tci Medicare Compliance & Reimbursement - 2020 Issue Q3
COVID-19 Round-Up: Expect More Policy Changes With PHE Extension
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Article Overview
This article summarizes several COVID-19-era policy updates from HHS, CMS, and OCR that may affect healthcare providers and billing operations. It is useful for practices that need to track federal emergency flexibilities, Medicare review activity, quality reporting requirements, and civil rights compliance considerations during the public health emergency.
Why This Topic Matters
Providers and billing teams need to stay current on rapid federal policy changes that can affect compliance, audits, reporting deadlines, and operational workflows during the COVID-19 public health emergency.
Article Sections
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Important updates
An overview of several federal COVID-19 policy changes that may affect provider operations and compliance.
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Extension
A discussion of the public health emergency extension and the broader implications of continued federal flexibilities.
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Reviews and authorizations
A summary of Medicare review activity, audit resumption, and prior authorization program updates affecting providers.
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Tip sheets
Information about CMS tip sheets related to quality reporting programs and pandemic-related reporting changes.
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Title VI
A review of HHS civil rights guidance addressing nondiscrimination and access considerations during the pandemic.
What You Will Learn
- How federal COVID-19 emergency policy updates may affect healthcare organizations
- What types of Medicare review and authorization activities were resumed
- Which CMS quality reporting resources were updated for pandemic-related circumstances
- How federal civil rights guidance relates to access and nondiscrimination during COVID-19
Who Should Read This
- Physician practices
- Medical coders
- Billing staff
- Compliance officers
- Healthcare administrators
- Quality reporting staff
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