By Tim Murphy and Tim Marema

Missouri’s reporting anomaly could be part of the cause. But Alabama, Michigan, and California also see increases in rural cases.
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The COVID-19 pandemic has reshaped how physicians are being recruited. But whether a first interview is on-site or virtual, it still is critical to master that interview and deliver a first-time “WOW” experience for the right candidate. Jackson Physician Search, in an article on its website, says the first interview is so powerful because first impressions stick and often overwhelm second and third impressions. “It may seem counterintuitive, but follow-up interviews do not necessarily increase the candidate’s feelings of confidence about the job and the likelihood that an offer will be accepted,” the article states.

The COVID-19 pandemic has tested the public health and medical workforces like never before. And yet people in those fields say they see emerging signs that the crisis will inspire the next generation of doctors, nurses, and public health professionals to join the ranks. Public health schools, for example, saw a 23 percent jump in applicants for master’s and doctoral programs from fall 2019 to fall 2020, and are reporting an even bigger increase so far in this application cycle, according to the Association of Schools and Programs of Public Health.

The Centers for Medicare and Medicaid Services (CMS) announced it is updating the Medicare payment rates for COVID-19 vaccine administration. Effective for services furnished on or after March 15, 2021, the new rate will be approximately $40 to administer each dose of a COVID-19 vaccine. This represents an increase from approximately $28 to $40 for a single-dose vaccine, and $45 to $80 for vaccines requiring two doses. Exact payment rates depend on the type of entity furnishing the service and will be geographically adjusted based on where the service is furnished. To read more, click here. It is important to note that Medicare vaccine administration payment for FQHCs at the current time will still occur retroactively with the cost report. Also, whether this CMS payment change will also result in a payment increase by Medicaid is still being evaluated by the PA Department of Human Services (DHS). As shared previously, DHS is working on an FQHC/RHC-specific COVID-19 vaccine payment bulletin which has not yet been released but has shared some of the payment policy it will implement with PACHC:

• For fee-for-service (FFS) billing, PROMISe has been updated to allow FQHCs/RHCs to bill using the administrative codes identified in bulletin Medical Assistance Bulletin 01-20-59, Addition to the Medical Assistance Program Fee Schedule for Administration of SARS-CoV-2 Vaccines. DHS directs that you use your PT/Spec and POS.
• For HealthChoices Medicaid managed care plans, you will need to check with your contracted MCOs on how to bill.
• DHS is in the process of requesting CMS approval to use an alternate payment methodology (APM) for all COVID-19 vaccines administered outside of defined requirements for a T1015 visit/encounter billing. (PACHC Note: In other words, if a vaccination visit meets the definition of eligible FQHC/RHC encounter the visit is billable as a PPS encounter and you do not bill for the vaccine administration separately). The APM would pay vaccinations that are not part of an eligible FQHC encounter at Medicare rates.
• DHS is directly reimbursing the MCOs for the cost of vaccine administration and expects that MCOs will reimburse at least what DHS is reimbursing. However, FQHCs need to check with each of your MCOs on how they will handle vaccine administrative billing.

The Pennsylvania Department of Health has issued several Health Alert Network (HAN) updates in the last week.

• Updated Quarantine Recommendations for Persons Exposed to COVID-19: This guidance replaces PA-HAN-538 and PA-HAN-551 and provides clarification on quarantine recommendations for persons exposed to COVID-19. This guidance provides information about the need for quarantine for both individuals who are and are not fully vaccinated.
• Work Restrictions for Healthcare Personnel with Exposure to COVID-19: The existing guidance on how to evaluate and respond to exposure of healthcare personnel (HCP) to COVID-19 in the healthcare setting has not changed, but additional items have been added to this guidance to clarify the post-exposure recommendations.

Click here for all 2021 Health Alerts, Advisories and Updates.