Coronavirus Developments

Click Here for a Message to our Valued GPM Customers

With the progression of the COVID-19 virus, we want to thank you for all that you do in caring for our most vulnerable population.

OUR COMMITMENT to providing the highest quality services and support continues today and every day. Our products are built to be available to our clients with no material disruption of service, and we are keenly aware of your need to have essential tools at the ready when caring for your patients. The GPM team is on vigilant watch to keep you up and running.

We are following the Centers for Disease Control (CDC) and World Health Organization (WHO) guidance while taking into account recommendations from local officials. In addition, we have taken the following steps to make sure our systems and staff will remain available to you without interruption:

  • As is our standard practice, we have reinforced the message to our employees to stay home if they feel unwell and seek medical attention as necessary.
  • Our entire workforce is well-versed in performing their duties remotely as needed.
  • We have suspended all non-essential business travel.
  • Key employees and responsibilities have been identified and back-up contingencies identified should any individuals become unable to work.
  • Our leadership team is monitoring the progression of the virus and meeting as needed to review the situation and make informed decisions.

For resources related to Telehealth, please reference the most recent guidance from the Society for Post-Acute and Long-Term Care Medicine. Reach out to the Account Services Team at for guidance surrounding documenting Telehealth encounters in GEHRIMED.

Thank you for being a loyal GPM client and know that we are here to support you and your patients during these challenging times.

Latest Information & Resources

During these difficult times when there is a constant barrage of information amid a shifting landscape, it may be tough to distinguish the latest and most relevant information. We will keep you informed of the latest developments and provide comprehensive insight to help you navigate this crisis.

Thank you for being a loyal GPM client and know that we are here to support you and your patients during these challenging times.

For assistance or more information, please email us:

Latest COVID-19 Updates

HHS Revises Provider Relief Fund Reporting RequirementsOctober 22, 2020The Department of Health and Human Services recently revised the Provider Relief Fund (PRF) reporting requirements. Under its September 19 directive, “lost revenue” was defined narrowly as a negative change in year-over-year patient care operating net income. Now, HHS will permit providers to use PRF funds to cover the difference between their 2019 and 2020 actual patient care revenue with some adjustments for expenses related to COVID-19.

White House Announces Vaccination Distribution Program for Long-Term Care ResidentsOctober 16, 2020The White House recently announced the Pharmacy Partnership for Long-Term Care Program, its new national COVID-19 vaccine initiative for long-term care patients. Partnering with CVS and Walgreens, the federal government will distribute and administer the vaccine to residents in long term care facilities free of charge, covering the reporting requirements associated with the vaccine as well. Long-term care facilities interested in participating in this program must register with the CDC by Monday, November 2, noting how they want to receive and administer the COVID-19 vaccine when it comes available.

CMS Posts Updated FFS Billing FAQs for COVID-19 PHEMay 29, 2020CMS has released an updated FAQ document on billing and coding provisions associated with the COVID-19 public health emergency. CMS is still in the process of updating its policies in accordance with the CARES Act enacted on 3/27. We will keep you posted.

CMS provides recommendations to help determine the level of mitigation needed to prevent the transmission of COVID-19 in nursing homesMay 19, 2020CMS released guidelines on reopening nursing homes, with stringent recommendations for testing requirements and visitation, urging nursing homes to secure COVID-19 testing for all residents and staff before relaxing any restrictions.

CMS Releases Comprehensive State by State COVID Response Management Toolkit for Nursing HomesMay 14, 2020The toolkit provides detailed resources and direction for quality improvement assistance and can help in the creation and implementation of strategies and interventions intended to manage and prevent the spread of COVID-19 within nursing homes.

Required Reporting Starts May 8May 8, 2020In an effort to support surveillance of COVID-19 cases and increase transparency, starting today (May 8), nursing homes and long term care facilities are required to report COVID-19 facility data to the Centers for Disease Control and Prevention (CDC) and to residents, their representatives, and their families. Please refer to the CMS Memorandum for additional information.

Further Expansion of Telehealth in MedicareMay 8, 2020CMS is waiving limitations on the types of clinical practitioners that can furnish Medicare telehealth services. Prior to this change, only doctors, nurse practitioners, physician assistants, and certain others could deliver telehealth services. Now, other practitioners are able to provide telehealth services, including physical therapists, occupational therapists, and speech language pathologists.

Some Video Requirements WaivedMay 8, 2020CMS is waiving the video requirement for certain telephone evaluation and management services, and adding them to the list of Medicare telehealth services. As a result, Medicare beneficiaries will be able to use an audio-only telephone to get these services.

Prior Authorization Waived for Certain Lab TestsMay 8, 2020In a recent press release, CMS announced that Medicare will no longer require an order from the treating physician or other practitioner for beneficiaries to get COVID-19 tests and certain laboratory tests as part of a COVID-19 diagnostic. During the public health emergency, the tests may be covered when ordered by any health care professional authorized to do so under state law. Furthermore, a written practitioner’s order is no longer required for the COVID-19 test for Medicare payment purposes.

CMS Issues LTC Facility Transfer GuidanceApril 14, 2020To provide flexibility for facilities. If two or more certified LTC facilities want to transfer or discharge residents between themselves for the purposes of cohorting, they do not need any additional approval to do so.

CMS Updates Waivers for SNF and NFApril 10, 2020CMS suspended a number of regulations to increase frontline medical staff, including permitting doctors to treat patients at rural hospitals via telehealth across state lines and allowing providers, including nurse practitioners, to practice to the top of their license.

CMS Issues Revised Telehealth GuidanceApril 3, 2020To align with the CARES Act, when billing for telehealth services with dates of services on or after March 1, 2020, bill with Place of Service (POS) equal to what it would have been had the service been furnished in-person; Adding Modifier 95, indicating that the service rendered was actually performed via telehealth. CMS is not requiring the CR modifier on telehealth services.

CMS Releases Additional COVID-19 Long-Term Care Facility Guidance for VisitationsApril 3, 2020CMS adds to previously released guidance on visitation limitations

CMS Releases Additional COVID-19 Long-Term Care Facility Guidance for Focused Infection Control SurveysApril 3, 2020CMS Adds to previously released guidance on focused infection control surveys

CMS Releases COVID-19 Guidance for all LTC FacilitiesApril 3, 2020CMS announces immediate actions to be taken by all LTC facilities

Additional CMS Guidance on Use of LTC Codes in TelehealthApril 1, 2020Removal of 30 day limit on subsequent skilled nursing facility visits (99307-99310); Initial nursing facility visits, All levels (Low, Moderate, and High Complexity) and nursing facility discharge day management (CPT codes 99304-99306; CPT codes 99315-99316) are also providable via telehealth.

CARES Act Provides Financial Relief – Accelerated & Advance Payment ProgramApril 1, 2020As part of the CARES Act, CMS is expanding its Accelerated and Advance Payment Program. For information on how to apply, click here.

CARES Act Provides Financial Relief – Paycheck Protection ProgramApril 1, 2020The Paycheck Protection Program provides assistance for small businesses. For the application click here.

CMS is issuing a sweeping array of new rules and waiversMarch 31, 2020CMS is waiving the requirement in 42 CFR 483.30 for physicians and non-physician practitioners to perform in-person visits for nursing home residents and allow visits to be conducted, as appropriate, via telehealth options.

CMS List of Telehealth ServicesMarch 31, 2020List of services payable under the Medicare Physician Fee Schedule when furnished via telehealth.

CMS will permit initial nursing home visits (99304-99306) via telehealthMarch 31, 2020Long Term Care Facilities (Skilled Nursing Facilities and/or Nursing Facilities): CMS Flexibilities to Fight COVID-19

COVID-19 Update for QPP/MIPSMarch 30, 2020Quality Payment Program – COVID-19 Response from CMS

Long-Term Care Nursing Homes Telehealth and Telemedicine Tool KitMarch 30, 2020CMS Telehealth and Telemedicine Tool Kit for Long-Term Care Nursing Homes

New COVID-19 ICD-10 CM Code – Effective April 1, 2020March 30, 2020In a March 18 meeting of the CDC ICD-10-CM Coordination and Maintenance Committee, they announced a new code, specifically for reporting COVID-19 will be available for use starting on April 1, 2020. ICD-10-CM code U07.1, COVID-19, may be used for discharges/date of service on or after April 1, 2020.

Telehealth ChecklistMarch 26, 2020Office and Technology Checklist for Telemedicine Services

AMA Coding GuidanceMarch 26, 2020Special coding advice during COVID-19 public health emergency

Telehealth Changes Presentation by McDermott ConsultingMarch 24, 2020Presentation covering CMS Reimbursement Updates and Areas of Confusion, State Licensure and Other Telemedicine Considerations, Anti-Kickback / Beneficiary Inducement Waiver, DEA Remote Prescribing Update, and Privacy & Security Considerations


MIPS Reporting Deadline DelayedMarch 23, 2020providers participating in the 2019 MIPS reporting program have the option to wait until April 30, 2020 to submit data.

Telehealth ToolkitMarch 23, 2020Comprehensive information on changes to Telehealth to help providers coordinate care throughout the COVID emergency.

SNF QRP and SNF VBP Reporting UpdateMarch 23, 2020Deadline extended to April 30, 2020; CMS will not use any quality data on services from Jan. 1 through June 30 in the agency’s calculations for scoring.

Ease of Restrictions on EPCSMarch 23, 2020DEA-registered practitioners may issue prescriptions for controlled substances to patients for whom they have not conducted an in-person medical evaluation; and via Telehealth

Guidance for PACEMarch 23, 2020CMS Sends Guidance Programs for PACE Organizations

CPT Code Update – AMA GuidanceMarch 23, 2020AMA has added a code 87635 to describe laboratory testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

Restriction of Visits to Nursing HomesMarch 23, 2020Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in Nursing Homes

Guidance on HIPAAMarch 23, 2020Notification of Enforcement Discretion for telehealth remote communications during the COVID-19 nationwide public health emergency

2020 MDS Delayed ReleaseMarch 23, 2020CMS is delaying the Minimum Data Set (MDS) 3.0 v1.18.1 release, which had been scheduled for October 1, 2020. The new MDS would have seen the removal of Section G.

LTC Provider Resources

Following are resources LTC providers may find helpful when navigating this volatile, evolving situation.