Industry Notes: CMS Releases New PACE Guidance in Response to COVID-19

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews CMS COVID-19 guidance affecting Programs of All-Inclusive Care for the Elderly (PACE) organizations and a separate CMS recommendation to delay elective and non-essential care. It is relevant to healthcare coders, compliance staff, PACE administrators, and revenue cycle teams who track federal operational guidance during the pandemic. The article covers broad infection-control, personnel, access, and service-delivery considerations, along with the public-facing CMS rationale for postponing certain care.

Why This Topic Matters

CMS guidance during a public health emergency can affect documentation, operations, and service delivery for PACE organizations and other providers. Understanding the scope of the update helps compliance and coding teams stay aligned with federal expectations.

Article Sections

  1. PACE guidance in response to COVID-19

    Overview of CMS pandemic guidance directed to PACE organizations and the types of operational areas addressed. The section focuses on broad care-management and compliance topics for older adults at higher risk.

  2. CMS recommendations on elective and non-essential care

    A separate CMS update addressing the postponement of certain care during the COVID-19 emergency. The section discusses the federal public-health context and the general reasons behind the recommendation.

What You Will Learn

  • What CMS addressed in its COVID-19 guidance for PACE organizations
  • What general operational areas were highlighted in the PACE update
  • How CMS framed its recommendations regarding elective and non-essential care during the pandemic
  • Why these updates matter for providers serving older adults and other vulnerable populations

Who Should Read This

  • Medical coders
  • Compliance officers
  • PACE organization administrators
  • Revenue cycle staff
  • Healthcare auditors
  • Practice managers

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