Special Bulletin

April 6, 2020

Avalanche of New Guidance from CMS No Match for COVID-19

By Chuck Buck and Mark Spivey
Providers and federal officials alike continue to adjust to the new normal, and an uncertain future. EDITOR’S NOTE: Dr. Ronald Hirsch, vice president of R1 RCM, and healthcare attorney David Glaser, of Fredrikson and Bryon, reported these two stories during this week’s live edition of Monitor Mondays. What follows are…
March 31, 2020

CMS Releases Tsunami of Waivers

By Chuck Buck
In an unprecedented move, the Centers for Medicare & Medicaid Services (CMS) has released 15 documents specifying new waivers in response to the COVID-19 pandemic. These waivers touch every aspect of medical care. CMS Administrator Seema Verma said that while all the waivers are blanket waivers covering all providers in…
Federal authorities have decided that telephonic communications is an acceptable alternative to in-person meetings. EDITOR’S NOTE: With looming shortages of personal protective equipment (PPE) and an unknown asymptomatic period associated with COVID-19 infection, hospitals around the country have been doing everything possible to preserve stocks of PPE and minimize contact…
Long-awaited and highly anticipated, providers hope other payers will follow suit. Healthcare insurer giant UnitedHealthcare (UHC) has announced that it will be suspending prior authorization requirements for post-acute settings through May 31, 2020, with the waiver applying to long-term care facilities (LTCFs), acute inpatient rehabilitation (AIR), and skilled nursing facilities…
EDITOR’S NOTE: Dennis Jones is the Administrator of Patient Financial Services for Montefiore Nyack Hospital in Nyack, N.Y., about 20 miles north of New York City. During a guest appearance on Talk Ten Tuesdays this week, Jones outlined how the COVID-19 pandemic is hitting the metropolitan area as hard as…
March 23, 2020---The Centers for Medicare & Medicaid Services  (CMS) has clarified its position on the use of swing beds, saying that swing beds can accept patients without a three-day inpatient stay. In a question and answer response to the issue, CMS stated the following: Q. Does waiving the requirement…
The regulatory landscape is rapidly changing in the wake of the coronavirus. EDITOR’S NOTE: As with last week, RACmonitor asked Dr. Ronald Hirsch, vice president of R1 RCM, to summarize the most pertinent regulatory changes recently arising. The following is a transcript of his reporting today on Monitor Mondays. “First,…
The uncomfortable truth about the coronavirus pandemic? A near-total and indefinite shutdown of American life is probably just the beginning.   EDITOR’S NOTE: Veteran RACmonitor and ICD10monitor Editor and Correspondent Mark Spivey has spent the last week with his wife at their home in Monmouth County, New Jersey, working remotely…