NEW YORK, March 5 (Reuters) -
The U.S. government said on Tuesday Medicare providers can
turn to their local administrative contractors to resolve claims
payment delays stemming from a hack at UnitedHealth's ( UNH )
technology unit Change Healthcare.
The statement comes after numerous hospitals, doctors,
pharmacies and other stakeholders highlighted potential cash
flow concerns caused by an inability to submit claims and
receive payments.
The Centers for Medicare & Medicaid Services (CMS), a
division of the U.S. Department of Health and Human Services
(HHS), has contacted all contractors that administer certain
Medicare claims to accept paper submissions if a provider needs
to file claims in that method, for individual consideration.
CMS also encouraged Medicare Advantage plans to offer
advance funding to providers most affected by the hack at
Change.
American Hospital Association (AHA) CEO Richard Pollack
wrote in a letter sent on Monday that a temporary assistance
program put in place by UnitedHealth ( UNH ) last week was "not even a
band-aid" on the payment problems caused by the hack, and called
the terms of the program "shockingly onerous".
UnitedHealth ( UNH ) did not immediately respond to a Reuters
request for comment on the letter from AHA.
The Change hack was perpetrated by hackers who identified
themselves as the "Blackcat" ransomware group.
Change said last week it had enabled a new version of its
ePrescribing service for all its customers, more than a week
after it reported a hack that had a knock-on effect on players
across the U.S. healthcare system. Parent company UnitedHealth ( UNH )
had announced a program to provide short-term funding for
providers unable to receive payment because of the hack.
"We need real solutions - not programs that sound good
when they are announced but are fundamentally inadequate when
you read the fine print," Pollack wrote in the letter to
UnitedHealth ( UNH ) Chief Operating Officer Dirk McMahon.
The CMS asked private companies that provide insurance
to older adults through Medicare Advantage plans to remove or
relax prior authorization procedures during the system outages.
It also urged government-supported children's insurance and
companies that provide Medicaid plans for low-income people to
do the same.
The AHA also wrote to congressional leaders on Monday to
request assistance for hospitals grappling with hack-related
issues.
(Reporting by Michael Erman and Pratik Jain; Editing by Chizu
Nomiyama and Devika Syamnath)