Updated August 6th, 2020
Thank you to all the healthcare providers and staff on the front lines of this crisis! MediSYS is here to support you every step of the way!
- Sometime ago, MediSYS implemented technologies necessary for our staff to continue to provide remote support and assistance to our clients.
- MediSYS remains fully operational and will continue to provide the excellent service and support that our clients have come to expect.
- To allow providers more flexibility, MediSYS provides tools for Telehealth and patient payments via text as well as patient communication tools using PatienTXT and/or select recall.
- 8 Steps to Start Performing Telemedicine Visits to Help Prevent the Spread of COVID-19
BCBS of Alabama
- BCBS of AL Telehealth Coverage for AWVs
- BCBS of AL COVID-19 Coding Guide
- BCBS of AL Telehealth Billing Guide
July 31 , 2020 – BCBS AL Updates
- Codes for Telehealth E/M Services – Providers must use correct codes to indicate whether audio and video equipment or audio only was used when performing evaluation and management (E/M) services via telehealth for Blue Advantage® patients. See our Telehealth Coverage Guidelines for more information.
- CPT code 99211 – We’ve added to the list of approved codes related to specimen collection on our COVID-19 Testing page.
- CPT code 87426 – We’ve added this COVID-19 Testing code to the Preferred Medical Doctor (PMD) Agreement – Exhibit I (Physician In-Office Laboratory Procedures).
- Oxygen Therapy – The suspension of the oxygen saturation requirement for both certification and recertification has been extended to September 1, 2020. See our COVID-19 Treatment page for more information.
- Dispensing Limits Discontinued – Dispensing limits on hydroxychloroquine, chloroquine and azithromycin will be discontinued as of August 1, 2020. For more information, see our COVID-19 Treatment page.
July 16, 2020 – BCBS of AL Important Telehealth Coverage Update
In response to the ongoing COVID-19 pandemic, we have extended our telehealth services through December 31, 2020. We will continue to evaluate to determine whether a further extension is needed.
Please note that for most Blue Cross members, the cost-sharing waiver for telehealth services filed with a non-COVID-19-related diagnosis code will end July 31, 2020.
Because benefits can vary depending on a member’s plan, it’s important to always check eligibility and benefits through ProviderAccess or your practice management system to confirm coverage and cost-sharing details.
Click here to see How to View COVID-19 and Telehealth Benefits on ProviderAccess.
Subscribe to Medicaid’s texting service to receive immediate text messages regarding to the COVID-19.
- Alabama Medicaid’s Provider Texting Service Instructions
July 17, 2020 – COVID-19 Emergency Expiration Date Extended to August 31, 2020 For Alabama Medicaid
All previously published expiration dates related to the Coronavirus (COVID-19) emergency are once again extended by the Alabama Medicaid Agency (Medicaid). The new expiration date is the earlier of August
31, 2020, the conclusion of the COVID-19 National emergency, or any expiration date noticed by the Alabama Medicaid Agency through a subsequent ALERT. Read more: https://medicaid.alabama.gov/news_detail.aspx?ID=13729
CMS / Medicare
- CMS/Medicare Newsroom
- CMS Telemedicine Toolkit
- CMS Latest Updates
- CMS letter to clinicians including information about telehealth and virtual visits, accelerated and advanced payments, and recent waiver information.
- Medicare Advanced Payments Fact Sheet
Aug 4, 2020 – Telehealth Procedure Codes and Skilled Nursing Facility Consolidated Billing Edits https://www.palmettogba.com/palmetto/providers.nsf/ls/JJ%20Part%20B~BS5PSS1548?opendocument
May 1, 2020 – CMS issued new changes in their April 30th announcement to expand telehealth for Medicare reimbursement, allowing physical and occupational therapists and speech language pathologists. Read the full announcement for more key updates.
Update: CMS and the Assistant Secretary of Preparedness and Response (ASPR) released a new toolkit to help state and local healthcare decision makers maximize workforce flexibilities when confronting 2019 Novel Coronavirus (COVID-19) in their communities. To view the COVID-19 Healthcare Workforce Toolkit, visit: https://asprtracie.hhs.gov/Workforce-Virtual-Toolkit
UPDATE: CMS Delays Interoperability Final Rule Roll Out Due to COVID-19. Due to concerns over the coronavirus, CMS had pushed back the deadline for meeting the requirements of the recent Interoperability and Patient Access final rule. For more information visit: https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index
CMS Adds New COVID-19 Clinical Trials Improvement Activity to the Quality Payment Program: Clinicians may now earn credit in the Merit-based Incentive Payment System (MIPS) for participation in a clinical trial and reporting clinical information by attesting to the new COVID-19 Clinical Trials improvement activity. CMS added a new high weighted improvement activity to the 2020 QPP Improvement Activities Inventory that promotes participation in COVID-19 clinical trials and clinical reporting for COVID-19 related care.
July 24th, 2020 – UnitedHealthcare Extends Temporary Programs Changes Until Oct. 22, 2020
UnitedHealthcare recognizes that the persistence of COVID-19 cases across the country continues to have an impact on the healthcare system – both for COVID-19-related care as well as for regular preventive visits. To provide ongoing support to members and providers, UnitedHealthcare is extending many of the COVID-19 temporary program, process and coverage changes through Oct. 22, 2020. Full details, including applicable benefit plans and service information, can be found online.
Implementation of these temporary changes may vary by health plan and for self-funded customers. State-specific and Medicaid rules, regulations, date limitations or exclusions may also apply.
June 17th – UHC Extending Temporary Telehealth Expansion and Reimbursement Through Sept. 30, 2020. For more info visit: https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19.html
May 7, 2020 – UHC will waive all cost sharing for Medicare Advantage primary care and specialist visits beginning May 11, 2020 until at least Sept. 30, 2020.
United Healthcare Timely Filing Update: Claims with a date of service on or after Jan. 1, 2020 will not be denied for timely filing deadlines if submitted by June 30, 2020.
Humana: Coronavirus Updates
Rural Health Providers
July 15 – Rural Health Clinic (RHC) COVID-19 Updates
Per CMS Publication 100-02, Chapter 13 (PDF, 400 KB), Section 80.4, productivity standards require 4,200 visits per physician and 2,100 visits per practitioner. If you are having difficulty meeting productivity standards as a result of COVID-19 PHE, you may request an exception to the productivity standards.
The following information is required:
- Visit count that you are requesting as an exception to the standard of 4,200 for physicians and 2,100 for mid-level practitioners
- Documentation to justify an exception to the standard
A separate request is required for each facility/clinic, and they may ask for additional information after receipt of the request.
COVID-19: New and Expanded Flexibilities for RHCs & FQHCs during the Public Health Emergency
On July 6, CMS updated MLN Matters Article SE20016 to clarify how Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) can apply the Cost Sharing (CS) modifier to preventive services furnished via telehealth. Click here for more information from CMS.