Vermont Updates Its Data Breach Notification Law

  • Jun 8, 2020

Vermont legislature also amended its data breach notification law, with significant overhauls including expansion of its definition of personal information, and the narrowing of permissible circumstances under which substitute notice may be applied. Bill S.110 amending Vermont’s Security Breach Notice Act, V.S.A §§ 2330 & 2335, b23-0215, was signed into law by Governor Phil...

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COVID-19: Modified Ordering Requirements for Laboratory Billing

  • Jun 8, 2020

During the COVID-19 Public Health Emergency, CMS is relaxing billing requirements for laboratory tests (PDF) required for a COVID-19 diagnosis. Any health care professional authorized under state law may order tests. Medicare will pay for tests without a written order from the treating physician or other practitioner: If an order is not written, an ordering or referring National...

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UHC - Nucleic Acid Pathogen Testing

  • Jun 8, 2020

Medical coverage policy Update effective 8/16/2020 – Cigna will review tests for medical necessity in alignment with the Nucleic Acid Pathogen Panel – 0530 medical coverage policy. The policy update does not include testing for COVID-19.

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HHS Awards More Than Half a Billion Dollars Across the Country to Expand COVID-19 Testing

  • Jun 8, 2020

On May 7th the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), awarded nearly $583 million to 1,385 HRSA-funded health centers in all 50 states, the District of Columbia, and eight U.S. territories to expand COVID-19 testing. Nearly 88% of HRSA-funded health centers report testing patients, with more than 65% offering walk-up or...

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EPC letter May 14,2020 - Resubmission of Claims for COVID-19 HCPCS and CPT Codes

  • Jun 8, 2020

The Department of Health Care Services (DHCS) identified a claims processing issue affecting claims for Covid-19 HCPCS Code U0001, U0002 and CPT Code 87635. This issue caused claims to erroneously deny. The issue affected claims for dates of service from February 4, 2020, through April 9, 2020. No action is required on your part. The California Medicaid Management Information System (MMIS) Fiscal...

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COVID-19 May Drive More Insurers into ACA Exchanges

  • Jun 8, 2020

One recent analysis suggested that there could be “unprecedented growth” in the individual health insurance market. “The impact of COVID-19-related job losses will likely more than double the current enrollment in Individual & Marketplace plans, with the potential for the Individual market to triple in size to over 35 million in a sustained and severe economic contraction,” stated the...

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Congress Introduces Bipartisan Bills to Improve Access to SARS-CoV-2 Testing

  • Jun 8, 2020

US Reps. Diana DeGette (D-Colorado) and Larry Bucshon (R-Indiana) introduced two new pieces of legislation Wednesday intended to improve access to SARS-CoV-2 testing and boost laboratory capacity.  One bill, titled The Diagnostic Testing for Public Health Labs Act, would require the US Centers for Disease Control and Prevention to offer grants to help public health laboratories purchase...

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UCare - Coronavirus (COVID-19) Information for Providers

  • Jun 8, 2020

May 19 - COVID-19 Information for Providers, added information in opening section about Final Interim Rule RIN 0938-AU32. May 19 - Billing and Payment, expanded the list of CPT/HCPCS Codes for COVID-19 Testing; added Increase to the MS-DRG for Confirmed COVID-19 Cases – UCare Medicare Advantage and Individual & Family Plans Products; added Remote Patient Monitoring – UCare...

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