Updated: July 24, 2020

As a mutual company, CMIC RRG is here to support our members throughout this crisis however we can. These are challenging and unprecedented times, and as a company, our primary focus is helping our members through this so they can focus on their health, and the health of their patients. Please feel free to reach out to us at any time with questions about coverage, best practices, or anything else we may be able to assist with. We are here for you, and we will all get through this together.

Below please find COVID-19 information and resources, as well as a list of Frequently Asked Questions. Our intention is to update this regularly so please reach out to us if there is something you would like more information on, or anything you would like to see added.

Information and Resources

Documentation Update Focusing on Delayed Procedures Due to the COVID-19 pandemic many elective surgeries and non-emergent medical procedures are being postponed and patients may be delaying various procedures and tests. In the event that a provider has had a patient who postponed a surgical or diagnostic procedure or clinical labs, documentation of the length and reason for the delayed event is important.

In regards to routine surveillance procedures such as yearly eye exams or a once-every-5 year colonoscopies, documentation is still recommended in terms of rescheduling. If the patient had the surgery postponed due to the pandemic, but was hospitalized and needed emergent surgery, accurate and precise documentation in this scenario would be favorable.

Equally as important, if delaying a procedure or test carries a risk that a patient’s known medical condition may worsen, the provider should document that the procedure or test was unavoidably delayed and that the patient was advised about maintaining vigilance for and reporting to the provider about any changes in condition that would indicate disease progression.

Accurate and timely documentation is beneficial, especially when attempting to recall specific conversations or incidents that took place days, months or years prior to possible litigation. It is acceptable to write an addendum, however, it is more favorable to document in real time.

Encouraging Your Patients to Seek Medical Care When Necessary

In the midst of the COVID pandemic, many individuals are hesitant to seek medical care when necessary. Emergency room visits have decreased by approximately 40% across Connecticut. This indicates that individuals may be reluctant to seek care when needed due to the fear of contracting coronavirus, out of respect to social distancing recommendations, or in an attempt to avoid overcrowded hospitals. However, you should encourage your patients to seek medical care in an emergency situation or when they feel it may be necessary or prudent. Below, please find a form that you can send to your patients encouraging them to seek medical care when necessary. You may alter the form to fit your needs.

Sample Email Script for Adult Patients: Seeking Care during Social Distancing

Reopening Your Medical Practice

Social Distancing While in the Workplace:

Update Policies and Procedures:

Sanitization and Safety Equipment:

Communication is very important.

*Please be sure to check with your particular state and local health departments for specific guidelines and requirements.

Best Practices for Reopening Dental Offices - CT Criteria for Return to Work for Healthcare Personnel with Suspected or Confirmed COVID-19 Reopening Practice Guidelines from the AMA Roadmap for Resuming Elective Surgery after COVID-19 Pandemic Sample Informed Consent Policy - COVID-19

Telemedicine Information, Recommendations, and Consent Form Note: Please see our FAQ page for coverage information

Best Practices for providing Telehealth services:

AMA Resources by State American Telehealth Association CMS Telehealth What to Say During Telehealth Visits with Older Adults

Information for providing Telehealth services: