Medical billing services, medical billing and coding, healthcare industry, CMS released, healthcare service providers, COVID-19 Antibody

CMS Released Billing Codes for COVID-19 Antibody

Medical billing services have always been an important part of the healthcare industry. Also, with the corona pandemic, these services are now crucial to run the revenue cycle.

COVID-19 has tested our every ability, and our healthcare industry is coping with the surge of patients with limited resources. Meanwhile, where there are other administrative issues, CMS (Centers for Medicare and Medicaid Services) is facilitating on the medical billing and coding front.

The New Update about the COVID Antibody

Most of you must know that COVID-19 antibodies would be officially available for everyone from next year. Tests have been running, and vaccine shots are being injected into a group of people to create awareness. To administer the process of medical billing services, CMS released two new codes to document antibodies.

Under the HCPCS (Healthcare Common Procedural Coding System), now physicians can use the following codes:

  • Q0243 for the injection of 2,400 milligrams of Regeneron’s investigational monoclonal antibody therapy cocktail
  • M0243 for intravenous infusion and post-administration monitoring

The new codes reflect on the investigational monoclonal antibody therapy from Regeneron. FDA approved this therapy, and it is authorized for the mild-to-moderate COVID-19 patients with a chance of hospitalization.

Instructions from CMS

CMS has instructed healthcare service providers and medical billing services that as long as they document antibodies as per the guidelines, Medicare will pay for them. Moreover, the payment program will also reimburse medical practices for the other infusions the way they do for COVID-19 vaccines.

The payment allowances for the COVID injections have already been in effect since November 21. CMS further explains that the reimbursement for initial injection is low mostly because physicians do not expect to bear the cost for Regeneron’s therapy.

Initial Antibody Doses are Free

HHS (United States Department of Health and Human Services) is already providing the initial antibodies for free (as per the COVID infected population in each region). Regeneron has signed a contract with the pharmaceutical companies to distribute between 70,000 and 300,000 doses all over the states.

CMS also has mentioned that Medicare will not reimburse for any of the government-allotted free antibody doses. However, they will inform (physicians & medical billing services) beforehand when physicians can expect to bear the expenses.

Conclusion

The therapies are expected to overcome the potential patient visits to hospitals. Moreover, their Medicare coverage will ease the process of COVID treatment, and medical billing services can better cater to physicians’ finances. Having said that, the healthcare industry is expected to face hurdles against adequate access to antibodies.

Medical billing services, medical billing and coding services, EHR system, healthcare services, health IT leaders, medical billing services process

U.S. Clinicians Spend 90 Minutes on Medical Billing Services

Recently the Journal of the American Medical Association and Medical Care published a report stating the time spent on EHRs by clinicians of several countries. The study particularly focused on the physicians, who prefer in-house medical billing services.

Research Background

The JAMA study compared the data of U.S. clinicians to those in Canada, Western Europe, Northern Europe, Middle East, and Oceania. Looking into their data, it was evident that clinicians in the USA spend more time in data management via EHRs (Electronic Healthcare Records) than other physicians do.

It was Harvard and Stanford University that collected the metadata of 371 ambulatory care health systems all around the world. All healthcare service providers with scheduled patient appointments and advanced practice practitioners participated in this study.

Statistically, U.S. clinicians spend ninety minutes on average for medical billing and coding services. While clinicians of other countries spend just an hour/day. Moreover, the Medical Care study also mentioned that it generally took 1.2 minutes more in the scheduled examination appointment for the primary healthcare services.

What to Take Away From This?

Both these studies suggest the inconsistencies in the EHR system and the inefficiency of clinicians for medical billing services. This time also lags other administrative tasks such as scheduling appointments.

The timestamps of the EHRs provided all the necessary data to review the time spent by physicians other than on patients.

The clinical activities included:

  • Notes
  • Orders
  • Clinical review
  • In-basket messages

Physicians’ data was judged based on the above-mentioned points.

It is also to consider that U.S. clinicians on average received thirty-four messages per day. Moreover, they spend a lot more time than the clinicians of other countries do on EHRs.

The Impact of Lagged Time on Patient Experience

The study also gave insights into the issues in appointment scheduling and patient experience. For Instance, short-time appointments are more likely to get delayed as compared to the longer ones. It is one of the major reasons that lead to burden down physicians. Ultimately, it also adds to poor communication with patients, resulting in unsatisfactory care quality.

Medical billing services are not clinicians’ forte. And, to help them in the process, it is necessary to lower down the administrative burden from their shoulders. That is why many physicians in the USA tend to outsource medical billing and coding services to others.

Administrative Load for Medical Billing Needs to Change

Journal of the American Medical Informatics Association also analyzed that women clinicians have to spend more time on EHRs than male clinicians. The time difference is estimated to be thirty-three minutes. Thus, this study is a reflection of the efforts that female healthcare service providers put into their work.

Conclusion

All in all, this study pointed out the inaccuracies in the U.S. medical billing services process. The best option for physicians is to outsource the administrative data to a qualified company.

Whereas, health IT leaders need to come up with effective solutions that are cost-effective and time-efficient for everyone. Only then, our healthcare industry will be truly progressive.

Electronic Healthcare Records, healthcare industry, healthcare service providers, healthcare services, healthcare system, Medicare and Medicaid Services, MIPS eligible clinicians, MIPS quality score, QPP MIPS

Updates in Stark Law: What It Means for QPP MIPS?

CMS (Centers for Medicare and Medicaid Services) has revamped the Stark Law for healthcare service providers.

The upgraded law will have an impact on the volume and quality of healthcare services. Especially, QPP MIPS eligible clinicians can take notes and design strategies to improve patient satisfaction.

For those of you, who do not know about the Stark Law, here is its definition!

What is Stark Law?

This law prohibits physicians from self-referral, particularly in a situation, when a physician has a financial relationship with a patient and refers to another entity for the provision of designated health services (DHS).

The new laws will also influence the QPP MIPS quality score via a transparent referral process. Without a doubt, it is a great step towards an altogether progressive healthcare system.

Proposed Changes

  • CMS proposed changes that allow exceptions for/among certain physicians.
  • The final proposed rule also applies exceptions in some cases when a physician receives reimbursement for items or services from another clinician.
  • CMS also proposed flexibilities for the funds or donations extended to the cybersecurity technology and services.
  • Moreover, the existing exceptions for the EHR (Electronic Healthcare Records) data, products, and services are also modified.
  • The update in the Stark Law is expected to be effective from next year January 19, 2021.

The Stark Law, since its provision in 1989 was the same, and there were no updates since then. CMS says that these modifications are significant and will change the referral scenario in the healthcare industry.

Conclusion

The new changes strive to encourage clinicians to adopt quality-based healthcare practices as specified by the QPP MIPS without fearing Stark Law violations.

The exceptions are introduced to facilitate the reimbursement process and to improve coordination among different stakeholders in a legitimate manner.

CMS Update, healthcare system, MIPS 2020, MIPS Qualified Registry, MIPS data submission, MIPS incentives

CMS Announces A Decline of $15 Billion in Medicare Fee-For-Service Improper Payments

Both patients and physicians are in for a treat. A few days ago, CMS happily announced the continued decline in the Medicare Fee-For-Service improper payment rate.

It is a clear statement in the name of transparency. More importantly, it is the proper accreditation of taxpayer money and an effort to strengthen the Medicare program in general. Undeniably, such are the efforts that pave the way for a rewarding healthcare system.

If you see it in another manner, once you hold fraudulent activities to account, there is more to give to those who deserve it. It automatically translates into value for quality programs like the MIPS 2020 and for other value-based care programs. Through such strategic actions, we will cement the positive reflection of value-based programs, both materially and conceptually.

In fact, once CMS saves taxpayer money by stopping improper payments made on account of frauds, overpayments, and underpayments, it converts into quality care and fewer expenses for the common man.

Four Years of Remaining on Point Saves the Day

It was not an overnight thing, but it took four constant years to come to this point. CMS corrective measures led to an estimated $15 billion reduction in Medicare FFS improper payments in FY 2020. It was part of the agency’s action plans that helped reduce and prevent illegitimate payments over the years.

During this journey of consistency and hard work, the agency’s capacity to address risks improved substantially through group activities and interagency collaborations.

For a fact, it was the Trump administration that made a clear commitment to protect Medicare for our seniors. To achieve this purpose, we must ensure that frauds, abuse, and waste do not happen as they will rob the program of its efficacy, Ms. Seema Verma expressed in her brief talk.

The Trump administration doubled the efforts to protect taxpayer money, and this year’s continued reduction in Medicare FFS improper payments is a direct effect of those actions.

Historic Win for Taxpayers

The reduction in improper payment rate means a win for taxpayers. Their hard-earned money is safer this year by quite a margin from the previous year. Due to the constant efforts in this sector, in 2020, CMS managed to decrease the improper payment rate further down – to 6.27%. Back in FY 2019, this rate was 7.25%. It is the start of an era of taxpayer savings to ignite the flames of a flawless healthcare system.

The improper payment rate threshold has to be under 10%, and, rightly so, we live to see it become a reality. In the past four years, we made this progress under the Payment Integrity Information Act of 2019 for our present and future generations.

Progressive Areas

  • Home Health department saw improvements, including clarifying documentation requirements and raising awareness among providers through the Targeted Probe and Education program. The resulting situation was no less than incredible. It led to a $5.9 billion decrease in improper payments from 2016 to 2020.
  • Skilled Nursing Facility Claims was the other area that saw improvement. There was an approximate reduction of $1 billion in improper payments in the last year due to a policy shift. It happened due to an adjustment made to the supporting information for physician certification and recertification of the skilled nursing facility services. Moreover, CMS’ Targeted Probe and Educate programs reaped its fruits.

Healthcare costs are soaring as we speak, and they are going to increase going forward. According to an estimate, by 2026, one out of every five tax dollars will go into healthcare.

To have sustainable cost growth, CMS must continue to strive for a system that accepts only proper payments. Improper payments only destabilize the cost balance. Stating the obvious, they are illegal payments – intentional or otherwise – going against the sustainability of affordable healthcare. They also represent false spending of American taxpayer dollars; however, not all of them represent fraud. The definition of improper payments includes overpayments, underpayments, or payments made under insufficient information.

Action Plan

CMS has developed a five-tier program integrity plan to mark the agency’s approach to reducing improper payments while safeguarding its programs for future generations:

  1. Bring Bad Actors to Justice: CMS works alongside law enforcement agencies to bring people who have defrauded the system under law.
  2. Prevent Fraud Before It Happens: Rather than the costly and ineffective “pay & chase” model, CMS eliminates fraud proactively by reducing the opportunities to exploit vulnerabilities in healthcare.
  3. Mitigate Risks to Value-Based Programs: CMS continues to explore ways to identify and reduce integrity risks to value-based care programs. MIPS 2020 and Advanced Alternative Payment Models (APMs) are the two programs currently underway. With the help of experts in the healthcare community, their lessons learned, CMS pledges to run these programs smoothly.
  4. Reduce Provider Burden: It is in line with reducing providers’ burdens who make claim errors in good faith; CMS wants to assist them by giving them easier access to coverage and payment rules. In addition to that, CMS is educating them on compliance programs. P3 Healthcare Solutions becomes a part of this effort via MIPS data submission to CMS as a MIPS Qualified Registry.
  5. Leverage Artificial Intelligence and Machine Learning: CMS looks to leverage technology like AI and machine learning to allow the Medicare program to oversee compliance on claim submissions. It eventually calms the providers down, and taxpayers get to pay less.
QPP MIPS 2020 Reporting, CMS Update, healthcare system, eligible physicians, MIPS 2020 Reporting, MIPS 2020 data submission, MIPS 2020 data submission process

QPP MIPS 2020 Reporting Flexibilities amidst Pandemic

CMS (Center for Medicare and Medicaid Services) has proven to be an authority that addresses physicians’ concerns in an effective manner.

With the pandemic situation going on, the pressure on physicians only got worse, which the authority took notice of.

Flexibilities for MIPS Eligible Physicians

To ease the administrative load for MIPS 2020 data submission, CMS announced to facilitate clinicians amidst the corona pandemic.

Extreme & Uncontrollable Circumstances Application

Many medical practices have been affected by the surging corona positive cases.

Such practices, whose conditions have gotten worse during this period can apply for “Extreme and Uncontrollable Circumstances Application”.

In case of acceptance of this application, CMS will reweight any or all MIPS performance categories. However, the applicants have to provide a solid reason for this relaxation and justify the impact of COVID-19 on their practice.

This is done in order to offer relief for QPP MIPS 2020 data submission.

COVID-19 Clinical Trials for Improvement Activities (IA)

Now, under the MIPS program, eligible clinicians can also report COVID-19 related data for Improvement Activities (IA).

Any of the following conditions are to be fulfilled in order to participate in MIPS 2020 IA clinical trials.

  1. The interested clinicians must submit data to a relevant platform for research purposes, then, they can apply for the clinical trial.
  2. The interested physicians must submit COVID-19 patients’ data to a clinical data registry for research purposes without any change.

One thing worth mentioning here is that CMS has clearly stated in its notification that no data from Jan 1, 2020, through June 30, 2020, will be used to excuse the MIPS 2020 reporting requirements.

This restriction applies to all Medicare Quality Reporting programs as well as the Value-Based Purchasing programs.

Thus, data related to respective dates will be served to reduce the administrative load.

Visit our website for more information on QPP MIPS 2020 relaxations.

CMS, medical billing company, medical billing services, healthcare services, healthcare solutions

CMS Plans to Expand RSNAT All Across America

CMS (The Center for Medicare & Medicaid Services) works for quality care and optimized performance in the healthcare industry. The healthcare industry leaders are focusing on every aspect and taking measures step-by-step to simplify operations.

Apart from announcing advancements in medical billing services and other healthcare operations, they also consider aspects of non-emergent care.

Recently, CMS announced to expand Medicare Prior Authorization Model for Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) across all America.

According to CMS, before the expansion process, RSNAT Prior Authorization Model will test the need for prior authorization of services.

What will be the outcome if outsourcing medical billing services seek approval before the service is rendered or before they send the due claim to the payer? Will it save cash for Medicare while trying to achieve quality healthcare for repetitive, scheduled non-emergency ambulance transportation?

Let’s find out.

CMS implemented this model in several states of America

An Overview

Such as New Jersey, Pennsylvania, South Carolina, North Carolina, Virginia, West Virginia, Maryland, Delaware, and the District of Columbia during different years to test out its implications.

The results were quite astonishing and encouraging to say the least. The quality of care and easy access to essential services were maintained as expected. Statistics show that Medicare Prior Authorization Model for Repetitive, Scheduled Non-Emergent Ambulance Transport saved around $650 million over four years.

The Need to Implement a New Model

Medical billing services used to face problems related to improper/inconsistent Medicare payments for non-emergent ambulance transports. There was a much-needed room for a new payment model that promotes cost efficiency and counters risks related to payments.

And, CMS wants to ensure proactive measures that minimize fraudulent activities.

Is the New Model Successful?

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The first evaluation report of this program came under analysis in 2018 and based on that, CMS is hopeful to expand it nationwide to curb down Medicare Spending. The recently released second evaluation report also highlighted that the use of RSNAT is reduced by 63% and its respective spending is reduced by 72% overall. (The report results were concerning the end-stage renal disease and/or severe pressure ulcers during the first four years of the model.) However, it supported the previous assumption that it is safe to implement this program everywhere. There was also no evidence against this system that reflected poor healthcare quality.

CMS has made clear that across the board accountability, lesser loopholes for frauds, simplified solutions, and expanses in check will make a progressive healthcare system. Moreover, with the new plan, medical billing services, physicians, and patients, all will be benefitted in one way or another.

CMS administrator, Seema Verma says that although medical billing experts complain about the complexity of prior authorization. But, with a proper plan of action and accurate deployment of the model, Medicare can ensure that its requirements are met even before the start of the service.

One more advantage of this system is that billing experts on behalf of physicians don’t have to indulge in extra administrative work afterward.

Henceforth, the program will continue to run in the currents states although they were expected to end this year. But, the success of the new model of non-emergency ambulance transportation changed the whole view.

CMS will release new guidelines regarding the expansion in every state. The model will remain the same as the existing model.

It is expected that medical billing outsourcing companies will find this new model accommodating with respect to maintaining cost.

Healthcare, Medical Billing Companies, Medical billing outsourcing companies, Medical Billing Services, Surprise medical billing

HHS Says: No Surprise Bills for COVID Patients

HHS – The U.S. Department of Health and Human Services (HHS) reserved excessive budget as emergency funds for COVID-19 response efforts. Now, the healthcare professionals affected by the pandemic in any sort (lack of services, resources availability, etc.) can apply for assistance and compensate for their loss.

However, once they apply for these COVID-19 relief funds, the government bars them from sending out-of-pocket care expenses to corona patients. In simpler terms, as claimed by the HHS officials, this program exempts patients from surprise medical bills and supports the financial concerns of all stakeholders (physicians and patients).

Medical billing services of this day and age, in alignment with the program, have to work accordingly. Since they represent practices and their awareness matters, the peace of physicians and patients have to be their top priority.

Just a Reminder, What Are Surprise Medical Bills?

Surprise medical bills are where a patient has to pay the difference between what the insurance pays for them and what the actual charges are for services taken. For instance, if you went to see your doctor, and the care costs reach up to $100 while your insurance only covers $70, the difference, $30, is what you have to pay out of your pocket.

COVID-19 Funds – Terms of Use

In terms and conditions of the emergency relief fund of COVID-19, HHS established that they consider every patient a COVID affectee, whether it is a probable or an actual case. Hospitals and medical billing services have to sign a deal that would not charge out-of-pocket expenses from patients if their insurance plan does not include those services (a practice referred to as surprise billing).

The debate continues if the HHS has banned surprise bills, which was a primary cause of distress for patients and physicians. Because medical billing outsourcing companies often find it hard to collect additional charges from patients.

HHS states that they are trying to clarify terms, which will ultimately help in comprehending the implications of getting the COVID aid. For now, the surprise billing banning extends to only COVID-positive cases.

Healthcare leaders are also in confusion about the legal complications and challenges of the payment balancing. There is still a lot of clarity required to satisfy all queries.

Surprise Bills during Pandemic – The Role of Medical Billing Services

Apart from the HHS efforts, many states are coming forward with policies that prevent patients from surprise billing. It means it is time to consider patients with out-of-network healthcare plans as in-network patients.

It is a critical step toward balancing the shaky healthcare economy and stop the high consumption of resources. Besides, the instability in the healthcare ecosystem is making it nearly impossible to meet ends from patient and physician perspectives.

Medical billing services assist practices with payments in this regard. They also furnish weekly or monthly reports, as suited, to relieve physicians of any revenue stresses.

Surprise medical billing, Balance billing, Medical billing outsourcing companies, Medical billing companies

End

Physicians for fair coverage, the non-profit, have proposed a ban on surprise medical bills already. The government’s appropriate measures against surprise billing for COVID patients are incredible and in line with the aspirations of COVID affectees. We must continue this collective effort against balance billing, the goal of which is to attain peace of mind for our doctors and patients.

Via reducing or eliminating surprise bills, provided with a balanced financial solution for medical practices and medical billing services, can make up for lost revenues and maximize revenue opportunities.

What are your thoughts on this?

Medicare Payment Increased for 3 Healthcare Providers Says CMS

CMS (The Centers for Medicare and Medicaid Services) decides to upgrade the Medicare payment adjustments for three types of physicians namely:

  • Hospices
  • Skilled nursing facilities
  • Inpatient psychiatric facilities

This step is great in order to reward the healthcare professionals in the respective facilities for their up-scaled services, especially during the pandemic.

How it will impact the Hospices?

Right from the year 2021, hospice payment rates will be raised by the market basket percentage of 2.4%. In numbers, this percentage is around $540 million.

Where CMS has shown support in the payment rate, they also demand quality reporting services. Hospices failed to meet the performance threshold will have to face a 2% decline in the annual payment market basket.

The system also has a statutory aggregate cap that puts a limit to payments made to the hospices.

The final cap amount for FY 2021 is $30,683.93 updated by 2.4% as per 2020.

How it will impact the Skilled Nursing Facilities?

The aggregate payments to skilled nursing facilities are going to increase by 2.2%, in 2021, which is $750 million.

These facilities are upgraded by the routine technical rate-setting updates in payments. The final rule also applies a 5% cap on the wage index, which is lower than in 2020. Hearing the concerns of the stakeholders, CMS also tweaked the ICD 10 code maps, which will be in effect from 2021.

The updated mapping address the care based patient characteristics under  Medicare Patient-Driven Payment Model.

However, the payments for skilled nursing facilities depend on the performance of a single claims-based, all-cause, all-condition hospital readmission measure.

How it will impact the Inpatient Psychiatric Facilities?

Inpatient psychiatric facilities will observe an increase in their payment rate by 2.2%, estimated to be $95 million in 2021.

Office of Management and Budget statistical area delineations will be revised to better estimate the cost born by the healthcare professional.

With this update, the following physicians will be able to practice within the scope determined by the state law.

Advanced practice providers including:

  • Physician assistants
  • Nurse practitioners
  • Psychologists
  • Clinical nurse specialists

They also have to record the progress of their patient along with the medical record.

Further efforts would be required to dissolve the inconsistencies that don’t align with the latest final rules changes and to loosen the regulatory conditions.

We hope CMS brings more innovations to reduce administrative burden and improve payment rates for all physicians.

For more updates, visit our page – https://www.p3care.com/blog

Medical billing services, healthcare system, healthcare practitioners, medical billing companies, healthcare professionals, Medicare and Medicaid Services

CMS Prioritizes Surveys Post Pandemic for the safety of patients

Every business came to a halt with the COVID-19 pandemic. Now, everything is settling back to normalcy, and CMS is getting back to business with its full strength.

They have officially asked state survey agencies to get on with the normal operations.

According to the CMS (The Centers for Medicare and Medicaid Services) memo, they will be inspecting and regulating quality and safety measures for patients of their authorized healthcare professionals, medical billing services, and other care suppliers. They are to resume their enforcement activities and other surveys in order to get an idea of their performance having patients being the priority.

How Is It Going to Work?

The last few months were hectic for the CMS. They were conducting surveys about the virus control and response in particular, virtually from all nursing homes in America.

However, now non-emergency onsite revisit surveys will be conducted. Compliant surveys and annual certification surveys will now be more focused upon, as soon the right resources are accessible to the team. The on-hold enforcement cases will also see the light of day and be resolved.

CMS also says that they will continue with the desk review policy to ensure that survey parties comply with the federal rules for an onsite survey.

Even during the catastrophic pandemic situation, CMS only focused on patients’ satisfaction.

“They have imposed more than $15 million in civil money penalties (CMPs) to more than 3,400 nursing homes during the public health emergency for non-compliance with infection control requirements and the failure to report coronavirus disease 2019 (COVID-19) data.” (Source: CMS)

Protect the Residents of Nursing Homes

The penalties were an extension to Trump’s vision of safeguarding the residents of nursing homes during the pandemic. However, CMS ensures some comfort as via relaxing the strict quality measures requirements based on the critical situation in any particular state.

Provider Surveys in Progress for a Stable Healthcare System

Given below is the list of types of surveys that would be in the top priority.

The idea is to give healthcare professionals and medical practices the ease to estimate their survey turn and plan accordingly.

The FY 2020 Mission & Priority Document highlighted how survey agencies should resume back to normal work.

  1. Initial surveys of new providers
  2. Special Purpose Renal Dialysis Facilities (SPRDFs)
  3. Past-due recertification surveys without a statutorily required survey interval
  4. Unfinished complaint surveys triaged as non-immediate Jeopardy level or higher
  5. Revisit surveys for past non-compliance that do not otherwise qualify for a desk review
  6. Past-due recertification surveys with a statutorily required survey interval (home health agencies and hospices must be surveyed every 36 months)

(Source: AAPC)

As medical billing companies and healthcare practitioners, we should be ready for audits and surveys, which will also help us to see where we stand in a progressive healthcare system.

Provider billing services, COVID-19 Cases, Healthcare, Healthcare Solutions

New York is All Set to Safely Reopen Schools This Fall

The world at large holds its breath as life is about to normalize. It is going to take more than just the will to reopen amidst COVID-19, especially the schools. What we need to do is act upon a persistent, consistent, and watchful approach. Because one small mistake can cost us precious lives.

We have all missed so much of life during the past few months, especially for the kids it was debilitating enough. The news to reopen schools seems like the right thing to do.

If COVID-19 has taught us one thing, it is gratitude. Quarantine taught us to appreciate the good times before they become extinct. That is for sure!

Every state had its share of COVID-19 cases. However, New York State was hit the worst. Going back a few months, we saw a steep rise, plateau, and then gradually a fall in the curve COVID-positive patients. It took a ton of patience, reassurance, and action from healthcare officials and essential workers to get us out of that desperate condition.
We bounced back big time with our determination and complacency as a nation; now, health experts say, New York is one of the safest places to reopen schools. Governor Andrew Cuomo asks the state officials to make it happen.

Governor Cuomo Says Schools Can Hold In-person Classes This Fall

Provider billing services, COVID-19 Cases, Healthcare, Healthcare Solutions

Governor of New York, Andrew Cuomo, is confident to reopen schools this fall. He reassured on Friday, August 7, that it is possible to hold in-person classes even if other districts continue to see a surge in COVID-19 cases. Authorities in other states have to decide whether or not to reopen according to the percentage of active COVID-19 cases per day.

CDC & WHO Report A Favorable Time to Bring Kids Back to School

Provider billing services, COVID-19 Cases, Healthcare, Healthcare Solutions

New York is the capital of the world, once it used to be London; health experts such as doctors, epidemiologists, and others confirm conditions are favorable for reopening of schools throughout the state with safety measures in place.
Not one, but many mental and physical health practitioners consider staying home to do more harm to kids than the virus itself could possibly do.

Since Wednesday, there were fewer than 1 percent active coronavirus cases across the state; that is considerably below the 5 percent positivity limit that both the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) agree on as the safety benchmark to reopen schools.

What Does the Mayor think?

Provider billing services, COVID-19 Cases, Healthcare, Healthcare Solutions

Mayor Bill de Blasio says if more than 3 percent of tests come back positive, schools will remain closed. The daily infection rate if crosses 3 percent per day, it is not a good idea to reopen, says Harvard’s Global Health Institute.
P3 Healthcare Solutions encourages the act of reopening educational facilities this fall. It is for the best because schools will give students something to look forward to every day. We can’t go on like this forever.

P3 caters to provider billing services involving infectious disease experts and pediatricians. For kids to ideally thrive, clinicians reimbursed in full for their services could be the difference.

What do the Experts Say?

Provider billing services, COVID-19 Cases, Healthcare, Healthcare Solutions

Dr. Uche Blackstock, an urgent care physician in Brooklyn and founder of Advancing Health Equity, says and I paraphrase:

If there’s any city worthy of reopening, it should be New York City.

Dr. William Schaffner, an infectious disease expert at Vanderbilt University, is confident about the reopening of schools, according to the New York Times. Besides, initially, it may appear to be a trial run or a social experiment.
Additionally, he believes that New York’s chances of success, regardless of its dense population, are higher than many rural areas where there is a lack of seriousness to control the spread of the virus.

New York Falls within the Yellow Zone

The number of cases per capita criterion is also in favor of this reopening. The Harvard report categorizes regions into zones; 1 to 10 cases per 100,000 people form the yellow zone. The yellow zone regions are safe for in-person classes if the safety precautions such as social distancing and proper infection control measures are in place.
Currently, New York records 3.5 cases per 100,000 daily that puts it in the yellow zone. Yellow zone recommendations are first about reopening for kids from early kindergarten through fifth grade and last about high schoolers.

What Safety Measures to Follow?

Provider billing services, COVID-19 Cases, Healthcare, Healthcare Solutions

The COVID-19 experts are in favor of precautionary measures for schoolers that include mask-wearing, physical distancing, and improved ventilation in buildings.

Other districts have to come up with their own reopening plans. For the protection of both students and teachers, each region must come up with a plan to test them. It is subject to approval from the state’s health and education departments.

In general, experts believe the chorus, band, and sports with physical contact should not be part of the daily routine. Children, instead of eating in cafeterias, are to restrict eating in their classrooms. Schools should also ensure crowds stay away from gathering in hallways at different times of the day.

Earlier, we saw the Trump Administration encouraging practices to reopen as America strives to bring things back to the way they were. What are your thoughts on this?