COVID-19 Toolkit

COVID-19 Toolkit

COVID-19 Resources | Clinical Notifications | COVID-19 webinar | Telehealth coding and billing | Recommendations


Given the importance of protecting healthcare workers during the pandemic, the SIR is releasing information and guidance for Interventional Radiologists to plan for the management of COVID-19 patients. This is a rapidly changing situation, and information will be updated as new information is released.

Planning

Recently, SIR presented a webinar with a panel from Singapore clarifying what advanced preparation in IR for a pandemic looks like. As many practices in the United States have limited time to implement changes, we have suggested a 10-point plan to aid in the preparation of caring for COVID-19 patients. 

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Case classifications

SIR is asking all IRs to cancel all IR procedures except for those that are urgent or emergent. However, determination of such acuity is based on many factors. While each institution should decide what can be postponed on a case-by-case basis, we offer a sample classification table.

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FAQ

SIR staff and volunteers have been collecting your questions and curating the conversations taking place on the SIR Connect Open Forum for easier reference here within this digest of FAQs. This list will be updated as more information becomes available.

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Is your IR service ready for COVID-19?

As SIR members adjust their practices to manage the reality of COVID-19 in their communities, IRs from abroad and current health care policies can offer important insights about how best to prepare. View the recording for this special webinar during which faculty from Singapore shared their experience in preparing IR service for COVID-19 and learn more about the new SIR COVID-19 Toolkit for Interventional Radiologists.

Rewatch 


Telehealth Coding and Billing

 

CMS has announced that a range of healthcare providers, such as doctors, nurse practitioners, clinical psychologists, and licensed clinical social workers, will be able to offer telehealth to Medicare beneficiaries. Beneficiaries will be able to receive telehealth services in any healthcare facility, including a physician's office, hospital, nursing home, or rural health clinic, as well as from their homes. Clinicians can bill immediately for dates of service starting March 6, 2020. Telehealth services are paid under the Physician Fee Schedule at the same amount as in-person services. Medicare coinsurance and deductible still apply for these services. Additionally, the HHS Office of Inspector General (OIG) is providing flexibility for healthcare providers to reduce or waive cost-sharing for telehealth visits paid by federal healthcare programs.

Telemedicine Coding and Billing Guide

In an effort to keep our health care workers and patients safe amid the COVID-19 pandemic, the American Medical Association (AMA) has designed this quick guide to support physicians and practices in expediting the implementation of telemedicine, so care can continue to be provided to those who need it most.

For help with telemedicine coding and billing, please click below.

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CMS General Telemedicine Update

Under President Trump’s leadership to respond to the need to limit the spread of community COVID-19, the Centers for Medicare & Medicaid Services (CMS) has broadened access to Medicare telehealth services so that beneficiaries can receive a wider range of services from their doctors without having to travel to a healthcare facility.

For more general telemedicine updates from CMS, please click below.

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COVID-19 Medicare Provider Enrollment Relief Frequently Asked Questions

The Centers for Medicare & Medicaid Services (CMS) is posting Frequently Asked Questions (FAQs) to aid Medicare Provider Enrollment Relief in their response to the 2019 Novel Coronavirus (COVID-19) outbreak. 

To review frequently asked provider questions with supporting answers, please click below.

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Recommendations


World Health Organization (WHO)

Rolling updates on COVID-19

COVID-19 Situation Dashboard (updates on number of cases and locations)

Rational use of PPE for COVID-19

Q&A on infection prevention and control for health care workers caring for patients with suspected or confirmed 2019-nCoV

 

Centers for Disease Control and Prevention (CDC)

Visual alert—Generic

Print/Poster Resources for COVID-19

Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings

Interim US Guidance for Risk Assessment and Public Health Management of Persons with Potential Coronavirus Disease 2019 (COVID-19) Exposures: Geographic Risk and Contacts of Laboratory-confirmed Cases

Implementation of Mitigation Strategies for Communities with Local COVID-19 Transmission

What Healthcare Personnel Should Know about Caring for Patients with Confirmed or Possible COVID-19 Infection

 

Environmental Protection Agency (EPA)

SARS-CoV-2 disinfectant list

 

Additional reccomendations

JHU COVID-19 Map

New York Times COVID-19 Map

SIR COVID-19 Webinar (March 19, 2020)

Radiology: Department Preparedness


 

References

 

1. Lauer, S. A. et al. The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application. Ann. Intern. Med. (2020) doi:10.7326/M20-0504.

2. World Health Organization. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). (2020).

3. Ng, Y. et al. Evaluation of the Effectiveness of Surveillance and Containment Measures for the First 100 Patients with COVID-19 in Singapore — January 2–February 29, 2020. MMWR Morb. Mortal. Wkly. Rep. 69, (2020).

4. The Novel Coronavirus Pneumonia Emergency Response Epidemiology Team. The Epidemiological Characteristics of an Outbreak of 2019 Novel Coronavirus Diseases (COVID-19) — China, 2020[J]. China CDC Weekly 2, 113–122.

5. Adams, J. G. & Walls, R. M. Supporting the Health Care Workforce During the COVID-19 Global Epidemic. JAMA (2020) doi:10.1001/jama.2020.3972.

6. Cheng, V. C. C. et al. Escalating infection control response to the rapidly evolving epidemiology of the Coronavirus disease 2019 (COVID-19) due to SARS-CoV-2 in Hong Kong. Infect. Control Hosp. Epidemiol. 1–24 (2020) doi:10.1017/ice.2020.58.

7. Schwartz, J., King, C.-C. & Yen, M.-Y. Protecting Health Care Workers during the COVID-19 Coronavirus Outbreak –Lessons from Taiwan’s SARS response. Clin. Infect. Dis. ciaa255 (2020) doi:10.1093/cid/ciaa255.

8. Ueda, M. et al. Managing Cancer Care During the COVID-19 Pandemic: Agility and Collaboration Toward a Common Goal. J. Natl. Compr. Canc. Netw. 10 (2020).

 

Acknowledgments:

 

Laura Findeiss, MD, President SIR

Torrance Andrews, MD, FSIR

Aaron Brandis, MD

Andrew Caplin, MD

Janice Newsome, MD FSIR

Rajesh Shah, MD

Tavri Sidhartha, MD