decisionhealth Newsletters, Part B News - 2020 Issue 5 (May)
Assess legal risk, payer policies to head off hidden dangers of COVID-19 reopening
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Article Overview
This article addresses the nonclinical risks practices face when reopening during the COVID-19 pandemic. It explains why legal protections, liability concerns, documentation of infection-control precautions, patient acknowledgement of office policies, and insurance coverage reviews matter for practices, staff, patients, and non-patients. The piece is aimed at physicians, practice managers, and billing/compliance professionals who need to evaluate operational, legal, and payer-related exposure during reopening.
Why This Topic Matters
Reopening decisions during COVID-19 can create legal and insurance exposure beyond normal operational concerns. Understanding the broad categories of risk helps practices reduce disputes, document precautions, and confirm that coverage matches current operations.
Article Sections
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Legal protections and remaining exposure
Introduces state and federal reopening context and discusses the general scope of emergency legal protections. It also frames the limits of those protections and the broader liability concerns facing practices.
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Record your precautions
Focuses on documenting infection-control and reopening measures in day-to-day practice operations. It emphasizes keeping records current so precautions can be demonstrated later if needed.
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Patients should sign off
Covers patient acknowledgement of practice policies and cooperation with mitigation measures. It also addresses handling noncooperative patients in a general operational sense.
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What about non-patients?
Discusses potential exposure related to visitors, companions, and other non-patient individuals who enter the practice environment. The section highlights the need to think about coverage beyond direct patient care.
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Check your policies
Explains the importance of reviewing insurance and payer-related coverage for pandemic-era changes in practice operations. It includes general guidance on confirming that current activities fit existing policies and coverage assumptions.
What You Will Learn
- How reopening during COVID-19 can create legal and insurance issues for medical practices
- Why documentation of infection-control precautions is important
- How patient acknowledgment of office policies fits into reopening planning
- Why practices should consider liability exposure involving visitors and other non-patients
- Why existing insurance coverage should be reviewed when operations change
Who Should Read This
- Physicians
- Medical practice managers
- Billing and compliance professionals
- Risk management staff
- Healthcare attorneys
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