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Licensing and credentialing of physicians, other professionals amid COVID-19

Insight Article - May 17, 2020

Veronica Bradley CPC, CPMA
Amid the COVID-19 public health emergency, the federal and many state governments have relaxed regulations on licensing and credentialing, allowing physicians and other qualified healthcare professionals to work across state lines.

While many states have banded together to coordinate policies on reopening, regulations still vary based on various state emergency directives. Some states are shortening the application process as well as accelerating the approval process. For example, New York’s dire need for assistance earlier in the pandemic prompted the governor to temporarily lift licensure requirements for physicians from other states to step in and provide healthcare services.

The Federation of State Medical Boards has published COVID-19-related changes on its website. The Centers for Medicare & Medicaid Services (CMS) has approved telehealth services provided by licensed physicians across state lines and other payers have followed.
Learn more about Medicare Telehealth/Telemedicine Waives during the COVID-19 emergency

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About the Author

Veronica Bradley
Veronica Bradley CPC, CPMA
Senior Industry Advisor MGMA Englewood, CO

Veronica Bradley, CPC, CPMA, is a Senior Industry Advisor with MGMA and is CPC and CPMA certified. She has over 20 years’ experience in medical coding and auditing in various specialties. She is also well-versed hierarchical condition category and risk adjustment coding. Other areas of expertise include evaluation and management, procedural coding, Medicare reimbursement, and other critical factors in coding and auditing. Veronica has worked in private practice, group practices, academic school of medicine and hospitals. She focuses on educating based coding guidelines and code capture accuracy for all medical practice staff and believes coders must build rapport with healthcare providers to ensure healthy communication as necessary in the charge capture process.

Veronica received a bachelor’s degree from Regis University in Denver, Colorado in Health Information Management with a minor in Healthcare Administration. In her free time, Veronica appreciates spending time with her family enjoying the beautiful Colorado scenery.

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