April/May 2020

Ortho News - Liability Immunity, DOI Info, Telemedicine Update & More
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Orthopaedic News & Updates

April/May 2020

Thank you to the doctors, nurses and all the health care workers and first responders on the front lines working tirelessly to provide quality, compassionate care to patients fighting the Coronavirus.
A Message from the MOA
As we all work to provide care, employ our staff and do what is right for the safety and health of patients and families, the MOA will continue to provide helpful information and timely updates to our orthopaedic community. If you have questions and/or concerns you would like to submit, the MOA will work to find the best resource to help answer your questions and address your concerns.  Please let us know how we can help. Be well and stay safe.
Medical Malpractice Premiums - Defer and/or Request Credits

S everal Malpractice insurance carriers are offering payment deferment and/or the application of additional credits for limited practice (surgery) on a case by case basis. 

All insureds are encouraged to reach out to their insurance agents if they wish to request assistance.  

A few of the carrier’s website links specific to COVID-19 and med mal premiums are provided below for your information. 


Division of Insurance & Department of Public Health Host Listening Sessions for MDs & Staff

DOI and CHIA
his is an opportunity to reach out to the Division of Insurance and have your questions answered and your concerns heard.

Each Zoom meeting will take place from 2 to 3 p.m. on the following dates:

• Tuesday, May 5 – Prior Authorization

• Thursday, May 7 – To Be Determined based on issues/concerns still outstanding.

To join the Zoom meeting: (Please note that this will be the same link for all of the meetings.)
Meeting ID:  290 289 5643         Password:  501
 
DPH Info and Updates                            
Weekly opportunity to engage with the DPH on informational calls regarding COVID -19 on Thursdays at 3:30 p.m. 
To call in: 888-390-5007; Code 8784804.


COVID-19 Resource Links







Governor Baker Signs Emergency Legislation to Enact Liability Immunity During COVID-19

The House and Senate passed  S.2640, “An Act to Provide Liability Protections for Health Care Workers and Facilities During the COVID-19 Pandemic” , which was signed into law by Governor Baker.  

The MOA worked diligently to support the MMS and other organizations to garner the support of Legislators and we thank all the members who answered the MOA’s Call to Action and contacted their Representatives.

The immunity applies to:
“ (a) health care professionals and health care facilities shall be immune from suit and civil liability for any damages alleged to have been sustained by an act or omission by the health care professional or health care facility in the course of providing health care services during the period of the COVID-19 emergency, provided that:
1.     the health care facility or health care professional is arranging for or providing health care services pursuant to a COVID-19 emergency rule and in accordance with otherwise applicable law;
2.     arranging for or providing care or treatment of the individual was impacted by the health care facility’s or health care professional’s decisions or activities in response to or as a result of the COVID-19 outbreak or COVID-19 emergency rules; and
3.     the health care facility or health care professional is arranging for or providing health care services in good faith.”    
 Immunity does not apply for gross negligence, recklessness or conduct with an intent to harm by a health care facility or health care professional providing health care services.
Also, in response to concerns around possible discrimination of certain populations, the following language has been added:
 (b) The immunity provided in subsection (a) shall not apply: (i) if the damage was caused by an act or omission constituting gross negligence, recklessness or conduct with an intent to harm or to discriminate based on race, ethnicity, national origin, religion, disability, sexual orientation or gender identity by a health care facility or health care professional providing health care services; (ii) to consumer protection actions brought by the attorney general; or (iii) to false claims actions brought by or on behalf of the commonwealth. 
 
The bill has an emergency preamble, meaning it will take effect upon its passage and will apply to claims based on acts or omissions that occur or have occurred during the effective period of the COVID-19 emergency, declared on March 10, 2020 and until terminated or rescinded.

Telemedicine
The use of telehealth services continues to be an important and vital component to the delivery of health care to minimize exposure and risk of patients during the pandemic.

Division of Insurance - Telemedicine
DOI Bulletin 2020-04 , Emergency Measures to Address and Stop the Spread of COVID-19, provided guidance to insurance carriers to implement the Governor’s Emergency Order (3/15/2020). 
 
Since the issuance, frequent changes have been made by the commercial insurance carriers to the Telehealth codes and policies. As a result, some practices may experience reimbursement issues depending on when the claim was submitted however, ALL COMMERCIAL CARRIERS are expected to make reimbursements consistent with the guidance in the Bulletin. The DOI recommends that physicians and their staff check the insurer’s website on a regular basis for updates/changes

If your practice is having issues with claims processed that are inconsistent with the provisions found in the Bulletin, please contact Kevin Beagan, Deputy Commissioner of Health Care Access at the DOI, email:  kevin.beagan@mass.gov or call: 617-521-7323. (Due to the limited staff, there may be a delay in response.)

Telehealth Coding Update
The use of telehealth services continues to be an important and vital component to the delivery of health care to minimize exposure and risk of patients during the pandemic.

The MOA has been sending coding updates to members and their staff including a coding spreadsheet with codes and requirements for each insurer.  Click here for the most recent update for the MOA telehealth coding spreadsheet with changes (as of 4/13/2020) Please note that coding and telehealth policies of each insurer continue to change rapidly. Be sure to review payer websites for the most up to date information.

Karen Zupko & Associates*
Karen Zupko & Associates have shared their years of coding experience and expertise and answered many of the questions physicians have about Telehealth. The resource center can be accessed free of charge at http://www.karenzupko.com/KZA-telehealth-solution-center
RESCHEDULED - NEW DATE
MOA 2020 Annual Meeting

September 16, 2020
Noon - 6:00 p.m.

MA Medical Society, Waltham, MA

With the constant changes and uncertainty of future gatherings and events due to COVID 19, the MOA will continue to evaluate the safety of holding a Fall meeting and provide you with updates.

We hope that by staying apart, we can gather together in September.

MOA 2020 Membership Renewal
Support the MOA's Work on Behalf of the Orthopaedic Community

Now more than ever, your 2020 membership renewal is vital to the work of the MOA in supporting orthopaedic surgeons, the practice of medicine and protecting patients.
At just $300.00 a year (150.00 for first-year members), the MOA represents all orthopaedic surgeons whether you’re in private practice, hospital or academic based, you benefit.  Your membership renewal also includes a FREE  one-year  subscription to OrthoEvidence  - A global, online source for quality, evidence-based summaries by the orthopaedic community of the highest quality research at no cost to you ($100.00 value).
To Renew
Online via Credit Card (click here)
Unsure of your 2020 Membership Renewal? Simply email Susan to check your status.