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COVID-19 Client Resources

Thank you for serving your communities and country during this time of crisis. We are here to help you with resources that will continue to be updated - please contact your account manager for feedback or with any questions that we can help support you on.

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Webinar: COVID-19 Rapid Response #3 - April 24

Beacon Health System and United Health Services leaders discuss Remote UR, payer collaboration and more.

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BLOG: Pandemic Perspectives

Blog: Pandemic Perspective

Kim Petram, Director of Case Management, shares what leaders can learn about preparation from her experiences in Seattle.

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Webinar: COVID-19 at Valley Medical Center

Kim Petram from Valley Medical Center in Seattle shares her perspective on what's next for UR and case management.

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Blog: Tackling the 'New Normal' with COVID-19

COVID-19 is having a profound effect on many, both personally and professionally. Our sorrows are shared with all those... 

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Efficiency is Now Essential

After months of disruption due to COVID-19, most hospitals are now starting to reopen their elective service lines. Unfortunately, things will not be business as usual.

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Blog: What Hospitals are Navigating Part 2

Despite a clear and urgent need for medical staff in high-impact areas, significant portions of the country...

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Join the Community for more COVID-19 Insights

The conversations can be clinical based, payer based, about Cortex, or about anything else on your mind.

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Blog: Roundtable 2 Recap

UR teams across the nation are adapting as COVID-19 cases continue to climb. Learn more about updated regulations and compliance.

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Webinar: COVID-19 Rapid Response #2 - April 10

Leaders in utilization review are feeling more and more of the downstream and operational pain caused by COVID-19.  

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Blog: COVID-19: What Hospitals are Navigating

From lack of space and staff, today's hospital looks drastically different from last year's hospital. Hospitals nationwide are...

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Info: Staying Connected with Your Remote Staff

Has COVID-19 caused your Utilization Review or Case Management staff to now work remote? For a lot of hospitals having staff work remotely poses new challenges.

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Blog: Tackling COVID-19: Remote Go-Lives, Payer Connections

XSOLIS is supporting our healthcare partners during COVID-19 through analytics, through reporting, through training, through action.

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Cortex Preparedness Manual (COVID-19)

This checklist document helps ensure you are getting the most out of the CORTEX technology platform during this crisis.

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Webinar: COVID-19 Rapid Response #1 - March 27

Our expert panel of five UR leaders discuss how utilization review will be impacted and how leaders should adapt.

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COVID-19 Corner

Bringing you the latest clinical and regulatory updates related to COVID-19.

COVID-19 Corner
July 7, 2020

Medicare FFS Responds to Covid-19 Health Emergency

CMS is issuing blanket waivers consistent with those issued for past PHE declarations. These waivers prevent gaps in access to care for beneficiaries impacted by the emergency. 

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COVID-19 Corner
July 2, 2020

CMS Unveils Change to reduce regulatory burden

A newly created office aims to strengthen efforts across Medicare, Medicaid, the Children’s Health Insurance Program, and the Health Insurance Marketplace to decrease costs hospitals for CMS mandates.

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COVID-19 Corner
June 30, 2020

Impact on COVID-19 and SDOH, SDoMH studied 

The impact of the COVID-19 pandemic on society has more layers than the largest onion! A new national survey led by researchers from Northeastern, Harvard, Northwestern, and Rutgers universities ... 

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COVID-19 Corner
June 26, 2020

ACMA launches new COVID-19 digital issue 

XSOLIS and other industry leaders across the country share their insights into battling the COVID-19 pandemic. Experts provide you with tools, resources, ideas, and experiences covering all aspects of the continuum of care.

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COVID-19 Corner
June 25, 2020

PHE: Is the End in Sight?

During a recent Monitor Mondays broadcast, a listener sent a question asking about the anticipated July 24 expiration of the federal public health emergency (PHE); specifically, she wanted to know about how much to worry about it.

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COVID-19 Corner
June 5, 2020

RAC & MAC Audits Restarting: A New Normal

While COVID-19 is not going anywhere, we are all adapting to a new normal. Recovery Audit Contractor (RAC) and Medicare Administrative Contractor (MAC) audits will soon ramp up again. 

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COVID-19 Corner
June 4, 2020

New CMS Model Flexibilities with COVID-19

By Seema Verma

The coronavirus has taken a devastating toll on Americans across the country, in lives lost and economic impacts...

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COVID-19 Corner
June 3, 2020

COVID-19 Likely a Hybrid of Two Other Viruses

Researchers may have finally figured out why it’s been so difficult to tell where the coronavirus SARS-CoV-2 — which causes COVID-19 — came from within the animal kingdom.

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COVID-19 Corner
June 2, 2020

COVID-19 & Beyond

By Stanely Nachimson, MS

Yes, we are in a pandemic. The loss of over 100,000 lives in the US, and over 350,000 worldwide is a tragedy. The incredible economic displacement of millions more...

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COVID-19 Corner
May 29, 2020

ASC Partnership as Hospital Without Walls

Everyone is anxious for life to return to normal, but none more than those patients who had planned to have surgery in March or April, but had their surgery canceled due to the COVID-19.

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COVID-19 Corner
May 28, 2020

HHS OIG Unveils COVID Strategic Plan

The HHS OIG unveiled a four-pronged plan to oversee the fight against COVID-19, coinciding with the agency’s acting chief providing testimony before Congress.

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COVID-19 Corner
May 26, 2020

Submit your Questions for Q&A with CMS Reps

ACMA’s journal, Collaborative Case Management is conducting a Q&A session with representatives from the Centers for Medicare and Medicaid Services.

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COVID-19 Corner
May 20, 2020

Confusion on using Patient Homes for billing purposes

There is continued confusion  on the second IFR that allows hospitals to bill for services provided by employed hospital staff who do not bill Medicare directly for their services.

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COVID-19 Corner
May 15, 2020

CMS News Alert

As part of the ongoing White House Task Force efforts taken in response to coronavirus disease 2019 (COVID-19), following is a summary of recent Centers for Medicare & Medicaid Services (CMS) actions.

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COVID-19 Corner
May 11, 2020

New Waiver for Swing Beds

The COVID-19 pandemic has hit skilled nursing facilities hard. This new waiver allows hospitals that cannot find an accepting SNF in their catchment area to provide "swing bed services" in their acute-care beds, as do critical access hospitals and rural hospitals.

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COVID-19 Corner
May 7, 2020

Hospitals, Health Systems Face Financial Pressures

A new report released on May 5, 2020 by the American Hospital Association projects that the nation’s hospitals will book $202.6 billion in losses through the end of June due to the coronavirus pandemic.

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COVID-19 Corner
April 1, 2020

New Waivers in Response to COVID-19

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.

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COVID-19 Corner
May 1, 2020

CMS releases new changes in "Reopening" Movement

CMS unveils another round of changes to provide states and localities have flexibilities needed for diagnostic testing and access to medical care for a "gradual reopening."

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COVID-19 Corner
April 28, 2020

Federal reimbursement portal for uninsured opens

RACmonitor.com reports that a federal portal has opened for reimbursement for care of any type provided to uninsured patients with COVID-19. 

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COVID-19 Corner
April 27, 2020

Updated CMS Guidance Available for Plan Issuers

After pressure from numerous provider groups, the federal government is now urging Medicare Advantage plans to forgo prior authorization requirements.

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COVID-19 Corner
April 24, 2020

Update on Medicare Audits During COVID-19

Following regulatory changes due to COVID-19,  CMS  and OMHA have made temporary changes to Medicare audits and the appeals process.

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COVID-19 Corner
April 22, 2020

Toolkit to Help Health Workforce Challenges

At President Trump’s direction, CMS and ASPR released a new toolkit to help state and local healthcare decision makers maximize workforce flexibilities.

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COVID-19 Corner
April 21, 2020

Opening Up America Again

On April 19, the Centers for Medicare & Medicaid Services issued new recommendations specifically targeted to communities that are in Phase 1 of the Guidelines for Opening Up America Again.

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COVID-19 Corner
April 17, 2020

Beaumont Hospital, Wayne closes temporarily

Beaumont Hospital, Wayne “temporarily paused”  in anticipation of a “second surge” that the health system said could occur if social distancing restrictions are eased.

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COVID-19 Corner
April 17, 2020

SNF-Eligible Patients with Nowhere to Go

The medical treatment of COVID-19 is unlike that of any other disease. The coding and billing rules are unlike those for any other disease.

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COVID-19 Corner
April 16, 2020

Tips to Stay Productive When Working From Home

When working from home, how can you maintain your productivity, let alone your sanity? These tips detail your path to success, sanity and singular focus.

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COVID-19 Corner
April 16, 2020

It’s Going to be OK: Tips for Working at Home with Kids

With schools out, child care unavailable, learn how to bring parenting and productivity hand in hand. We've got tips, tricks and tactics for you.

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COVID-19 Corner
April 13, 2020

CMS Moves to Wave Costs for the Privately Insured

“It is critical that Americans have peace of mind knowing that cost won’t be a barrier to testing during this national public health emergency.” — CMS Administrator Seema Verma

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COVID-19 Corner
April 10, 2020

OIG Report Spurs Powerful Reaction from Hospitals

President Trump questions political nature of OIG report, while AHA President pleas for continued support from government and local sectors alike. 

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COVID-19 Corner
April 8, 2020

Hospitals furlough staff, reduce salaries

As the American Hospital Association asks the federal government to give $100B in federal stimulus money to providers as quickly as possible, hospitals are having to cut staff, salaries and benefits...

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COVID-19 Corner
April 7, 2020

CMS Flexibilities to Fight COVID-19

A summary of some of the regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the 2019 Novel Coronavirus (COVID-19) pandemic.

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COVID-19 Corner
April 6, 2020

CMS Makes Sweeping Regulatory Changes

On March 30, CMS unveiled several broad but temporary changes that provide new flexibilities for hospitals, physicians and other healthcare organizations during the COVID-19 pandemic. 

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COVID-19 Corner
April 3, 2020

Changes to Code-44; Patient Freedom of Choice

All provisions of 42 CFR 482.30 are waived. You may suspend your UR plan and not hold UR Committee meetings. You do not need to review admissions or continued stays. Your doctors can change a Medicare inpatient...

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COVID-19 Corner
April 2, 2020

Post-Acute Care Regulatory Changes

CMS is waiving the requirement at Section 1812(f) of the Social Security Act for a 3-day prior hospitalization for coverage of a skilled nursing facility (SNF) stay provides temporary emergency coverage of SNF services..

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