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CMS announces QPP MIPS reporting Relaxations for 2020

The last few months have been tough for the healthcare industry. All stakeholders were trying desperately to assist each other and save resources for COVID-19 response.  Of course, meanwhile, CMS also took necessary measures to unburden some of the clinicians’ load.

Where physicians have already burned out with COVID -19 cases, the administrative burden of QPP MIPS 2020 was additional pressure. The dynamics have changed. The contact points that were easily accessible before are now operational via online mediums.

Thus, eligible clinicians and MIPS Qualified Registries can take benefit from it and serve effortlessly to the patients.

At first, CMS requested clinicians to impede elective medical procedures. In simple terms, it means to delay diagnostic procedures or treatments that don’t qualify for emergency conditions.

The process of offering flexibilities continues for the QPP MIPS.

Relaxations for the QPP MIPS 2020

CMS states that the eligible clinicians who are significantly impacted by the public health emergency can apply for Extreme and Uncontrollable Circumstances to reweight any of the four or all MIPS performance categories.

However, they are required to submit a solid explanation for the impact on their medical practice.

A COVID-19 clinical Improvement Activity under MIPS is also introduced by the CMS.  Eligible clinicians can obtain outcomes via:

  • Participating in a COVID-19 clinical trial Improvement Activity and submit data into a data platform
  • Participating in the healthcare of COVID-19 infectees and submit patients’ data to Clinical Data Registry for research

As physicians are busy battling against coronavirus pandemic, CMS has decided to not use data reflecting from January 1st to June 30th, 2020 for the Medicare Quality Reporting and value-based purchased programs. These measures are taken to give advantage to eligible physicians to some extent as to minimize the administrative burden incurred during data collection and management. A lot of time and investment can be saved, henceforth.

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How to Keep It Together as a Medical Practice as America Reopens?

Are you afraid of the virus?

Well, you are not alone. It has taken so many lives across the world that it is something to be scared of. If someone isn’t, they are either too brave or too naïve to understand it.

You know, who else is brave? The Providers – our health care workforce on the frontlines.

To put themselves out there at a time when most of us are staying at home says a lot about their character. When the risk of COVID-19 is very real, doctors are in obvious danger, and we, as Americans, must understand, support, and appreciate their efforts.

Regardless of the consequences, private practices continue to reopen amidst the virus in addition to the protests on roads. An act this courageous calls for rigorous appreciation for the lot.

When private practices follow Trump Administration’s Guidelines for Opening Up America, medical billing services, as their business associates, support them in a spirited way. From accounts receivable management to payment posting, medical billing services such as P3Care look to expedite the process for increased stability. Let’s look at a few ways’ practices can keep it together as America reopens.

Claims Processing through Medical Billing Services 

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Since patients have to see a doctor, the clinics must align their clinical workflows and entrust claims to be processed as soon as patients check-in. As a medical billing service, it’s better to stay on our toes in times of COVID-19; we owe it to physicians and professional health care services in general.

Despite the hardships we have faced, we don’t want the virus to win. In fact, we want to survive this pandemic and come out of it stronger than ever.

For practices, it is mandatory to keep in touch with medical billing services for smooth claim submissions and MIPS consulting services to stay compliant. When they are on standby, the activity of medical billing and coding remains functional for an uninterrupted workflow. Outsourced billing services are often more feasible than an in-house solution for which there is ample proof available.

Claims include the creation of in-person and telehealth visits. A reliable company can get you reimbursed quickly without unnecessary coding mistakes.

Safety Measures for Waiting Rooms 

We wrote about 5 COVID-19 safety tips for patient waiting areas to minimize the risk of contracting the virus. All of this is for the benefit of providers across America because we, as a MIPS qualified registry and a medical billing service, owe it to them.

Not only that, but it is time for empathy to shine; adopt it as a habit rather than something we are forced to do.

One of the measures by which practices can limit the number of COVID-positive patients is to treat them separately. The sick can visit the clinic from morning to mid-afternoon and those who are not so sick can visit in the next half. It is one of the qualities of medical billing services to consider the safety of providers in the new world order as a segment of their empathetic journey.

Stay Connected to Mental Health Billing 

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In such times when people are under a lot of pressure, stress management is key to surviving the pandemic. Physicians and primary care doctors must be in contact with mental health practitioners at all times for quick recommendations, reviews, and opinions.

Some hospitals and practices use medical billing software and automate the process while others hire medical billing services to do the needful. As an outsourcing company, the pros of medical billing service outweigh the cons for sure.

The fact is, P3Care’s medical billing services for emergency physicians deem fit in times such as these when we are at risk regardless of the number of precautionary measures we take.

It is crucial to pay attention to your mental health as well as of those who come to visit. The virus has left us clueless at home with an increase in incidents related to domestic violence.

In the end

P3 Healthcare has kept it together by utilizing coping mechanisms as a team showing empathy for people who struggle at the hands of COVID-19 one way or the other.

We can only deal with this disaster if we stand together as one community. It is time to eliminate differences of color; we are not black or white; we are only Americans.

We will cease to exist if we start discriminating between each other. How long do you think it will take to create a vaccine for COVID-19?

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P3 Investigates: Trump Administration Plans to Reopen Nursing Homes

P3, as a medical billing service and a MIPS Qualified Registry, keeps in touch with CMS news as it happens. CMS, yet again, informs the public of the plans, the government has for nursing homes to reopen safely with the pandemic still around. While state and local officials follow it to ensure safe beginnings for nursing homes across the country, they are a part of President Trump’s Guidelines for Opening Up America Again.

Why were the restrictions put in the first place? The government had to take stern action against nursing homes and put them under quarantine to prevent the spread of COVID-19, including severe infection prevention, ample testing, and investigation.

This plan that the government has come up with will be a guide through troubling times as life gets back to normal for nursing homes.

When stats suggest that 8 out of 10 COVID-19 deaths are of citizens 65 and above, the more careful we are the better. We owe it to the seniors of this country more than we owe it to anyone else.

By acting upon this guide, nursing homes will be able to mitigate the risk of COVID-19 exposure and prevent its spread within facilities.

In light of these issued recommendations, states should observe if nursing homes are taking the appropriate and necessary steps to ensure resident safety; moreover, they should know the right time when to reopen doors to the public.

In finality, the information you find here should support states and nursing homes bring families together, reunite them with their loved ones in a gradual manner.

Administrator Seema Verma has led from the front during the crisis; this time, she said and I am paraphrasing it; the coronavirus has had a shocking impact on our nursing homes, and as we reopen the country, we want to be sure that we are doing everything in our power to protect our most vulnerable citizens.

She continued by saying that their constant focus is on the protection and quality of life of the nursing home residents. While we reach the stage when we finally reopen, she said, we want to make sure that the communities have a set strategy moving forward.

Further, CMS recommends additional criteria for the safety of the nursing home residents since COVID-19 poses a direct threat to them as the country passes through the reopening phase. It is to complement the Trump Administration’s broader idea of the Reopening of America Again.

A nursing home, as part of the recommendation, must not advance through phases of reopening until all residents and staff have received their baseline test results.

CMS wants state survey agencies to keep an eye on nursing homes if they suffered from a serious COVID-19 outbreak before reopening.

As its final recommendation, CMS states that homes should remain in the highest state of restriction even if they see relaxation in the community around them, to ensure the preservation of lives.

Moving on, nursing homes will start taking in visitors in phase three, which will only occur when health reports show considerably less COVID-19 cases. Visitors must go through screening and wear a face-covering during the visit.

The guidance was released a couple of days back on May 18, 2020, but we thought by revisiting the recommendations, we can make a difference. P3, as QPP MIPS 2020 reporting registry, has considered it an honor to go the distance for the health of US citizens; this, specifically, goes out to seniors to whom we are grateful.

State leaders in collaboration with local health departments and state survey agencies would implement the guidance to limit COVID-19 exposure in nursing homes. Relaxation of the intense measures in a nursing home should only occur after a careful review of the following factors:

  • Number of COVID-19 cases in the local community
  • Number of COVID-19 cases in nursing homes
  • Available staff members
  • Baseline tests of all residents; weekly tests of all staff members; social distancing; face coverings
  • Presence of enough personal protective equipment (PPE)
  • Nearby hospital’s capacity

State and local leaders have a responsibility to see to these factors now and then and adjust their strategies accordingly, depending on the intensity of coronavirus spread in their vicinity. CMS is committed to taking measures that ensure the safety and revival of nursing homes.

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There Might be a Breakthrough for COVID-19 Respiratory Failure Cure

COVID-19 has struck everything. From people to the economy, everything is suffering, and the death toll is increasing day by day. While some countries have managed to restrict the risk like China, some are still struggling.

The symptoms of this infection are cough, flu, fever, and fatal respiratory issues. Although, this virus is serious but not every COVID positive person ends up in the hospital, generally, the intense or worse cases require hospitalization. As a result of acute respiratory distress syndrome (ARDS), which is a severe lung injury, these patients seek serious medical assistance.

A concrete cure for ARDS is still not found. Physicians treat the bearer of this disease with mechanical ventilation and supportive care.

What Health IT Industry is doing for COVID-19 Treatment?

A team of physician-scientists is conducting research and testing out the anti-clotting drug for serious COVID infectees with ARDS. After several tests and trials, the scientists have concluded that a drug called tPA has the potential to reduce the death rate among ARDS infectees.

Researchers say that this drug can be life-changing. It can reduce recovery time and with a faster recovery time of patients, there can be more ventilators available.

A Little History

The US Food and Drug Administration in 1996 approved tPA to be used for patients experiencing a heart attack, stroke, and pulmonary embolism.

Therefore, for two decades, researchers have found anti-clotting drugs useful against ADRS diseases.

FDA really didn’t give thumbs up to this method. However, for ARDS induced COVID patients, this drug might work.

How An Anti-Clotting Drug is Expected to Help COVID?

There is major clotting around IV lines in many COVID patients. Researchers are hopeful that tPA drug can show fruitful results in severe patients or at least tell if the assumption is true.

This clinical trial committee is now enrolling patients.

Later on, they will record biomarkers, such as, the medical conditions of each patient to identify under which conditions tPA gives the most advantage. The drug is already approved on a large scale to treat heart patients and people with strokes as an off-label medicine.

The COVID Effect on American Hospitalization Capability

This pandemic is not over. We don’t have any effective treatment for it at the moment, and the number of COVID-19 infected persons is only going to rise.

When the lockdown will lift up, chances are the pandemic situation will get worse. According to a study, many more Americans are expected to use ventilation services in the upcoming months. Looking into statistics, America has currently 200,000 ventilators.

With collective efforts, hopefully, we’ll be able to generate an effective strategy to deal and restrict COVID -19.

Before the pressure of pandemic saturates our healthcare services, it is important to consider the existing therapies and procedures that may help us to accommodate the surge of patients in the future. These procedures/therapies must be widely available so that they serve the purpose of easily accessible healthcare to COVID.

An Overview: New York State Battles COVID-19 Complacently

To call it a battle seems right.

Ever wondered what it’s like to have a non-human combatant in front of you. Well, it feels just like how the world feels at the moment. Emotionally, we are all in this together, the sooner we accept it, the better. Coronavirus is not a friend but an enemy to billions of people on this planet regardless of their color, race, or wealth

It is not even a living organism; it doesn’t have tanks or artillery to fight off humans but still manages to injure and attack us. However, Andrew M. Cuomo, Governor of the New York State, is hopeful that they will come out of it stronger, healthier, and smarter than ever before.

Under the current circumstance, when New Yorkers are looking in the eye of COVID-19, to say that it brings the best out of them will not be wrong. Healthcare heroes are activated to full effect across the country, and New York has them too. They have maintained a steady caring environment for patients who are recovering, and the incoming surge of patients.

It reminds me of healthcare saying by Thomas Frist M.D., “Take care of the patient and everything else will follow”

Sounds about right?

Quality care could be a ray of hope and lesson the number of patients coming into the hospitals. At the time, it feels idealistic when it is not. The fact is that we must take this slow; one day at a time, ensure care equipment such as ventilators is all there for them.

You never know, the results could just surprise us, in a good way. That’s what care can do and what the patient so rightly deserves.

Healthcare providers, hospitals, population health experts, doctors, nurses, volunteers, and staff are all playing their part diligently; we can’t ask for more. Sadly, the number of deaths keeps on climbing up for New York. Governor Cuomo admitted that the rate of deaths will increase in the upcoming days. However, the good thing is that the number of people coming to hospitals will decrease.

We will see a rise in the number of deaths each day in New York. Why? According to Governor Cuomo, the people that are already in hospitals, on ventilators for weeks now; they have less chance of surviving.

Coronavirus has so far consumed the lives of many of our fellow humans. I have to say I didn’t expect something like this to hit the world in 2020. Although the world remains calm, courtesy to the leaders who are doing their jobs well. Otherwise, with a virus like this one shaping up into a pandemic, chaos was inevitable.

Here, P3Care would like to appreciate Governor Cuomo for this war against an unseen enemy. Yesterday, he said and I am paraphrasing it, why do the poorest among us have to suffer the most? Whether it is hurricane Katrina or some other disaster, poor people suffer the most. The person at the rooftop wasn’t a rich white man. We have to find out the reason for that. We really do.

Also, he was of the view, and I am paraphrasing that this virus is our true enemy; it attacked the weakest and the vulnerable. It is our duty as a society to protect our weak and vulnerable.

A Brief History of the Virus in New York State and the United States

According to a recent article in the New York Times, several studies prove that this virus came to the US through Europe and not an Asian country. Research puts the time of this virus to mid-February when it began to circulate in the state of New York.

In New York alone, there are 159,937 confirmed cases so far; 13,000 have recovered; and a staggering number of 7,067 deaths. God bless the departed souls.

There are 469,121 confirmed cases; 26,448 who have recovered; and 16,676 deaths across the United States so far.

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MIPS 2019 Reporting Deadline Has Been Extended

CMS has always proven to be an authority that speaks in favor of clinicians and address their concerns. Due to the unfortunate situation of coronavirus outbreak, doctors and other clinicians were facing quite some issues regarding submitting data to CMS.

Either physicians wanted to report individually or via MIPS Qualified registries, the end of this month didn’t seem enough time. CMS has looked into this matter and has kindly extended the date for QPP MIPS 2019 data submission to April 30th, 2020.

With another month in hand, now physicians can report MIPS data within relevant time amidst the COVID-19 stress.

Clinicians or MIPS registries on their behalf, who were unable to report (due to lockdown or high resource consumption to counter with COVID-19), now have time to spare.

Appropriate MIPS 2019 reporting results in a 7% positive payment adjustment in 2021 along with incentives and bonuses (if applicable). Specialty-specific measures catch more score in the end. Document data that states how technology incorporation benefitted your practice and patients. After the submission period, CMS will also provide feedback on the physicians’ performance.

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Guide to the Latest Medical Billing Codes for COVID-19 Test

The constant threat of coronavirus has led the panel of AMA – The American Medical Association to introduce CPT (Current Procedural Terminology) codes for medical billing services.

As the number of infected cases in the USA increased, the need for a separate code for COVID-19 testing emerged. The president of AMA, Patrice A. Harris, MD, MA, announced a unique code to report for laboratory testing of the coronavirus. This information was released on March 13, 2020, in order to translate the advantages of tracking, allocating, and optimizing resources.

What’s New for Medical Billing Services Regarding Corona Test Coding?

The coronavirus code belongs to a new category I of CPT codes.  The details are as follows.

  1. 87635 infectious agent detection by nucleic acid (DNA or RNA)
  2. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), for the examination technique

The codes are now available to use to report on behalf of physicians by the medical billing companies. This code also has short and medium descriptors, which can be accessed on the official AMA website – https://www.ama-assn.org/practice-management/cpt/cpt-releases-new-coronavirus-covid-19-code-description-testing

Coronavirus around the Globe

The situation of the novel coronavirus is serious. President Trump has declared a national emergency in the USA, and the only way to stay safe is by maintaining the social distance.

The Healthcare industry, in almost every country, is under pressure to combat the seriousness of coronavirus pandemic. The number one step for managing this catastrophe is by dealing with hundreds and even thousands of diagnostics procedures, and this code will help deal with the billing matters.

Rick A. Bright, Ph.D., director of Biomedical Advanced Research and Development Authority (BARDA) at HHS stressed the need of increasing the capacity of testing kits to identify and separate infected individuals as early as possible.

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There have been delays reported in terms of accessing the diagnostic procedures of COVID-19. The delays and shortage in facilities may affect the frontline fighters (physicians), and ultimately potential patients.

According to AMA, the newly released code is a progressive step towards optimal coronavirus diagnostic services. All along, the physician or medical billing company is required to use the Healthcare Common Procedure Coding System (HCPCS) codes to document public encounters with the health payment programs as Medicare.

The Centers for Medicare and Medicaid Services (CMS) also stated to create two new HCPCS codes to support the coronavirus diagnostic procedure.

The first code released in February (U0001) is for SARS-CoV-2 diagnostic tests performed specifically for CDC testing laboratories.

The second billing code (U0002) released this month will extend medical billing services for coronavirus lab tests, allowing to bill for non-CDC laboratory tests for SARS-CoV-2/2019-nCoV, (novel coronavirus or COVID-19).

QPP MIPS requests everyone to stay strong and be mindful of others around you. Spend this difficult time to connect with yourself and be creative while staying home.  You never know who carries the virus therefore, use hand sanitizers, clean your space, wear gloves, and face mask before going out and keep a safe distance from everyone.

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P3 Clears Five Misconceptions About Coronavirus

P3Care counters misinformation around topics of medical billing or MIPS 2020 reporting about the much-talked-about coronavirus. Yes, the Wuhan-born virus is breaking news on every news channel in the world.

A session held on Friday in New York City by the Center for Disaster Medicine at New York Medical College (NYMC) about the virus recorded someone from the audience asking, “Is it safe to eat Chinese food?”. That is what news without investigation can do to you. There is much wrong information floating around that it has become hard to differentiate between facts and fiction.

There are 5 common misconceptions about the virus with counterarguments for the greater good of the people.

And, yes, eating Chinese is safe. It is ‘not’ a safety hazard by the World Health Organization (WHO) or the Centers for Disease Control and Prevention (CDC).

Misconception 1: Coronavirus is more dangerous than any other virus and is spreading fast

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Wrong. The measles virus is much more dangerous than coronavirus (2019-nCoV). The only reason it has not spread quickly is that most people are already vaccinated for measles. Voila! It doesn’t make it to the news or social media.

The experts say that this virus can affect 2 to 3 people around. However, this data has a lot of uncertainty because it has not gone through scientific-peer assessment yet.

Misconception 2 – It can kill you

In a session, held by NYMC, Mary Foote, MD, MPH, Senior Medical Coordinator for Communicable Disease Preparedness at the NYC Department of Health said that it is believed that everyone who gets affected by the new virus eventually dies. But people are at greater risk from heart disease, cancer, old age, and any other life-threatening disease than by this virus.

People are at greater risk of influenza and chances of them ending up in hospitals from influenza are higher. Stating a fact, Flu kills tens of thousands of people every year in the US and 291,000 to 646,000 people in the world (according to a study published in The Lancet). CDC stresses on getting flu shots on their website and social channels for public protection as we speak. Hence, people ought to be more concerned about protecting themselves from the flu rather than the coronavirus.

Misconception 3 – It was manufactured in a laboratory and is being used as a biological weapon

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The news that was spread earlier by a large number of Russian domestic channels suggested the involvement of the United States behind this outbreak. The misinformation further spread like fire saying the US has created this bioweapon against China and that US pharmacists were making billions from this.

Similar conspiracy theories are creeping up in China and, oh surprise, surprise, some of them are coming from within the U.S. All of these are just conspiracy theories and nothing more. No, there is no evidence that this was a human-designed strain of the virus created to destroy countries or dismantle governments.

Misconception 4 – A cure is available

A vaccine is not developed in the blink of an eye. There hasn’t been a vaccine until now because it is a new virus and producing a vaccine to counter will take some time. Public and private organizations are cooperating to assist scientists in finding a remedy for this virus as quickly as they can.

Misconception 5 – Every person with fever and coughing is infected with coronavirus

This is misinformation #5 on this list. Since the public is unaware of reality, they think every person with the common flu is infected with the coronavirus. CDC has stressed the importance of flu vaccination several times. Medicare offers to reimburse providers if they claim for giving flu shots to their patients. The same facility is for the beneficiaries to get their flu shots on time in which they don’t have to pay any out-of-pocket costs. Health plans are in full support of this cause.

Qpp Mips Penalty for late reporting

Small Medical Practices Can Save Themselves from QPP MIPS 2019 Penalty

QPP MIPS participation offers a golden opportunity to target incentives and bonuses. Especially when the CMS has been favoring and rewarding small medical practices then why not take advantage of this chance.

Small Medical Practices! If you’re wondering how to play safe and avoid a penalty in MIPS 2019 reporting. We have come up with a few tricks that help you to achieve your goal.

The first step would be to check the eligibility status of the small group. Verify your Tax Identification Number (TIN) under which you’re participating.

You can enter your National Provider Identifier (NPI) on the QPP Participation Status Lookup Tool https://qpp.cms.gov/participation-lookup to know about the details.

Reporting for MIPS Quality measure is crucial in MIPS 2019 reporting, and it is a requirement that can’t be missed. Therefore, submit data for at least one patient that fulfills all the quality performance requirements with six quality measures.

Physicians are required to report data for “Improvement Activities” (completed for ninety days) with two medium or one high-weighted measure of the respective category.

While reporting for MIPS performance categories, make sure to document every procedure accurately. For Instance, while reporting for medication, document procedures with the up-to-date list of medication.

Small Practices! MIPS 2019 reporting is not complex to the extent where you can’t achieve a total of thirty points. MIPS Qualified Registry such as P3 Healthcare Solutions offers affordable packages for QPP MIPS reporting. If you don’t find any way out, consult us for a FREE consultation. Read more in this article.

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Jackie Chan: 1 Million Yuan for Whoever Finds the Cure

Famous movie star Jackie Chan who needs no introduction has promised an amount of 1 million yuan for developing a vaccine for coronavirus. Since the virus is still very much around, especially around the city of Wuhan, it is a call to researchers, inventors, scientists, pharmacists, chemists, and biologists to come up with a remedy. A miracle vaccine!

Somehow finding its way to the Chinese population, the virus has taken hundreds of lives in a matter of days. Unable to find a solution until now, it has spread like wildfire in over 25 countries. According to the veteran actor, he feels for his fellow men and women and anyone who has succumbed to the deadly coronavirus.

No less than a million yuan is quite an incentive for the thinking brains out there to work their magic and invent an antidote. It is not about the money for Jackie Chan or the people he is calling on for a solution.

We are confident that it will happen anytime soon because that is what we want. Not only does human suffering is painful to see but it puts the responsibility on us to unite on this very cause. The cause is to find relief against coronavirus once and for all.

Jackie Chan’s stance

“Science and technology are key to overcoming the virus, and I believe many people have the same thought like me and hope that an antidote can be developed as soon as possible”, the actor declared.

He continued, “I have a ‘naive’ idea now. No matter which individual or organization develops the antidote, I want to thank them with 1 million yuan”.

He stressed the fact that he doesn’t want people to suffer from the virus when they should be enjoying life. And it is not about the money but the people.

Back at home during the medical masks and protective gear emergency, the actor was among the people who donated generously. It goes to show this guy is exactly how he looks like; a person with a heart of gold.

Kicks and nunchakus for coronavirus

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World Health Organization (WHO) has declared it a global health emergency. Whether coronavirus likes it or not, it has to face the likes of Jackie Chan and the world of martial arts knows that if he sets his mind to something, he is unstoppable. Get ready to face round-house kicks because the attack mode is on which will not stop until it is defeated.

Background

The origin of this virus is still unknown; however, the Chinese city of Wuhan, located in the province of Hubei is under attack since December 2019. The area has been discussed so many times in the past that most of us have memorized it by now. However, it is of utmost concern to come up with a remedy.

All the efforts are being done to create a vaccine that neutralizes it in the system of an infected person. Most probably, the ideas will form into a permanent solution any day now.

Peace to the world

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As of now, 780 people have died of this virus in China and a large number of people (over 37,000) are infected from it both in and out of the country. God bless the people as we hope to God to shower His peace and blessings from eternal heavens and wipe this menace of the face of the earth.

Conclusion

P3Care medical billing service supports any research efforts being done around the world against coronavirus. We may fail once; we may fail twice, but if we continue to look for a vaccine, ultimately, we will have one. The healthcare industry in the US is as concerned as anyone else. US government organizations such as the CDC have reassured the Chinese government that they are always ready to help.