Recommendations and Resources for Physiatrists in Light of COVID-19
As a physician, you’re on the front-line of the COVID-19 outbreak. We have been researching and collecting resources from physiatrist members and are continuing to add them here. We have also partnered and are collaborating with other medical societies to share resources and continue discussions to bring you the information you need on the frontlines:
April 3, Special Update: Resources for Private Practice Physiatrists; Apply for a Loan Today
As part of the $2 trillion Coronavirus Aid, Relief and Economic Security (CARES) Act that was signed into law on March 27, $349 billion is going toward establishing a new Paycheck Protection Program. The program will provide much-needed relief to millions of small businesses so they can sustain their businesses and keep their workers employed.
Quick Link: Application for a Paycheck Protection Program Loan.
To help you sort through the abundance of information, we have collected a variety of resources to help our physiatrists who may need small business assistance:
- U.S. Small Business Administration Interim Final Rule On April 2, the U.S. Small Business Administration (SBA) released an interim final rule that provides guidance on the provisions in the CARES Act, including:
- Eligibility requirements (page 5)
- A maximum loan amount of $10 million and a guide as to how to calculate your maximum loan amount (pages 8-10)
- Loan maturity of 2 years, rather than 10 years as the CARES statute originally provided (page 12)
- A loan interest rate of 1% (page 12)
- First payment deferred for 6 months, rather than 1 year as indicated in the CARES statute
The amount of loan forgiveness can be up to the full principal amount of the loan and any accrued interest. 75% of the loan forgiveness amount must be attributable to payroll, rather than operational costs (pages 13-15)
- The applicant must submit SBA form 2483 (page 15)
- The full rule is located here. Please note:
- The first 18 pages are useful to borrowers
- Pages 19-27 are useful to lenders
- Pages 28-31 are administrative law tasks to ensure the loans are legal
In addition to these resources, AAPM&R is hosting a webinar next Tuesday, April 7 – AAPM&R’S Update on Financial Relief for Physiatrists at 7 pm ET/6 pm CT.
We will be discussing new opportunities for practices including the Medicare Accelerated and Advance Payment Program and the Small Business Administration’s (SBA) loans. This hour-long session will include a 25-minute presentation followed by Q&A. Our panelists include:
- Stuart J. Glassman, MD, FAAPMR – from Granite Physiatry in Concord, NH
- Peter Thomas – from Powers Law in Washington, DC
- Kathleen Hatfield – from Powers Law in Washington, DC
We encourage anyone interested to register. If you are unable to attend, we will be recording the webinar and will distribute the link shortly after.
Other Recommendations and Resources
- April 1: The U.S. Drug Enforcement Administration (DEA) issued guidance providing new flexibility for physicians managing patients with opioid use disorder. The new guidance permits physicians and other health professionals with a waiver allowing them to prescribe buprenorphine for the treatment of opioid use disorder to issue these prescriptions to new and existing patients based on an evaluation via telephone. The new policy is effective from March 31 for the duration of the COVID-19 emergency.
- March 19
- COVID-19: An ACP Physician's Guide + Resources
- COVID-19 (Novel Coronavirus) general information, epidemiology, diagnosis, and more information from DynaMed
- Access the Society of Critical Care Medicine's (SCCM) complimentary online training, Critical Care for Non-ICU Clinicians, for health care professionals who could benefit from critical care training.
- COVID-19: Guidance for AANEM Members related to patient visits, EDX testing, and more.
- March 18: ACGME suspends accreditation-related activities, accelerates implementation of telemedicine requirements, and more.
- Coronavirus updates from Washington, D.C. – provided by Hart Health Strategies, Inc.
- From the Spine Intervention Society (SIS): COVID-19 Resources
- Frequently-Asked-Questions for Health Care Providers
- Health Care Professional Preparedness Checklist
Please note that these documents are submitted by AAPM&R members and are not formally endorsed by the Academy:
- March 29: From Gene Tekmyster, DO, FAAPMR; Maxim Moradian, MD; David W. Lee, MD, FAAPMR; Shounuck I. Patel, DO, MMS, FAAPMR; Gerard A. Malanga, MD, FAAPMR; Gary P. Chimes, MD, PhD, FAAPMR; Rahul Desai, MD; Jaspal R. Singh, MD, FAAPMR; Prathap Jayaram, MD, FAAPMR, Current Recommendations for Outpatient Musculoskeletal and Pain Practice During the COVID-19 Pandemic