COVID-19 Updates

Dear Partners,

Revecore BLS and MRA have never been prouder to support our hospital clients who face
perhaps the greatest challenge of our generation. As you focus all of the energy you can
muster to address the COVID-19 pandemic, please know that Revecore will continue to
concentrate all of our efforts to support you.

Similar to many of our hospital clients, we are observing the Social Distancing
recommendations from the CDC. As a result, we have eliminated most business
travel. Additionally, many of our clients are not allowing vendor partners in their facilities and
more are sure to follow. While these restrictions are eliminating in-person meetings, please
know that the same professionals who have been your primary service providers are only a
phone call or email away, and they will support you in any way possible.

Additionally, given the news of the last few days regarding closures and limitations by many
businesses, we want to reassure you that our work will continue without significant change.
Over the past two years, Revecore has made major investments in our service and technology
infrastructure, including the transition of most of our existing workforce to a remote-working
model. This structure is particularly well suited to meet today’s challenges. This means that
while we are all affected by the current crisis, we have our full complement of staff and
capabilities to continue our work. We realize that the demands on you will be greater than
ever before. Please know that all of our resources remain in place to support the invaluable
services that you provide.

We wish you the very best as you navigate these uncharted waters as we are ALL counting on
you. We are indeed fortunate that our hospital partners are at the center of the efforts to
meet today’s unprecedented challenges.

Thank you for all that you are doing to protect health and life in our communities!

Sincerely,

Mark Talley, CEO and Bob Stevens, Executive Chairman

COVID-19 Resources

1. New COVID-19 Policies for Inpatient Prospective Payment System (IPPS) Hospitals, Long-Term Care Hospitals (LTCHs), and Inpatient Rehabilitation Facilities (IRFs) due to Provisions of the CARES Act.https://www.cms.gov/files/document/se20015.pdf

2. CMS released an article summarizing certain provisions of the CARES Act.    Specifically, additional details are outlined regarding the 20% add-on payment and how Medicare plans to implement this temporary adjustment. https://www.cms.gov/files/document/se20015.pdf

3. AMA announces two new CPT codes for COVID-19 antibody tests.  These codes were approved April 10, 2020 and will be used for reporting and tracking of blood tests performed to detect antibodies associated with the SARS-CoV-2 virus.
https://www.ama-assn.org/press-center/press-releases/ama-announces-expedited-updates-cpt-covid-19-antibody-tests

4. The CDC has released coding guidance for service dates April 1, 2020 through September 30, 2020
U07.1 – COVID-19
*Code only a confirmed diagnosis of the 2019 novel coronavirus disease (COVID-19)
https://www.cdc.gov/nchs/data/icd/COVID-19-guidelines-final.pdf

5. CMS has issued blanket waivers that will ease certain requirements for affected providers as stated under Section 1135 of the Social Security Act. These waivers prevent gaps in access to care for beneficiaries impacted by the emergency. There are no special requirements, and you do not need to apply for an individual waiver if a blanket waiver is issued. For a complete list of blanket waivers review the COVID-10 Emergency Declaration issued by CMS.
https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf

6. In response to the national emergency that was declared concerning the COVID-19 outbreak, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing a new diagnosis code, U07.1, COVID-19, into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), effective April 1, 2020.
The ICD-10 MS-DRG Grouper software package to accommodate this new code, Version 37.1 R1, is effective for discharges on or after April 1, 2020.
https://edit.cms.gov/files/document/icd-10-ms-drgs-version-371-r1-effective-april-1-2020-updated-march-23-2020.pdf

7. The AMA released a new CPT code – 87635.  The code is effective immediately for use as the industry standard for reporting of tests for the novel coronavirus across the nation’s health care system.
https://www.ama-assn.org/press-center/press-releases/new-cpt-code-announced-report-novel-coronavirus-test

8. FAQs on Catastrophic Plan Coverage and the Coronavirus Disease 2019 (COVID-19)
https://www.cms.gov/CCIIO/Resources/Files/Catastrophic-Coverage-of-COVID-19.pdf

9. The AMA published an excellent article outlining some specific coding scenarios
https://www.ama-assn.org/system/files/2020-04/covid-19-coding-advice.pdf

10. CMS published a list of additional services that will be covered as telehealth effective March 1, 2020 and for the duration of the Public Health Crisis caused by COVID-19. The AMA published an extensive table to include all the codes covered by CMS.  This is a great resource tool.
https://www.ama-assn.org/system/files/2020-03/telehealth-services-covered-by-Medicare-and-included-in-CPT-code-set.pdf

Check back for more updates