NY State Issues Verbal Consent Procedure for Telemedicine

From the New York State Department of Health: “The world is currently experiencing a COVID-19 pandemic. As part of the response, a public health emergency has been declared. This declaration includes the expansion of availability of telehealth services for patients. Expanded telehealth may relieve the burden placed on providers due to the increased demand for healthcare while reducing the risk of disease transmission. To help facilitate and support this approach, NYS DOH is allowing informed, verbal, documented consent for telehealth visits in lieu of the current SHIN-NY written consent requirements per 10 NYCRR Part 300.”

Important: Verbal consent is NOT durable. This means that verbal consent must be obtained during each telehealth visit, if a patient has not previously provided written consent.

ADL Data DEA EPCS Re-Certification 2020

The re-certification extends authorization to use DEA EPCS Certificates for another 2 years and allows physicians to use their Smartphone to comply with the required 2-Factor Authentication. This eliminates the need to carry a separate FOB or Id Cards.

A copy of the report has been posted on the ADL Website.

Approved Certification Process:

//www.deadiversion.usdoj.gov/ecomm/e_rx/thirdparty.htm

Verify Physicians DEA Registration

//apps.deadiversion.usdoj.gov/webforms/validateLogin.jsp

Preventing COVID-19 Flu in Nursing Homes

Steps for COVID-19 Flu Prevention in Nursing Homes:

  • Actively screen visitors and strongly urge anyone who feels ill to stay home.
  • Restrict Visiting hours  until further notice.
  • No visitors under the age of 18, with exceptions on a case-by-case basis.
  • Require visitors to use hand sanitizer upon entering the facility.
  • Limit patients to their specific floor to avoid potential exposure may compromise their health.
  • Actively screen employees.
  • Anyone in close contact with someone exposed to COVID-19, should contact their health care provider and self-quarantine, for 14 days from date of exposure.

PDPM Claim-Processing Fix by CMS

CMS Confirms Some PDPM Claim-Processing Errors,
Promises Fix by October

The federal government on Thursday acknowledged some errors in processing Medicare claims under the new payment system for nursing homes, promising to make a full correction by the start of its next fiscal year.

The main issue has to do with the sequence of initial claim filings for Patient-Driven Payment Model (PDPM) reimbursements, the Centers for Medicare & Medicaid Services (CMS) announced in a release from the Medicare Learning Network.

SNF PDPM Claims Issue

Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) initial claims that are processed out of sequence are not paying the correct Variable Per Diem (VPD)-adjusted rate. Also, all adjustment claims are not processing correctly. Claims need to process in date of service order for each stay for the VPD to calculate correctly. We will correct this issue in October. In the interim:

  • Submit claims in sequence by waiting at least 2 weeks before billing subsequent claims
  • To adjust claims, cancel the initial claim and all subsequent claims in the SNF stay then rebill in sequential order; or, hold adjustments (when allowable) until October when they will process correctly
  • Submit a complete bill at the time of entry

ADL to Release FDB Targeted Medication

ADL is adding Innovative Medication Decision Support to provide Actionable Guidance for Clinicians

Using FDB’s Targeted Medication Warnings™ the ADL/EMR will be able to leverage patient-specific, contextual clinical information within the EHR to identify only patients that manifest prescribing risks, so that resulting clinical guidance is more meaningful, actionable and presented at appropriate times in the clinical workflow.

Clinical Guidance with a Patient-First Approach

Targeted Medication Warnings is the only commercially available medication decision support content that leverages situational context and patient-specific parameters. Rather than alerting on potential clinical consequences of the medication therapy, context-relevant guidance is provided when it matters most.

The benefits are significant because as the Order Entry’s clinical decision support can incorporates more patient context, such as lab values or clinical risk scores. Thus the Order Entry can provide more meaningful information to act upon. This new, more targeted approach is designed to reduce alert fatigue and deliver meaningful, relevant, and actionable guidance to improve patient care.