Outpatient Facility Coding Alert - 2023 Issue 5
COVID-19: Prepare Your Practice for the PHE’s End
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Article Overview
This article helps practices understand how the end of the COVID-19 public health emergency affects billing, coverage, and operational flexibilities. It covers broad categories of CMS guidance, including telehealth, COVID-19 testing and treatment coverage, licensure and practitioner-location issues, remote physiologic monitoring, and staffing-related rules. It is intended for physicians, surgeons, compliance teams, and practice administrators preparing for the transition back to standard health care operations.
Why This Topic Matters
The end of the public health emergency changes which temporary flexibilities remain available and which revert to pre-PHE requirements. Practices need this information to stay compliant, adjust workflows, and avoid disruptions in reimbursement and service delivery.
Article Sections
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Look to Ongoing Waivers
This section reviews which pandemic-era flexibilities continue in some form and which broader policy areas are being addressed through permanent or longer-term changes. It focuses on coverage, telehealth, and state-law considerations.
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Acknowledge These Tightened Regulations
This section outlines operational areas that become more restrictive when the emergency ends, including remote monitoring, staffing, supervision, and facility-level decision-making. It also notes where CMS guidance and coverage policies again apply standard requirements.
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Resources
This section points readers to CMS reference materials and fact sheets that summarize waiver and flexibility changes. It serves as a source list for further review.
What You Will Learn
- How the end of the COVID-19 public health emergency affects provider operations
- Which broad categories of CMS flexibilities are ending or continuing
- How telehealth and related coverage issues are addressed after the PHE
- What to expect for remote physiologic monitoring and staffing-related policies
- Where to find CMS resources on waiver and flexibility transitions
Who Should Read This
- Physicians
- Surgeons
- Practice administrators
- Compliance teams
- Hospital and facility leadership
- Billing and coding professionals
Codes Discussed
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