Evaluation of the impact of guideline communication from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services among US healthcare providers: COVID‐19 prevention counselling guidance

Abstract Aim To evaluate healthcare provider awareness and uptake of the Centers for Medicare & Medicaid Services (CMS) billing for coronavirus disease 2019 (COVID‐19) prevention counselling and the delivery of prevention counselling to patients awaiting severe acute respiratory syndrome coronav...

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Main Authors: Melanie M. Taylor, Arkaprava Deb, Bernita Frazier, James Reiss Lueken, Mansi Das, Joanna Molke, Erin Fitzgerald, Tom Ullian, Ridhu Nair, Marion Couch, Caitlin Turbyfill, Libby Horter, Cecilia Joshi, Nickolas DeLuca
Format: Article
Language:English
Published: Wiley 2023-11-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.1862
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author Melanie M. Taylor
Arkaprava Deb
Bernita Frazier
James Reiss Lueken
Mansi Das
Joanna Molke
Erin Fitzgerald
Tom Ullian
Ridhu Nair
Marion Couch
Caitlin Turbyfill
Libby Horter
Cecilia Joshi
Nickolas DeLuca
author_facet Melanie M. Taylor
Arkaprava Deb
Bernita Frazier
James Reiss Lueken
Mansi Das
Joanna Molke
Erin Fitzgerald
Tom Ullian
Ridhu Nair
Marion Couch
Caitlin Turbyfill
Libby Horter
Cecilia Joshi
Nickolas DeLuca
author_sort Melanie M. Taylor
collection DOAJ
description Abstract Aim To evaluate healthcare provider awareness and uptake of the Centers for Medicare & Medicaid Services (CMS) billing for coronavirus disease 2019 (COVID‐19) prevention counselling and the delivery of prevention counselling to patients awaiting severe acute respiratory syndrome coronavirus 2 test results. Design Cross sectional survey of US‐based healthcare providers in February 2021. Methods Analysis of associations with healthcare provider‐reported awareness of CMS prevention counselling guidance and billing with provider type, specialty, and work setting. Results A total of 1919 healthcare providers responded to the survey. Overall, 38% (726/1919) of providers reported awareness of available CMS reimbursement for COVID‐19 patient counselling and 29% (465/1614) of CMS billing‐eligible providers reported billing for this counselling. Among physicians, those aware of CMS guidance were significantly more likely to bill (58%) versus those unaware (10%). Among RNSights respondents eligible for CMS billing (n = 114), 31% of those aware of the guidance reported billing as compared to 0% of those not aware.
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spelling doaj.art-e8eb910815d34689a2f3097a17b8abba2023-10-10T11:36:51ZengWileyNursing Open2054-10582023-11-0110117437744510.1002/nop2.1862Evaluation of the impact of guideline communication from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services among US healthcare providers: COVID‐19 prevention counselling guidanceMelanie M. Taylor0Arkaprava Deb1Bernita Frazier2James Reiss Lueken3Mansi Das4Joanna Molke5Erin Fitzgerald6Tom Ullian7Ridhu Nair8Marion Couch9Caitlin Turbyfill10Libby Horter11Cecilia Joshi12Nickolas DeLuca13COVID‐19 Response, State, Tribal, Local, and Territorial Support Task Force, Contact Tracing and Innovation Section Centers for Disease Control and Prevention Atlanta Georgia USAHospital and Ambulatory Policy Group Centers for Medicare and Medicaid Services Woodlawn Maryland USACOVID‐19 Response, State, Tribal, Local, and Territorial Support Task Force, Contact Tracing and Innovation Section Centers for Disease Control and Prevention Atlanta Georgia USACOVID‐19 Response, State, Tribal, Local, and Territorial Support Task Force, Contact Tracing and Innovation Section Centers for Disease Control and Prevention Atlanta Georgia USAOffice of the Assistant Director of Communications Centers for Disease Control and Prevention Atlanta Georgia USASermo New York New York USASermo New York New York USARNsights Braintree Massachusetts USARNsights Braintree Massachusetts USARNsights Braintree Massachusetts USACOVID‐19 Response, State, Tribal, Local, and Territorial Support Task Force, Contact Tracing and Innovation Section Centers for Disease Control and Prevention Atlanta Georgia USACOVID‐19 Response, State, Tribal, Local, and Territorial Support Task Force, Contact Tracing and Innovation Section Centers for Disease Control and Prevention Atlanta Georgia USACOVID‐19 Response, State, Tribal, Local, and Territorial Support Task Force, Contact Tracing and Innovation Section Centers for Disease Control and Prevention Atlanta Georgia USACOVID‐19 Response, State, Tribal, Local, and Territorial Support Task Force, Contact Tracing and Innovation Section Centers for Disease Control and Prevention Atlanta Georgia USAAbstract Aim To evaluate healthcare provider awareness and uptake of the Centers for Medicare & Medicaid Services (CMS) billing for coronavirus disease 2019 (COVID‐19) prevention counselling and the delivery of prevention counselling to patients awaiting severe acute respiratory syndrome coronavirus 2 test results. Design Cross sectional survey of US‐based healthcare providers in February 2021. Methods Analysis of associations with healthcare provider‐reported awareness of CMS prevention counselling guidance and billing with provider type, specialty, and work setting. Results A total of 1919 healthcare providers responded to the survey. Overall, 38% (726/1919) of providers reported awareness of available CMS reimbursement for COVID‐19 patient counselling and 29% (465/1614) of CMS billing‐eligible providers reported billing for this counselling. Among physicians, those aware of CMS guidance were significantly more likely to bill (58%) versus those unaware (10%). Among RNSights respondents eligible for CMS billing (n = 114), 31% of those aware of the guidance reported billing as compared to 0% of those not aware.https://doi.org/10.1002/nop2.1862contact tracingCOVID‐19MedicaidMedicareprovider billingprovider counselling
spellingShingle Melanie M. Taylor
Arkaprava Deb
Bernita Frazier
James Reiss Lueken
Mansi Das
Joanna Molke
Erin Fitzgerald
Tom Ullian
Ridhu Nair
Marion Couch
Caitlin Turbyfill
Libby Horter
Cecilia Joshi
Nickolas DeLuca
Evaluation of the impact of guideline communication from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services among US healthcare providers: COVID‐19 prevention counselling guidance
Nursing Open
contact tracing
COVID‐19
Medicaid
Medicare
provider billing
provider counselling
title Evaluation of the impact of guideline communication from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services among US healthcare providers: COVID‐19 prevention counselling guidance
title_full Evaluation of the impact of guideline communication from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services among US healthcare providers: COVID‐19 prevention counselling guidance
title_fullStr Evaluation of the impact of guideline communication from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services among US healthcare providers: COVID‐19 prevention counselling guidance
title_full_unstemmed Evaluation of the impact of guideline communication from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services among US healthcare providers: COVID‐19 prevention counselling guidance
title_short Evaluation of the impact of guideline communication from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services among US healthcare providers: COVID‐19 prevention counselling guidance
title_sort evaluation of the impact of guideline communication from the centers for disease control and prevention and the centers for medicare and medicaid services among us healthcare providers covid 19 prevention counselling guidance
topic contact tracing
COVID‐19
Medicaid
Medicare
provider billing
provider counselling
url https://doi.org/10.1002/nop2.1862
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