COVID-19
July 2, 2020
FROM AMA:
The U.S. House of Representatives Select Subcommittee on the Coronavirus Crisis asked the American Medical Association (AMA) to submit comments on personal protective equipment (PPE) shortages. Our recommendations include establishing a national response strategy on this issue that delineates federal and state responsibilities; focusing on the needs of all practice settings; the creation of a permanent home for federal logistical planning; and strict measures again price gouging that can occur during national emergencies.
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June 26, 2020
| Friday, June 26, 2020 |
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| This week’s report highlights the mounting evidence for the effectiveness of face coverings, information on how racism contributes to disproportionate COVID-19 impacts, and new resources and training opportunities for providers and patients. |
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June 26, 2020
Dive Brief:
- President Donald Trump's Department of Justice again argued the Affordable Care Act should be struck down in opening briefs due before the Supreme Court filed late Thursday. The move comes as COVID-19 cases are rising in many states across the country, posing significant health risks to Americans and the economy.
- Legal experts were watching closely for the legal brief as the agency has changed its position in the past. But the administration did not flinch in its quest to overturn the law despite the outbreak of the novel coronavirus and the upcoming election.
- House Speaker Nancy Pelosi, a Democrat of California, blasted the administration's attempts to "rip away the protections and benefits of the Affordable Care Act in the middle of the coronavirus crisis." Calling it "an act of unfathomable cruelty."
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June 23, 2020
FROM NCMS:
Last week, the US Department of Health and Human Services (HHS) launched an application portal to distribute $15 billion in CARES Act Provider Relief Fund payments to eligible Medicaid and CHIP physicians and organizations. Read more about this allocation in this June 9 NCMS COVID-19 News Alert.
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June 22, 2020
| Friday, June 19, 2020 |
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| This week’s report updates state trends and highlights data on the effectiveness of face coverings, how structural racism creates an epidemic of risk for Black communities, and new COVID-19 resources for providers and vulnerable patients experiencing health inequities. |
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June 19, 2020
FROM AMA:
Last week, HHS launched an application portal to distribute $15 billion in CARES Act Provider Relief Fund payments to eligible Medicaid and CHIP physicians and organizations. The payment will be at least 2 percent of reported gross revenue from patient care, and the final amount will be determined based on submitted data, including the number of Medicaid patients served. Eligible physicians and organizations have until July 20, 2020, to submit their application and report other necessary information, such as annual patient revenue data.
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June 17, 2020
The NC General Assembly’s recently approved HB 1043—2020 COVID-19 Recovery Act includes a 5 percent rate increase for all Fee-For-Service (FFS) Medicaid providers who had not yet received a 5 percent increase during the COVID-19 public health emergency.
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June 16, 2020
Thursday, June 18th
Laurel Community Center
12-2pm
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June 15, 2020
Situation Update:
- As of noon on 6/14/2020, there have been a total of 437 lab-confirmed cases of COVID-19 in Buncombe County residents, including 35 fatalities. Basic demographic information on Buncombe County cases is updated daily on the Buncombe County COVID-19 data dashboard.
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June 9, 2020
This memo updates previous guidance shared on May 15, 2020. It is intended to provide the latest information to all North Carolina clinicians and laboratory staff regarding the Coronavirus Disease 2019 (COVID-19). Please read thoroughly as there are several updates, including:
- Updated laboratory testing guidance
- Updated resources on testing sites, PPE, and specimen collection supplies
North Carolina’s response to COVID-19 will continue to rapidly evolve. The most up-to-date information and guidance can be found at: https://www.cdc.gov/coronavirus/2019-ncov/index.html and https://covid19.ncdhhs.gov/
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June 12, 2020
| Friday, June 12, 2020 |
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| This week’s report updates regional trends and highlights new testing guidance, harm reduction strategies, new online tools for checking symptoms and finding testing sites, and new COVID-19 resources and virtual trainings to address health inequities and support vulnerable patients. |
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June 10, 2020
Today, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced additional distributions from the Provider Relief Fund to eligible Medicaid and Children's Health Insurance Program (CHIP) providers who participate in state Medicaid and CHIP programs. HHS expects to distribute approximately $15 billion to these eligible clinicians who have not already received a payment from the Provider Relief Fund General Allocation.
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June 5, 2020
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| Friday, June 5, 2020 |
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| This week’s report updates regional trends and highlights new research on the effectiveness of preventive measures, how to address implicit bias in your practice, the latest COVID-19 practice guidance, and new resources and trainings to support vulnerable patients and balancing office-based services with telehealth. |
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June 3, 2020
Requesting PPE from NC DHHS
The section of the NC DHHS website for Requesting PPE has been updated outlining healthcare and non-healthcare allocation schedules.
The process has been streamlined with a form for healthcare entities and a separate form for non-healthcare entities to complete a request for PPE.
Please share link and information with others as appropriate.
https://covid19.ncdhhs.gov/information/health-care/requesting-ppe
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June 3, 2020
Share with your patients about Buncombe County’s new COVID-19 Self-Checker
Following CDC guidelines Buncombe Ready COVID-19 Self-Checker is a quick, confidential, easy-to-use assessment tool. It can be used online or by phone to help your patient determine if they have COVID-19 symptoms. The tool can connect your patient to individual level follow-up with public health staff and help connect those in need to COVID-19 testing and offer additional support. Non-English speakers can access the Self-Checker online in Spanish and Russian and can be taken over the phone in multiple languages via 211.
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May 29, 2020
| Friday, May 29, 2020 |
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| This week’s report updates regional trends and highlights challenges experienced by the I/DD community, CDC’s request for reports of suspected COVID-19 reinfection, economic disparities, and new resources to support PPE acquisition, safely reopening, and the LatinX community. |
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May 22, 2020
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| Friday, May 22, 2020 |
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| Our regional response partners are committed to providing WNC’s medical community with timely information on COVID-19 through weekly updates on regional trends, needs, resources, and training opportunities. Our goal is to foster collaboration and minimize duplication of effort to enhance our region’s COVID-19 response efforts. |
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May 22, 2020
Contact :
Xanet Pailet: xanet@powerofpleasure.com 415-562-701
Benita Silver: benita@fearlesshealers.com 828-505-3780
Asheville Psychotherapists and Healers expand “Care for Corona” to provide free sessions to all essential workers, their families and Covid-19 patients and their families.
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May 21, 2020
Tonight, the NC Medical Society is partnering with Medicaid, CCNC and the NC AHEC Program, to host a webinar entitled “COVID-19 in NC: Testing Strategy, Guidance and Priority Populations.” This webinar will address new options for telephonic and telehealth delivery of care for changes in testing recommendations, an overview of the testing modalities, and a discussion on how NC DHHS is working with community partners to reach high priority populations. The webinar will feature NC DHHS Secretary Dr. Mandy Cohen, State Health Director and CMO for NCDHHS Dr. Betsey Tilson, CMO for Medicaid Dr. Shannon Dowler and Dr. Scott Shone, Director at the NC State Laboratory of Public Health. You can register and access the webinar here.
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May 20, 2020
The Centers for Disease Control and Prevention (CDC) and the NC Department of Health and Human Services (NCDHHS) have issued a Health Advisory for Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with Coronavirus Disease 2019 (COVID-19). The CDC also hosted a call with clinicians yesterday on this advisory and how you can recognize the symptoms of MIS-C. You can review the presentation slides and download the transcript here.
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May 19, 2020
May 19, 2020 | COVID-19 Community Testing Site at Pisgah View Cancelled Today Due to Inclement Weather
Due to the strong possibility of a high impact storm event, today’s COVID-19 Community Testing Site in the Pisgah View community is cancelled for May 19, 2020. COVID-19 testing at this site will be rescheduled for a later date and the public will be notified via all Buncombe County Government media channels.
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May 19, 2020
FROM AMA:
The AMA has received many questions from physicians and medical societies related to the CARES Act Provider Relief Fund, and we have been in touch with senior HHS officials about them. Certain formulas that were previously on the HHS website led some physicians to believe they may have received more money from this fund than they were supposed to and they were worried that it will be recouped by HHS. Because the AMA informed the administration of the concerns and alarm the previous formulas and language about overpayments were causing many physicians, HHS removed it from the website.
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May 18, 2020
Some 15,000 much-needed surgical masks are now available for health care providers across the 18 counties of Western North Carolina, thanks to big efforts by a small group centered at Western Carolina University.
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May 18, 2020
FROM BCHHS:
Buncombe County Government and Western North Carolina Community Health Services (WNCCHS) will partner to offer community-based COVID-19 testing in the coming weeks for people who are experiencing symptoms of COVID-19. This is an important and necessary step in understanding and addressing the spread of COVID-19 in Buncombe County.
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May 18, 2020
Situation Update:
- As of 2pm on 5/16/2020, there have been a total of 134 lab-confirmed cases of COVID-19 in Buncombe County residents, including 4 fatalities. Basic demographic information on Buncombe County cases is updated daily on the Buncombe County COVID-19 data dashboard.
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May 15, 2020
Mission Health is using the FDA-approved procedure of convalescent plasma as a treatment for those with COVID-19, and is participating in an NIH study on it as well. Recently, WLOS did a news piece on plasma donation, and the need to spread the word about the opportunity for recovered patients to consider donating plasma if they are able and eligible. The news story states patients must be symptom-free for 28 days, but that requirement has since been decreased to only 14 days.
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May 15, 2020
Today, State Epidemiologist Zack Moore, MD, MPH sent a memo reminding clinicians of the guidance issued on April 20, which recommended conducting or arranging for diagnostic testing for any patient in whom COVID-19 is suspected. Read his full memo here.
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May 15, 2020
| Friday, May 15, 2020 |
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| Our regional response partners are committed to providing WNC’s medical community with timely information on COVID-19 through weekly updates on regional trends, needs, resources, and training opportunities. Our goal is to foster collaboration and minimize duplication of effort to enhance our region’s COVID-19 response efforts. |
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May 15, 2020
As the state eases some of the restrictions associated with the COVID-19 pandemic, some practices that suspended non-essential procedures or closed completely to stem the spread of the virus, may be looking for how best to resume services. A new AMA checklist provides helpful step-by-step guidance to manage the safe reopening of practices in a manner that protects patients, clinicians, staff and the public. Learn more and download the checklist here.
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May 12, 2020
FROM NC MedAssist:
North Carolina (May 1, 2020) – NC MedAssist is the only free mail-order pharmacy serving all 100 counties in NC since 1997. Although they are most known for their mobile pharmacy events where they distribute over-the-counter medicine into impoverished communities, this organization’s primary focus is their Free Pharmacy Program.
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May 11, 2020
Are you writing at all during this pandemic? Would you write if you had an audience?
My name is Laura Hope-Gill. I direct the Narrative Healthcare program at Lenoir-Rhyne University. The program hosted the nation's first Narrative Healthcare Symposium at MAHEC last October. Now, students and faculty have repurposed the website to provide "Soul Support in Covid-19" in the form of poems, meditations, art, music, and journal prompts. Already, the site has subscribers from a number of hospitals and clinics. I will be gathering stories, poems, and reflections or essays for the site's blog.
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May 8, 2020
| Friday, May 8, 2020 |
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| Our regional response partners are committed to providing WNC’s medical community with timely information on COVID-19 through weekly updates on regional trends, needs, resources, and training opportunities. Our goal is to foster collaboration and minimize duplication of effort to enhance our region’s COVID-19 response efforts. |
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May 7, 2020
FROM NCMS:
North Carolina has taken agressive action to save lives
CLICK HERE FOR MORE
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May 7, 2020
Phase 1 of easing restrictions:
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May 5, 2020
FROM BCHHS:
Situation Update:
- As of noon today, there have been a total of 79 lab-confirmed cases of COVID-19 in Buncombe County residents, including 4 fatalities. Basic demographic information on Buncombe County cases is updated daily on the Buncombe County COVID-19 data dashboard.
- At this time, there have been no lab-confirmed cases of COVID-19 in any nursing homes or congregate living facilities in Buncombe County.
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May 4, 2020
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FROM NC RAPID RECOVERY:
Dear Rural Partners,
As you may know, the NC COVID-19 Rapid Recovery Loan Program was launched by the NC Rural Center on March 24 with an initial allocation of $15 million provided by the Golden LEAF Foundation. The goal of the program was to provide emergency bridge loans to our state's small-business owners who were being affected by the economic impacts of COVID-19.
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May 4, 2020
FROM NC DHHS Office of Rural Health:
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The Health Resources and Services Administration (HRSA) recently launched a COVID-19 Uninsured Program Portal where health care providers who have conducted COVID-19 testing of uninsured individuals for COVID-19 or provided treatment to uninsured individuals with a COVID-19 diagnosis on or after February 4, 2020 can request claims for reimbursement.
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May 1, 2020
FROM NCMS:
NC Department of Health and Human Services (NCDHHS) Secretary Mandy Cohen, MD, MPH today announced that hospitals and ambulatory surgical centers may resume elective and non-urgent surgeries in accordance with updated guidance.
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May 1, 2020
| Friday, May 1, 2020 |
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| Our regional response partners are committed to providing WNC’s medical community with timely information on COVID-19 through weekly updates on regional trends, needs, resources, and training opportunities. Our goal is to foster collaboration and minimize duplication of effort to enhance our region’s COVID-19 response efforts. |
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May 1, 2020
WCMS is hosted our 2nd Virtual Membership Assembly to continue the conversation about the many changes happening in our WNC healthcare system right now in light of COVID-19. We welcomed everyone from the WNC medical community to participate, including Practice Managers.
For this meeting, Dr. Mark McNeill of Trillium Family Medicine first led us in a discussion about the impact on independent practices and then we introduced Grant Osborne and Michael Fields of Ward and Smith, PA to share information and answer questions regarding employment law, the CARES Act and the FFCRA.
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May 1, 2020
FROM NCMS:
NCMS staff has been carefully monitoring all of the federal and state regulatory changes prompted by the COVID-19 pandemic – and there have been many -- and how they may impact your practice. To help you quickly access these new regulations here is a helpful grid.
The information includes updated federal regulations regarding Medicare, the Quality Payment Program deadlines, HIPAA and telehealth among others. The grid also includes regulatory changes prompted by Governor Cooper’s Executive Orders, measures taken by the NC Medical Board and advisories from the NC Department of Insurance. We will be updating these as new regulations are enacted.
Access this useful reference tool.
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April 30, 2020
At the beginning of April, WCMS was approached by Greg Williams, a Western North Carolina community member, asking if we knew of any providers or practices in need of face shields. Williams developed a detailed and thoughtful sanitizing process and was prepared to design and donate several face shields immediately. At the time, we hadn't recieved any requests for face shields specifcially. However, WCMS and Williams decided to work together in hopes of distributing the shields as soon as the need arose. Williams delievered the first batch of 60 face sheilds within 5 days of our initial communication and 80 additional sheilds have since been produced by Greg and will be allocated to providers by WCMS shortly.
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April 28, 2020
FROM HEALTHCARE DIVE:
Dive Brief:
- The Trump administration on Monday launched an online portal where hospitals can apply for reimbursement for COVID-19 testing and treatment for the roughly 30 million uninsured patients in the U.S.
- Providers that tested or treated uninsured patients for the disease starting Feb. 4 could begin signing up on Monday, and can submit patient information and claims for reimbursement beginning May 6. Claims will generally be paid out based on current Medicare rates, and providers will begin receiving reimbursements in mid-May, HHS said, as long as funding is available.
- To participate, hospitals and doctor's offices must ensure the patient is uninsured and agree not to balance bill the patient for any part of his or her medical treatment.
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April 28, 2020
FROM NC DEPT. OF COMMERCE:
Pandemic Unemployment Assistance (PUA) North Carolina independent contractors and self-employed workers out of work because of COVID-19 can apply for federal Pandemic Unemployment Assistance beginning Friday, April 24 at des.nc.gov.
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des.nc.gov
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April 27, 2020
FROM AMA:
The Department of Health and Human Services (HHS) has posted new Frequently Asked Questions regarding the second tranche of disbursement of the CARES Act Provider Relief Fund. Please note there is conflicting information about whether a provider who hasn’t previously received money from the first round of funding can apply for this round. The AMA is trying to clarify this and other questions with HHS.
https://www.hhs.gov/sites/default/files/20200425-general-distribution-portal-faqs.pdf
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April 27, 2020
FROM AMA:
General Allocation Fund
Late this past week the Department of Health and Human Services (HHS) announced that it will begin distributing the second tranche of funds from the $100 billion in funds to hospitals and other healthcare providers impacted by the coronavirus response. The funding will be used to support healthcare-related expenses or lost revenue attributable to COVID-19. HHS announced that $50 billion of the Provider Relief Fund is allocated for general distribution to facilities and providers which billed Medicare in 2019, and are impacted by COVID-19, based on providers' 2018 net patient revenue. Of this $50 billion, the initial $30 billion was distributed between April 10 and April 17, and payments to providers from that $30 billion were calculated based on providers’ portion of Medicare fee-for-service revenue.
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April 24, 2020
Our regional response partners are committed to providing WNC’s medical community with timely information on COVID-19 through weekly updates on regional trends, needs, resources, and training opportunities. Our goal is to foster collaboration and minimize duplication of effort to enhance our region’s COVID-19 response efforts.
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April 24, 2020
FROM NCMS:
Today the joint NCMS and NC Healthcare Association (NCHA) Task Force on Virus Mitigation in an Open Economy, which includes physicians from a variety of specialties and representatives from the NCHA, issued a media statement on resuming economic activity during the COVID-19 pandemic. Task force members emphasized the need, above all, to protect public health through continued social distancing and other efforts to slow the spread of the virus and recognized that a thoughtful and measured approach to resuming business activities is necessary. Read the media statement on reopening the economy.
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April 23, 2020
FROM AMA:
Today the Department of Health and Human Services (HHS) provided additional information about allocation of the $100 billion CARES Act Provider Relief Fund. This updated information is available at https://www.hhs.gov/provider-relief/index.html .
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April 23, 2020
FROM NCMS:
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The NC General Assembly is currently discussing providing limited civil liability protection for you and other front-line responders to the COVID-19 pandemic. Your NCMS lobbying team has been working tirelessly on this issue for the past four weeks. While Gov. Cooper has provided relief to the extent allowed under NC law, NCMS has sought to make sure that all COVID and COVID impacted services were equally protected.
We need your help communicating with your legislators about this fundamental need! Please use the following link to contact your NC House and NC Senate member.
Thank you!
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April 22, 2020
FROM JAMA:
The coronavirus disease 2019 (COVID-19) pandemic has become one of the central health crises of a generation. The pandemic has affected people of all nations, continents, races, and socioeconomic groups. The responses required, such as quarantining of entire communities, closing of schools, social isolation, and shelter-in-place orders, have abruptly changed daily life.
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April 21, 2020
Situation Update as of 12pm today:
- There have been a total of 48 lab-confirmed cases of COVID-19 in Buncombe County residents, including 3 fatalities. Basic demographic information on Buncombe County cases is updated regularly on the county website.
- There have been no lab-confirmed cases of COVID-19 in any nursing homes or congregate living facilities in Buncombe County.
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April 21, 2020
FROM WARD & SMITH:
Healthcare providers are among those financially adversely affected by the COVID-19 pandemic.
A survey conducted by the Medical Group Managers Association ("MGMA") on April 7 and 8, 2020, found that 97% of medical practices have experienced a negative financial impact directly or indirectly related to COVID-19. MGMA also indicates that, on average, practices report a 55% decrease in revenue and a 60% decrease in patient volume since the beginning of the COVID-19 crisis.
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April 21, 2020
On Thursday, April 16, WCMS membership along with other leaders of hospital systems and medical communities in Western North Carolina assembled virtually to discuss our region's preparedness for COVID-19, future predictions, available resources, current challenges, and more. Click here to listen to the recording and stay tuned for our next meeting!
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April 20, 2020
FROM NCDHHS:
COVID-19 Telehealth Information
CLICK HERE TO VIEW THE FLYER
Why Using Telehealth Is Important During the COVID-19 Pandemic
CLICK HERE TO WATCH THE VIDEO
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April 20, 2020
FROM NC GOVERNOR COOPER:
Testing, Tracing and Trends will help determine when to loosen restrictions
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April 20, 2020
As the United States continues to face the unprecedented public health emergency from the COVID-19 pandemic, the tide is turning and some areas throughout the country are seeing a decline in cases. As states and localities begin to stabilize, the Centers for Medicare & Medicaid Services (CMS) is issuing guidance on providing essential non-COVID-19 care to patients without symptoms of COVID-19 in regions with low and stable incidence of COVID-19. This is part of Phase 1 in the Trump Administration’s Guidelines for Opening Up America Again.
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April 20, 2020
FROM NCMS:
Many organizations, government agencies and elected officials are working to address the economic toll of the COVID-19 pandemic. To help you navigate the flood of information, we’ve distilled it down into what we hope are useful key categories. NCMS staff continues to vet and add resources to this page to ensure the latest and most credible content.
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April 17, 2020
| Friday, April 17, 2020 |
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| Our regional response partners are committed to providing WNC’s medical community with timely information on COVID-19 through weekly updates on regional trends, needs, resources, and training opportunities. Our goal is to foster collaboration and minimize duplication of effort to enhance our region’s COVID-19 response efforts. |
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April 16, 2020
Dr. Patrick Gardner, Director of the RAPID CENTER at WCU helped organize his students and engineering faculty to manufacture face shields using 3D printing technologies. Dr. Lane Perry, Executive Director of the Center for Community Engagement and Service Learning at WCU, then developed an initiative to connect with WCMS and other community partners across WNC to distribute these face shields to practices and providers in need.
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April 15, 2020
Dear Secretary Azar and Administrator Verma:
Thank you for the ongoing work to respond to the effects of the 2019 Novel Coronavirus (2019-nCoV). North Carolina is currently working closely with CMS regarding several high priority outstanding requests for Medicaid flexibility under the 1115 and Disaster SPA processes, and I appreciate your team’s partnership in those efforts. The purpose of this letter is to urge you to act quickly to dedicate a portion of the $100 billion CARES Act Provider Relief Fund to the essential providers that disproportionately serve Medicaid beneficiaries and the uninsured, as recently was done for Medicare providers. This step is needed to keep essential providers afloat until Congress, CMS and states can identify additional resources to sustain them through the pandemic.
CLICK HERE TO READ the full letter from Mandy K. Cohen, MD, MPH, NCHHS Secretary
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April 15, 2020
FROM JPS:
The CARES Act includes relief to physician practices who are suffering financial loss due to COVID-19 by designating funding for the Department of Health and Human Services (HHS) Public Health and Social Services Emergency Fund. The Coronavirus Aid, Relief and Economic Security Act (CARES Act) was signed into law by President Trump on March 27, 2020. CARES Act provides relief to individuals, businesses, nonprofits and others affected by COVID-19.
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April 14, 2020
EVERY MONDAY FROM 12 TO 1 P.M.
Join the Zoom meeting room or dial-in at (646) 558-8656 with webinar ID 985 104 650.
Access the recording, slide deck, and transcript from April 6, 2020.
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April 14, 2020
Here you'll find NC AHEC tip sheets and links to other guides on COVID-19 topics, including PPE, telehealth, testing & patient care, financial health, and clinical specialties.
Created by MAHEC librarians with collaboration from MAHEC Practice Support and Regional Response Team
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April 14, 2020
FROM AAFP:
Universal Early Preparation Educate staff and patients about changes they can expect to be implemented in the office during an outbreak or pandemic, and about ways to prepare themselves and their families.
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April 14, 2020
FROM CCNC:
The COVID-19 pandemic is putting a tremendous strain on health care providers, the people on the front-line in efforts to control the pandemic. CCNC is pleased to announce a toll-free helpline aimed at answering your patients’ COVID-19 questions and helping them find the care they need. Our mission is to help patients while reducing the immediate demands on your office staff. We’re calling the new helpline COVID-19 Triage Plus.
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April 13, 2020
SOURCE: NCMS
On Friday the federal government announced release of additional funding to provide financial relief to physicians, PAs and hospitals as the health care system responds to the COVID-19 pandemic.
The CARES Act Provider Relief Fund
The Department of Health and Human Services (HHS) announced the initial delivery of $30 billion in provider funding as part of the $100 billion Coronavirus Aid, Relief, and Economic Security (CARES) Act. Immediate relief funds began being delivered on Friday April 10 to Medicare enrolled hospitals, physicians and PAs based on their share of 2019 Medicare fee-for-service (FFS) reimbursement. The funds do not need to be paid back.
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April 10, 2020
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Friday, April 10, 2020
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Our regional response partners are committed to providing WNC’s medical community with timely information on COVID-19 through weekly updates on regional trends, needs, resources, and training opportunities. Our goal is to foster collaboration and minimize duplication of effort to enhance our region’s COVID-19 response efforts.
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April 10, 2020
Colleagues, I trust this email finds you well.
In the spirit of continuing to provide assistance to our providers, the Corporate team is in the process of standing up a HCA CARES Physician Relief line/website that will allow our providers to access info real time and ask questions. The hotline and website will be live on Monday, April 13th.
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April 10, 2020
This morning the Department of Health and Human Services (HHS) announced the immediate disbursement of the first $30 billion out of the $100 billion that Congress allocated to hospitals, physicians and other health care providers in the Public Health and Social Services Emergency Fund in the Coronavirus Aid, Relief and Economic Security (CARES) Act. The distribution policy adopted by HHS reflects the recommendations from organized medicine made to Secretary Azar by the AMA and 137 medical societies earlier this week, although it is not exactly what we proposed. In part, the difference stems from the administration's approach of first disbursing $30 billion and later determining how the remainder of the funds will be allocated.
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April 10, 2020
The CARES Act was passed into law on March 27, 2020, and on April 2, 2020, the Small Business Administration ("SBA") published its guidance on the new legislation's Paycheck Protection Program ("PPP").
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April 9, 2020
Wednesday, April 8, 2020
DHHS and Community Care of North Carolina (CCNC) have launched a toll-free Patient Information and Support Line aimed at helping health care providers answer their patients' questions related to COVID-19. Their goal is to relieve some of the tremendous strain the pandemic is putting on health care providers and their staff.
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April 9, 2020
If you were not able to attend one of our COVID-19 Project ECHO sessions or would like to review the resources discussed in your session, we encourage you to click on the links below.
Using Telehealth: Practice Support for COVID-19 Preparedness
Mondays, Wednesdays, and Fridays from 7:00 to 8:00 am
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April 9, 2020
As our communities face shortages of medical supplies, one thing we can do to help is make PUBLIC mask covers. These are not a substitute for the coveted FDA approved N95, but COULD help to preserve the contamination on the N95 and therefore extend its life. We’re working with our manufacturing community at The Carolina Textile District to collectively make a mask and cover that will meet extreme protective needs. These are more of a minimal protective covering for our other public who are also valiantly putting themselves at risk and just for the general public.
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April 9, 2020
The first CARES Act presentation on the Paycheck Protection Program (PPP) for physicians went very well based on physician feedback. Physician Relations worked with you to personally invite physicians to meeting. Despite a 10 hour invitation window, over 1,000 physicians attended, which highlights the demand for this content.
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April 8, 2020
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April 7, 2020
Hello,
Thank you for expressing your interest in serving as a volunteer nurse/medical professional to support our community’s response to the COVID-19 pandemic.
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April 6, 2020
As of this morning, there have been a total of 33 lab-confirmed cases of COVID-19 in Buncombe County residents, including the one fatality. We are developing a report of basic demographic info on these cases that I hope to share with you later this week.
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April 6, 2020
We've been sharing client alerts and articles about the passage of the CARES Act in the wake of the COVID-19 crisis.
Among other things, the CARES Act allocates federal funds towards making small business loans available to eligible applicants. The CARES Act became law on Friday, March 27, 2020, and lenders across the country are gearing up to be in a position to accept and process those loan applications beginning April 3, 2020. Lenders are continuing to collect additional guidance from the Secretary of the Small Business Administration so that they can answer nuanced questions that arise from unique borrower entities, and actually process loan applications.
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April 6, 2020
Dr. Carrie Brown, Chief Medical Officer of Behavioral Health and IDD at the NC Department of Health and Human Services, on ways to support yourself during COVID-19 social distancing, quarantine and isolation. Learn more about how to reduce anxiety and stress.
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April 6, 2020
Mark your calendar for Monday, April 6, at 3 p.m. when two experts from the NCMS' outside counsel firm of Smith Anderson will offer some clarity and detailed information on your financial options during this pandemic.
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April 2, 2020
We previously posted that the "health care provider" exemption from the obligation to provide "paid sick time" and paid "public health emergency leave" under the Families First Coronavirus Response Act of 2020 ("FFCRA") was limited to the traditional definition of "health care provider" under the Family and Medical Leave Act of 1993 ("FMLA") given the language of the FFCRA.
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April 1, 2020
The North Carolina Medical Board (NCMB) held an emergency meeting last Friday during which they took several actions to support the state’s response to the COVID-19 pandemic.
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April 1, 2020
The U.S. Drug Enforcement Administration (DEA) late yesterday issued guidance to DEA-registered physicians providing new flexibility for physicians managing patients with opioid use disorder. The new guidance permits physicians and other health professionals with a waiver allowing them to prescribe buprenorphine for the treatment of opioid use disorder to issue these prescriptions to new and existing patients based on an evaluation via telephone. The new policy is effective from March 31 for the duration of the COVID-19 emergency.
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April 1, 2020
April 1, 2020
Asheville, North Carolina
A consortium of therapists and healers have formed “Care for Corona”, a grassroots support system comprised of therapists and healing practitioners who offer no-cost online sessions to Buncombe County medical personnel and psychotherapists who are reeling from the demands to care for our community.
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April 1, 2020
ASHEVILLE AND CULLOWHEE, NC – The Western Carolina Medical Society (WCMS) is working in collaboration with Western Carolina University (WCU) to identify available resources for Personal Protective Equipment (PPE) in Western North Carolina and beyond. If you possess non-essential and unused Personal Protective Equipment (PPE) that you’re willing to donate, please contact WCMS Program Director, Nadia Z. Mazza, at nadia@mywcms.org. WCMS and WCU are organizing a comprehensive list of what’s available in an effort to connect those in need of PPE with those who have the capacity to donate. If you are a medical practice or community-based non-profit in need of PPE, please contact Nadia. If you are working on a similar initiative, please reach out to Nadia to collaborate and avoid duplicate efforts.
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March 31, 2020
Overview of CDC’s new guidelines following PPE shortages due to COVID-19
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March 31, 2020
At President Trump’s direction, the Centers for Medicare & Medicaid Services (CMS) today is issuing an unprecedented array of temporary regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the 2019 Novel Coronavirus (COVID-19) pandemic. CMS sets and enforces essential quality and safety standards for the nation’s healthcare system, and is the nation’s largest health insurer serving more than 140 million Americans through Medicare, Medicaid, the Children’s Health Insurance Program, and Federal Exchanges.
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March 31, 2020
Provisions that will benefit physicians and physician practices.
• Small business loans. Small businesses, including physician practices, with no more than 500 employees are eligible to apply for the Small Business Administration’s (SBA) section 7(a) Payroll Protection Program. This allows a small business to apply to an SBA-approved lender for a loan of up to 250 percent of the business’ average monthly payroll costs to cover eight weeks of payroll as well as help with other expenses like rent, mortgage payments, and utilities. The maximum loan amount is $10 million. Sole-proprietors, independent contractors, and other selfemployed individuals are eligible. A loan can be forgiven based on maintaining employee and salary levels. For any portion of the loan that is not forgiven, the terms include a maximum term of 10 years, a maximum interest rate of four percent. Small businesses and organizations will be able to apply if they were harmed by COVID-19 between February 15, 2020 and June 30, 2020. This program is retroactive to February 15, 2020 and are available through June 30, 2020. (Division A)
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March 30, 2020
The outbreak of the Covid-19 virus is having a financial impact on private practices nationwide. Experts say that many practices are seeing a decline in patient volume as people try to avoid doctors’ offices unless they have no other choice, and that decline is expected to continue as the crisis broadens.
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March 30, 2020
On Friday the President signed the $2 trillion stimulus and COVID-19 relief package, which Congress approved last week. The AMA provided this brief overview of how the package might impact your medical practice.
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March 17, 2020
The NC Department of Health and Human Services (NCDHHS) recognizes that many primary care and outpatient clinics may be feeling overwhelmed with the vast amount of nearly hourly news about Covid-19 and are looking for easy access to practical information as they are on the frontlines of patient care.
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March 30, 2020
Trump Administration Provides Financial Relief for Medicare Providers
Action comes to aid providers and suppliers facing challenges in responding to COVID-19 pandemic
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March 30, 2020
This memo updates previous guidance shared on March 23rd, 2020. It is intended to provide the latest information to all North Carolina clinicians and laboratory staff regarding the Coronavirus Disease 2019 (COVID-19). Please read thoroughly as there are several updates, including:
• Updated criteria for submission of specimens to the North Carolina State Laboratory of Public Health
• Providers no longer asked to fill out person under investigation forms for patients tested for COVID-19
• Requirement for reporting of COVID-19-associated deaths
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March 30, 2020
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The Centers for Medicare & Medicaid Services (CMS) has announced an expansion of its accelerated and advance payment program for Medicare participating health care providers and suppliers, to ensure they have the resources needed to combat the 2019 Novel Coronavirus (COVID-19). This program expansion includes changes that were part of the recently enacted Coronavirus Aid, Relief, and Economic Security (CARES) Act.
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March 30, 2020
Latest Coronavirus Updates on Confirmed Cases
Watch the daily briefings from Buncombe County Public Health on the Coronavirus and preparedness efforts in Buncombe County.
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March 30, 2020
Curi has three options to support our insureds with financial hardships associated with the COVID-19 pandemic.
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March 30, 2020
COVID-19 cases could peak in Henderson County as far off as mid-May to early June, according to President and CEO of Pardee UNC Health Care Jay Kirby, adding that locally we are just now seeing “the outer bands of a hurricane.”
He shared his opinions based on recent models and data to the Henderson County Board of Commissioners Friday.
“Today I am not here to lead, guide or direct your governance, what I am here today is to tell you what Pardee hospital, its frontline nurses and its medical staff are up against,” Kirby said.
He explained that the data he is receiving from medical experts is alarming.
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March 30, 2020
Our community is engaged in a battle with an invisible enemy; COVID-19. Each day brings new reports of shuttered businesses, layoffs and furloughs, and children unable to attend school. These are the moments that define communities, and ours will be defined by its willingness to help one another. It is this spirit that has driven the creation of the “One Buncombe” Fund. Together we will get through this.
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March 30, 2020
Governor Roy Cooper issued a statewide stay-at-home order this afternoon. Below is the NCMS' statement to the media in response to the order.
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March 27, 2020
Effective Monday, March 30, 2020, the NC Department of Health and Human Services (NCDHHS) is temporarily modifying enhanced behavioral health policies and telemedicine and telepsychiatry policies to better enable the delivery of remote care to Medicaid and state-funded beneficiaries during the COVID-19 outbreak. This will include dates of service on or after March 10, 2020 and will remain in effect until the State of Emergency is declared over or when this policy is rescinded.
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March 27, 2020
Responding to the Coronavirus Outbreak (COVID-19)
We are writing about the outbreak on a regular basis, and plan to keep our clients updated about key issues as they happen. Bookmark this page to stay up to date.
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March 27, 2020
The North Carolina Board of Pharmacy has filed an emergency rule, effective April 1, 2020. Read the rule and notice for temporary rulemaking.
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March 26, 2020
Late Wednesday night the Senate approved a massive $2 trillion stimulus and COVID-19 relief package.
Provisions of particular interest to physicians and their practices include the following:
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March 26, 2020
Here are the instructions for how providers can request PPE:
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March 25, 2020
Telehealth in the setting of COVID-19 offers an essential solution for separating the sick and well. In this critical time, telehealth enables us to declutter waiting rooms, to provide ongoing monitoring for patients, and to reduce the exposure from ill persons with staff, other patients, and facilities. Telehealth is able not only to expand the reach of services to communities that have limited access, but also to minimize the exposure for both the health workers and patients who are at high risk for infection. Many clinics and medical offices already use these methods to triage and manage patients as part of usual practices. MAHEC is offering a free, region-wide ECHO (Extension in Community Healthcare Outcomes) to explore local ways to maximize the benefits of telehealth during the COVID-19 outbreak.
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March 25, 2020
In light of developing reports of confirmed cases of coronavirus disease (COVID-19) in North Carolina, the NC AHEC Program is committed to helping health care professionals, providers, and communities across our state access the most up-to-date information on COVID-19. This page will continue to be modified as new and updated resources are developed. https://www.ncahec.net/news/resources-and-courses-on-covid-19/
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March 25, 2020
New guidance from the AMA provides special coding advice during the COVID-19 public health emergency. One resource outlines coding scenarios designed to help health care professionals apply best coding practices. The scenarios include telehealth services for all patients.
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March 25, 2020
Dear friends and partners,
I am pleased to announce that earlier today, in partnership with the Golden LEAF Foundation, Thread Capital, and other nonprofit lenders throughout the state, the NC Rural Center launched a new emergency small business lending program in response to the ongoing economic impact of COVID-19 on North Carolina’s entrepreneurs and small-business owners.
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March 25, 2020
A1: There are numerous options when it comes to reporting visits that are not the traditional face-to-face office visit. This varies somewhat by payer, of course.
As you mention, on 3-17-20 Medicare has temporarily relaxed some of the geographic and security/privacy restrictions on Telehealth visits – including the office visit codes. This will allow patients to call your office, and as long as there is some type of combined audio/video communication between the provider and the patient – these ‘visits’ can be billed with the 99201-99215 series codes, adding the 95 modifier.
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March 24, 2020
The NC Department of Health and Human Services (NCDHHS) is asking for medical volunteers to “bolster our health care system to ensure we can care for those impacted by the Covid-19 virus. A crucial part of that effort is recruiting volunteers to supplement our health care workforce. We are asking for your help to meet these needs,” wrote NCDHHS Secretary Mandy Cohen, MD, MPH in a letter to health care organizations.
Read the full letter. (PDF)
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March 24, 2020
STARTING A TELEHEALTH PROGRAM
What is the Different Between Telemedicine, Telehealth and Remote Monitoring?
Telemedicine typically refers to the practice of medicine using technology to deliver care at a distance. A physician/clinician in one location uses a telecommunications infrastructure to deliver care to a patient at a distant site. Telemedicine is a subset of telehealth.
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March 24, 2020
Raleigh
The North Carolina Department of Health and Human Services has sought authority from the Centers for Medicare & Medicaid Services to temporarily waive certain Medicaid and NC Health Choice policies as part of North Carolina’s response to the COVID-19. The waivers will provide flexibility to NC Medicaid and providers to address the urgent health care needs of beneficiaries during this public health emergency.
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March 24, 2020
Dear Colleagues:
Apologies for so many communications, but in this rapidly evolving world we feel it is better to over communicate rather than leave you in the dark. The state released new guidance today which is attached and posted on our MissionandMe/COVID-19 website.
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March 24, 2020
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WCMS will continue to update this webpage with COVID-19 news and articles relevant to our WNC community
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March 24, 2020
The Centers for Medicare & Medicaid Services (CMS) has announced approval of an additional 11 Section 1135 waiver requests, including North Carolina's, intended to give states and providers regulatory relief under Medicaid to respond to COVID-19. North Carolina submitted its waiver request on March 17. The waiver will help physicians and PAs address requirements for prior authorization for services, provider enrollment, fair hearings and appeals, nursing home pre-admission reviews, reimbursement to providers for care in alternative settings due to facility evacuations (telehealth), and public notice and deadlines for state plan amendments related to COVID-1. CMS Administrator Seema Verma emphasized that the agency “has been able to swiftly remove barriers and cut red tape for our state partners.”
Read more about North Carolina's waiver approval.
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March 24, 2020
As I mentioned in yesterday’s email, attached is the updated clinician guidance from NC DHHS with changes related to testing for COVID-19.
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March 23, 2020
Dear Colleagues:
We continue to hear concerns/need for clarification about PPE Guidance for patients suspected of having COVID-19. I have attached a slide set that delineates the current recommendations. Please review as soon as you can. It is imperative that we use our PPE judiciously as we move forward with unknown needs facing us.
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March 23, 2020
As you have likely heard this weekend, residents of several WNC counties, including Buncombe, were found to have lab-confirmed COVID-19. Our case count in Buncombe has continued to increase throughout the day today and we expect that to be the case for the coming days as well. Based on contact investigations that are underway, it is likely that we have local community spread.
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March 23, 2020
Today, the Centers for Medicare & Medicaid Services (CMS) announced unprecedented relief for the clinicians, providers, and facilities participating in Medicare quality reporting programs including the 1.2 million clinicians in the Quality Payment Program and on the front lines of America’s fight against the 2019 Novel Coronavirus (COVID-19).
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March 23, 2020
Starting Monday, March 23, 2020 all “non-essential surgery” as defined by CMS guidance will be canceled.
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March 23, 2020
William R Hathaway M.D., CMO NC Division, HCA Healthcare
Anthony M. Spensieri, MD CMO Mission Hospital
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March 18, 2020
Limit all non-essential planned surgeries and procedures, including dental, until further notice
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March 20, 2020
As you may have heard yesterday afternoon, there is now documented community transmission of COVID-19 in North Carolina with a case identified in Wilson County. Data from NC and elsewhere in the US indicate that we are moving into the acceleration phase of the COVID-19 pandemic.
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March 20, 2020
Raleigh
The North Carolina Department of Health and Human Services has sought authority from the Centers for Medicare & Medicaid Services to temporarily waive certain Medicaid and NC Health Choice policies as part of North Carolina’s response to the COVID-19. The waivers will provide flexibility to NC Medicaid and providers to address the urgent health care needs of beneficiaries during this public health emergency.
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March 19, 2020
Initiative launches as the world grapples with surging demand for medical care in the midst of COVID-19
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March 17, 2020
In light of the COVID-19 nationwide public health emergency, the HHS Office for Civil Rights (OCR) is exercising its enforcement discretion and, effective immediately, will not impose penalties on physicians using telehealth in the event of noncompliance with the regulatory requirements under the Health Insurance Portability and Accountability Act (HIPAA).
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March 10, 2020
Summary
A respiratory disease named “coronavirus disease 2019” (abbreviated “COVID-19”) caused by a novel coronavirus named “SARS-CoV-2” was first detected in China in late 2019 and has subsequently spread to many other countries, including the United States. The World Health Organization announced a Public Health Emergency of International Concern on January 30 and the U.S. Department of Health and Human Services declared a public health emergency on January 31, 2020.
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March 11, 2020
The NC DHHS, Division of Public Health (DPH) and NC AHEC are partnering to enhance communication about and preparedness for COVID-19 by holding weekly forums for health care providers. The forums will be held on Fridays from 12:30 to 1:30 pm, beginning this Friday, March 13 and will continue until they are no longer needed.
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March 12, 2020
To facilitate greater access to testing for the SARS-CoV-2, the virus that causes COVID-19, NC DHHS encourages providers to submit specimens to LabCorp when the following conditions are met:
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March 16, 2020
This [COVID-19] remains a rapidly evolving situation of course, but as of noon today, there have been 23 cases (presumptive + and confirmed +) in NC.
Still no cases identified in Buncombe County or WNC at this time, although numerous tests are pending.
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March 16, 2020
Medical Staff COVID-19 Update: We are writing to communicate an update on COVID-19 testing guidelines and test availability. We recognize the challenges and appreciate the concerns with the historical limitations in testing access.
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March 16, 2020
Medical Practices, Community Partners, and Healthcare Providers:
We appreciate your efforts to assist with this evolving situation. In an effort to ensure that our community has access to supportive and lifesaving measures, effective and efficient multiagency coordination is a necessary strategy. This is occurring at a very high level through Buncombe County Emergency Operations Centers (EOC).
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March 16, 2020
Buncombe County Health and Human Services (BCHHS) wants our community to know that their health and safety is our number one priority. Today, Macon County Public Health announced a presumptive positive case of the novel coronavirus 2019 (COVID-19) in a person who visited Buncombe County last week. This is the first known presumptive positive case of COVID-19 associated with Buncombe County.
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March 17, 2020
Updated Provider Guidance and Info on Buncombe County Community Testing Sites
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