Healthcare System Address COVID-19 Patient Surge
Today, at President Trump’s direction, the Centers for Medicare & Medicaid Services (CMS) today is issuing an unprecedented array of temporary regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the 2019 Novel Coronavirus (COVID-19) pandemic. Made possible by President Trump’s recent emergency declaration and emergency rule making, these temporary changes will apply immediately across the entire U.S. healthcare system for the duration of the emergency declaration. This allows hospitals and health systems to deliver services at other locations to make room for COVID-19 patients needing acute care in their main facility.
The changes complement and augment the work of FEMA and state and local public health authorities by empowering local hospitals and healthcare systems to rapidly expand treatment capacity that allows them to separate patients infected with COVID-19 from those who are not affected.
CMS’s temporary actions announced today empower local hospitals and healthcare systems to:
•    Increase Hospital Capacity – CMS Hospitals Without Walls;
•    Rapidly Expand the Healthcare Workforce;
•    Put Patients Over Paperwork; and
•    Further Promote Telehealth in Medicare.
You can find a copy of the full press release HERE.
For additional background information on the waivers and rule changes, click HERE.
For more information on the COVID-19 waivers and guidance, and the Interim Final Rule, please go HERE.
(3/28/20) COVID-19: Accelerated/Advance Payments for Medicare Providers
On March 28, the Centers for Medicare & Medicaid Services (CMS) announced an expansion of its accelerated and advance payment program for Medicare participating health care providers and suppliers, to ensure they have the resources needed to combat the 2019 Novel Coronavirus (COVID-19). This program expansion, which includes changes from the recently enacted Coronavirus Aid, Relief, and Economic Security (CARES) Act, is one way that CMS is working to lessen the financial hardships of providers facing extraordinary challenges related to the COVID-19 pandemic, and ensures the nation’s providers can focus on patient care.
You can find a copy of the fact sheet HERE.
You can find a copy of the press release HERE.
(3/28/20) Program/Value Based Purchasing Program COVID-19 Relief
On March 22, 2020, CMS announced relief for clinicians, providers, hospitals and facilities participating in quality reporting programs in response to the 2019 Novel Coronavirus (COVID-19). This memorandum and factsheet supplements and provides additional guidance to health care providers with regard to the announcement. CMS has extended the 2019 Merit-based Incentive Payment System (MIPS) data submission deadline from March 31 by 30 days to April 30, 2020. This and other efforts are to provide relief to clinicians responding to the COVID-19 pandemic. In addition, the MIPS automatic extreme and uncontrollable circumstances policy will apply to MIPS eligible clinicians who do not submit their MIPS data by the April 30, 2020 deadline.
You can find a copy of the memo here:  Memo
(3/24/20) CMS Approves Medicaid Section 1135 Waivers for 11 Additional States in Response to COVID-19 (including VA)

In keeping with its commitment to ensure states have the necessary tools to respond to the 2019 Novel Coronavirus (COVID-19) pandemic, the Centers for Medicare & Medicaid Services (CMS) has approved an additional 11 state Medicaid waiver requests under Section 1135 of the Social Security Act (Act), bringing the total number of approved Section 1135 waivers for states to 13. The waivers were approved within days of states’ submitting them, and offer states new flexibilities to focus their resources on combating the outbreak and providing the best possible care to Medicaid beneficiaries in their states. These waivers support President Trump’s commitment to operating a COVID-19 response that is locally executed, state managed and federally supported.  A copy of the press release can be found HERE.
(3/23/20) Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19
On March 22, CMS announced it is granting exceptions from reporting requirements and extensions for clinicians and providers participating in Medicare quality reporting programs with respect to upcoming measure reporting and data submission for those programs. The action comes as part of the Trump Administration’s response to 2019 Novel Coronavirus (COVID-19).
CMS is implementing additional extreme and uncontrollable circumstances policy exceptions and extensions for upcoming measure reporting and data submission deadlines for several CMS programs. For those programs with data submission deadlines in April and May 2020, submission of those data will be optional, based on the facility’s choice to report.
CMS recognizes that quality measure data collection and reporting for services furnished during this time period may not be reflective of their true level of performance on measures such as cost, readmissions and patient experience during this time of emergency and seeks to hold organizations harmless for not submitting data during this period. You can find a copy of the press release HERE.
(3/23/20) COVID-19 Provider Enrollment Relief FAQs
On March 22, CMS released Frequently Asked Questions on Medicare Provider Enrollment Relief related to COVID-19, including the toll-free hotlines available to provide expedited enrollment and answer questions related to COVID-19 enrollment requirements.
A copy of the FAQs can be found HERE.
(3/23/20) COVID-19 Provider Enrollment Relief FAQs

Yesterday, CMS released Frequently Asked Questions on Medicare Provider Enrollment Relief related to COVID-19 including the toll-free hotlines available to provide expedited enrollment and answer questions related to COVID-19 enrollment requirements. A copy of the FAQs can be found HERE. These tools, and earlier CMS actions in response to the COVID-19 emergency, are all part of ongoing White House Coronavirus Task Force efforts.
(3/23/20) Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19
Yesterday, CMS announced it is granting exceptions from reporting requirements and extensions for clinicians and providers participating in Medicare quality reporting programs with respect to upcoming measure reporting and data submission for those programs. The action comes as part of the Trump Administration’s response to 2019 Novel Coronavirus (COVID-19). CMS is implementing additional extreme and uncontrollable circumstances policy exceptions and extensions for upcoming measure reporting and data submission deadlines for several CMS programs.  For those programs with data submission deadlines in April and May 2020, submission of those data will be optional, based on the facility’s choice to report.
CMS recognizes that quality measure data collection and reporting for services furnished during this time period may not be reflective of their true level of performance on measures such as cost, re-admissions and patient experience during this time of emergency and seeks to hold organizations harmless for not submitting data during this period. You can find a copy of the press release HERE. CMS will continue monitoring the developing COVID-19 situation and assess options to additional relief to clinicians, facilities and their staff so they can focus on caring for patients.
(3/20/20) CMS Releases Telehealth Toolkits for General Practitioners and End-Stage Renal Disease (ESRD) Providers
On March 18, the Centers for Medicare & Medicaid Services (CMS) released two comprehensive toolkits on telehealth that are specific to general practitioners as well as providers treating patients with End-Stage Renal Disease (ESRD).
Under President Trump’s leadership to respond to the need to limit the spread of COVID-19, CMS has broadened access to Medicare telehealth services so that beneficiaries can receive a wider range of services from their doctors without having to travel to a healthcare facility. CMS is expanding this benefit on a temporary and emergency basis under the 1135 waiver authority and Coronavirus Preparedness and Response Supplemental Appropriations Act. Under this new waiver, Medicare can pay for office, hospital, and other visits furnished via telehealth across the country and including in patient’s places of residence starting March 6, 2020. A range of providers, such as doctors, nurse practitioners, clinical psychologists, and licensed clinical social workers, will be able to offer telehealth to their patients. These benefits are part of the broader effort by CMS and the White House Task Force to ensure that all Americans – particularly those at high-risk of complications from the virus that causes the disease COVID-19 are aware of easy-to-use, accessible benefits that can help keep them healthy while helping to contain the community spread of this virus.
Each toolkit contains electronic links to reliable sources of information on telehealth and telemedicine, which will reduce the amount of time providers spend searching for answers and increase their time with patients. Many of these links will help providers learn about the general concept of telehealth, choose telemedicine vendors, initiate a telemedicine program, monitor patients remotely, and develop documentation tools. Additionally, the information contained within each toolkit will also outline temporary virtual services that could be used to treat patients during this specific period of time.
You can find the Telehealth Toolkit for General Practitioners HERE.
You can find the End-Stage Renal Disease Providers Toolkit HERE.
(3/20/20) Medicare FFS Response to the Public Health Emergency on the Coronavirus (COVID-19) — Revised
The MLN Matters Special Edition Article SE20011 on Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) (PDF) was updated to cover the use of modifiers on telehealth claims and to explain that the DR condition code is not needed on telehealth claims under the waiver.
(3/20/20) COVID-19 Elective Surgeries and Non-Essential Procedures Recommendations
On March 18, at the White House Task Force Press Briefing, 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.
You can find a copy of the press release HERE.
You can find a copy of the guidance HERE.
(3/20/20) Families First Coronavirus Response Act Requiring Certain Employers To Provide Employees With Paid Sick Or Family Leave For Specified Reasons Related To COVID-19
Last night the President signed into law The Families First Coronavirus Response Act (FFCRA), requiring certain employers to provide employees with paid sick or family leave for specified reasons related to COVID-19. These provisions will be administered and enforced by the United States Department of Labor’s Wage and Hour Division, and will apply from the effective date through December 31, 2020. Generally, the FFCRA provides that employees of covered employers are eligible for:
•    Two weeks of paid sick time at the employee’s regular rate of pay while the employee is quarantined,
     self-quarantined, or experiencing COVID-19 symptoms and seeking diagnosis; or
•    Two weeks of paid sick time at two-thirds the employee’s regular rate of pay while caring for an
      individual subject to quarantine or self-quarantine, caring for a child whose school or childcare
      provider is closed or unavailable for reasons related to COVID-19, or experiencing a substantially
      similar condition as specified by the Secretary of Health and Human Services, in consultation with
      the Secretaries of the Treasury and Labor; and
•    An additional 10 weeks of paid family leave at two-thirds the employee’s regular rate of pay to care
     for a child whose school or child-care provider is closed or unavailable for reasons related to 
     COVID-19.
The Wage and Hour Division continues to provide information on common issues employers and employees face when responding to influenza, pandemics, or other public health emergencies, and their effects on wages and hours worked under the Fair Labor Standards Act and job-protected leave under the Family and Medical Leave Act. Please visit our website for additional information.
==============================
MGMA / MGMA Government Affairs
Contact MGMA Government Affairs by emailing [email protected] or calling 202.293.3450, 877.275.6462 toll-free.
Visit the MGMA COVID-19 Action Center which includes consistently updated information, access to pertinent podcasts for practice administrators, links to expert resources and CDC guidance releases on COVID-19
Visit the MGMA COVID-19 Resource Center which provides access to both internal and external resources to support medical practices on topics such as telehealth, safety and PPE, and staffing.

(3/31/20) Regulatory Alert: CMS Announces New Flexibilities
Last night, the Centers for Medicare & Medicaid Services (CMS) issued a series of temporary regulatory waivers to further support the ability of the nation’s healthcare system to respond to COVID-19. The changes outlined below will take effect immediately across the entire country:
•    New telehealth codes. CMS will pay for 80 additional telehealth codes, including home visits,
     emergency department visits, and therapy services. Providers can waive copayments for all
      telehealth services for Original Medicare beneficiaries.
•    Virtual check-ins. Clinicians can provide virtual check-in services (HCPCS G2012, G2010) to
     both new and established patients. Previously, these services were limited to established
      patients only.
•    Telephone codes. CMS will reimburse for telephone evaluation and management services
      provided by a physician (CPT 99441-99443) and telephone assessment and management
      services provided by a qualified nonphysician healthcare professional (CPT 98966-98968).
      These codes are only available to established patients but may be furnished using audio-
      only devices.
•    E-visits. Licensed clinical social workers, clinical psychologists, physical therapists,
      occupational therapists, and speech language pathologists can provide e-visits
      (HCPCS G2061-G2063). These codes are only available to established patients and must
       be initiated by the patient.
•    Removal of frequency limitations on Medicare telehealth. Subsequent inpatient visits
     (CPT 99231-99233), subsequent skilled nursing visits (CPT 99307-99310), and critical care
      consult codes (CPT G0508-G0509) no longer have limitations on the number of times they
      can be billed.
•    Medicare physician supervision requirements. Physician supervision can be provided virtually
      using real-time audio/visual technology for services requiring direct supervision by a physician
      or other practitioner.
•    “Stark Law” waivers. CMS is implementing waivers that exempt providers from sanctions for
      noncompliance of certain Stark Law rules, permitting certain referrals and the submission of
      related claims that would otherwise violate the Stark Law.
•    MIPS flexibilities. CMS will allow clinicians adversely affected by COVID-19 to submit an
     application to request reweighting of the MIPS performance categories for the 2019
     performance year.

MGMA Government Affairs will continue to educate medical groups as the Administration releases additional waivers and further guidance on COVID-19 related regulatory changes. For a comprehensive list of Medicare telehealth waivers and regulatory developments, please click HERE.
(3/26/20) MGMA Critical Infrastructure Essential Worker Letter Template
(3/26/20) Following MGMA advocacy, CMS Extends 2019 MIPS Reporting Deadline, Creates Automatic
Exemptions
In response to MGMA calling on the Centers for Medicare & Medicaid Services (CMS) to ease quality reporting and other regulatory requirements, the deadline to submit 2019 MIPS performance data is extended from March 31 to April 30, 2020. MIPS eligible clinicians who have not submitted any MIPS data by April 30 will qualify for an automatic exemption from reporting responsibilities for “extreme and uncontrollable circumstances” and will receive a neutral payment adjustment for the 2021 MIPS payment year. Various other quality reporting programs, such as those applicable to hospitals and post-acute providers, have new flexibilities as well. CMS is also evaluating options for providing relief around participation and data submission for the 2020 performance year. Read more HERE.
(3/26/20) Senate Passes 3rd Stimulus Package
Late Wednesday night, the Senate passed a much anticipated third emergency funding bill to help combat the spread of the virus and the negative economic impact its having on the country. The Coronavirus Aid, Relief, and Economic Security (“CARES”) Act:
•    Provides $100 billion to hospitals and healthcare providers to ensure they continue to
     receive the support they need for COVID-19 related expenses and lost revenue;
•    Creates a “paycheck protection program” that would provide 8 weeks of cash-flow
     assistance to small employers;
•    Gives the Secretary more flexibility to waive additional Medicare telehealth
     requirements;
•    Temporarily suspends the 2% Medicare sequestration.
The House of Representatives is expected to vote on the bill as soon as tomorrow. MGMA Government Affairs will continue to monitor these legislative developments and provide updates via the COVID-19 Action Center.

(3/23/20) Urge Congress to Support Physician Practices During COVID-19

As Congress works to pass additional emergency funding legislation to combat COVID-19, your help is needed to support medical practices during this public health emergency. Use MGMA's draft letter to ask Congress to:
•    Ensure that every physician and healthcare worker has access to critically needed personal
     protective equipment (PPE);
•    Provide direct financial support to medical practices experiencing an adverse economic impact from
     suspending visits and procedures unrelated to COVID-19;
•    Provide direct financial support to medical practices on the front lines of the COVID-19 public health
     emergency; and
•    Require all payers to provide coverage and payment for telehealth visits (including audio-only) at the
     same reimbursement as in-person visits.
To send your letter to Congress, click HERE.
(3/20/20) New COVID-19 Medicare Telehealth Resource & Advocacy Update
As you already know, due to the COVID-19 public health emergency (PHE) medical group practices can now offer Medicare telehealth services to a wider range of beneficiaries. This ability is retroactive to March 6, 2020, and extends through the duration of the coronavirus PHE, stemming from the waiver authority granted to the Secretary of the Department of Health and Human Services (HHS). In response to the influx of questions we have been receiving in the last few days, MGMA Government Affairs created this resource to help practices better understand what restrictions are waived and what requirements still apply when offering these telehealth services.
On the COVID-19 advocacy front:
•    Yesterday, we sent a letter to Congress urging them to address the concerns of medical groups
     and provide direct financial assistance in their 3rd economic stimulus package. The 2nd economic
     stimulus package was passed and signed into law yesterday, so we are hoping the 3rd one includes
     more robust relief for our members. We laid out specific recommendations around personal
     protective equipment (PPE), telemedicine reimbursement, reimbursement for uninsured patients
     and more.
•    We joined 10 other associations in urging Congress and CMS to ensure access to value-based care
     and to request flexibilities for quality payment program (QPP) participants. All of these joint letters
     can be found on our COVID-19 Action Center.
Please let me know if you have any questions related to telehealth, advocacy efforts or anything else during the PHE.
Matt Devino, Assoc. Dir, MGMA Government Affairs ([email protected])
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ADDITIONAL RESOURCES

(4/6/20) PayCheck Protection Program (PPP) Information Sheet
Website
(https://www.sba.gov/funding-programs/loans/paycheck-protection-program-ppp#sectionheader-4)
=======================
(3/30/20) Total Medical Compliance COVID-19 Resource Page
====================
(3/21/20) Virginia Board of Nursing - To All Board Of Nursing Licensees
On March 12, 2020, Governor Northam issued Executive Order No. 51 declaring a state of emergency for the Commonwealth due to the novel COVID-19. In response to that Order, on March 19, 2020, Dr. David Brown, Director of the Department of Health Professions, waived certain Board of Nursing regulations with the goal of removing certain regulatory barriers to assist with education, testing, practice and workforce issues. Information regarding these waivers is located HERE.
======================
(3/24/20) SheppardMullin Law Firm - Labor & Employment Law Blog
Temporary I-9 Procedure for New Hires and Reverifications that Cannot Report to the Worksite
On March 20, 2020, DHS announced temporary COIVD-19 flexibility for employers to complete an I-9 for new hires or reverifications using video, e-mail or fax review of their work authorization documents.  Then when normal operations resume, the company must verify the individual and their original documents in person within 3 business days.  Alternatively, an employer can still designate an authorized individual unrelated to the company to physically review the documents and complete Section 2 on their behalf.
Where the employee cannot physically come into the office due to the COVID-19 emergency, DHS is allowing a temporary video review of the work authorization documents, or by e-mail or fax.  The employee would still complete Section 1 by the first day of hire and e-mail a scanned copy to the employer along with their work authorization documents.  The employer would then print and sign Section 2 by the 4th day of hire.  Then when the company returns to normal operations, they must reverify the original documents in person with the employee within 3 business days.
Section 2 of the I-9 “Additional Information Box” found on Page 2 should be notated “COVID-19” for the initial remote review.
Then for the late in-person review when the employee returns to the office the employer should notate in the Additional Information Box “Documents Physically Examined on X date / COVID-19” and the employer can sign and date next to it.
This procedure is expected to last for 60 days or if the national emergency is cancelled sooner, then for 3 business days after the cancellation.  For more information, click HERE.
E-Verify Relief for Tentative Non-Confirmations
DHS announced on March 21, 2020 that E-Verify is extending the timeframe for a new hire to take action to resolve Tentative Nonconfirmations (TNCs) due to the office closures of the Social Security Administration and U.S. Citizenship & Immigration Services due to COVID-19.
Employers must use the hire date from the employee’s Form I-9 when creating the E-Verify case.  If the case creation is delayed due to COVID-19 precautions, select “Other” from the drop-down list and enter “COVID-19” as the specific reason.  For more information, click HERE.
Note:  As you are aware, due to COVID-19, things are changing quickly.  The above discussion represents our best interpretation of where things currently stand with I-9’s and E-Verify.  For more guidance and updates, please contact your Sheppard Mullin attorney.


 

 

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