Category: American Medical Association (AMA)

AMA & other med groups express ‘dismay’ at prospect of waivers made permanent

Lots of industry groups want to see the temporary government waivers enacted early on during the COVID-19 public health emergency – the ones enabling the vast expansion of telehealth and remote patient monitoring over the past four months – to be made permanent once the storm has subsided. And...

A Quick Reference Guide to Remote Patient Monitoring During the COVID-19 Pandemic

Remote Patient Monitoring (RPM) is real-time or near real-time evaluation of a patient’s clinical status outside of a traditional healthcare setting. RPM leverages wireless devices (e.g., weight scale, blood pressure monitor), often integrated with a software platform, to monitor patients’ health status. Providers can use RPM to manage patients...

CMS Guidance for Remote Patient Monitoring (RPM) During COVID-19 (CPT Codes 99453, 99454, 99457, 99458, and 99091)

The Centers for Medicare & Medicaid Services (CMS) has provided some guidance within the “Medicare and Medicaid Programs Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency” interim final rule (IFR), allowing for remote patient monitoring, or RPM. This type of patient care is very helpful...

In COVID-19 crisis, AMA’s powerful voice rings out to save lives

What’s the news: In a global pandemic that has demanded an all-hands-on-deck response, the AMA’s outstanding advocacy efforts have led to billions in emergency funding to help physician practices stay viable, secured broad telehealth expansion and telehealth payment parity, and much more. Featured updates: COVID-19 Track the evolving situation with...

Telehealth is the future- and the future has arrived

By: Bill Dacey June 3, 2020 For several years, we’ve seen Medicare and the American Medical Association’s Current Procedural Terminology (CPT) manual slowly approach the age of telehealth. Despite a lot of discussion and many headlines during each of the past few years, the codes and coverage embracing the...

How to code for SMBP? AMA guides break down CPT during pandemic

MAY 28, 2020 American Medical Association If you are trying to figure out how to properly code for the evolving way you care for patients during the pandemic—those with COVID-19 and those without—the AMA recently updated several user-friendly resources designed to guide you through the process. Featured updates: COVID-19...

Here’s what providers need to know as RPM is poised for take-off with new CMS rules

With the new CMS rules going into effect in 2020, providers have more opportunity than ever before to seize these benefits by collecting critical patient information while streamlining talent and spatial resources. By Christopher McCann This past fall, the Centers for Medicare and Medicaid Services (CMS) issued its final...

The Chronic Care Management (CCM) – Remote Patient Monitoring (RPM) – Reimbursement Guide – Coverage Year 2020

CMS has released its final rule for the 2020 Physician’s Fee Schedule. We have previously covered how one can set up a chronic care management program in 5 steps. We have also covered the available CPT codes that can be used to bill for chronic care management, which also includes...

Finalized Coverage Year 2020 Physician Fee Schedule – Everything You Need to Know

CARE MANAGEMENT SERVICES CMS is taking steps to further refine the codes for transitional care management (TCM) and chronic care management (CCM). They have also created new codes for principal care management (PCM) services for patients that have only one serious condition. Transitional Care Management (TCM) CMS has finalized...

Telehealth: Medicare Finalizes New Services for 2020 in Physician Fee Schedule

CMS just released the 2020 final rule with changes to its virtual care codes. The new provision, officially titled “Communication Technology-Based Services,” introduces three new covered Telehealth Services. These changes were proposed as part of the 2020 Physician Fee Schedule earlier this year and continue CMS’ efforts to reduce administrative burden and cover...

Medicare Remote Patient Monitoring: CMS Finalizes New Code and General Supervision

05 November 2019 Authors: Nathaniel M. LacktmanEmily H. Wein CMS just released the 2020 final rule with changes to remote patient monitoring (RPM), officially titled “Chronic Care Remote Physiologic Monitoring,” reimbursed under the Medicare program, as part of the Physician Fee Schedule changes. The changes, proposed earlier this year,...

CMS Finalizes New Reimbursement Rules for Remote Patient Monitoring

The final rule for the 2020 Physician Fee Schedule gives hospitals and health systems more opportunities to use remote patient monitoring and paves the way for new telehealth and mHealth programs. By Eric Wicklund November 05, 2019 – Hospitals and health systems will see Medicare reimbursement for more remote patient...

Federal law cripples telehealth in Medicare. New bill changes that.

What’s the news: A bipartisan Senate bill unveiled last week would make it easier for patients enrolled in Medicare to receive telehealth services from physicians. Digital health that counts The AMA is spearheading initiatives that put physicians at the center of digital health innovation. See how you can get...

AMA Supports Remote Patient Monitoring, Telehealth in 2020 CPT Codes

The American Medical Association is adding several new codes to its 2020 CPT code set to support remote patient monitoring and telehealth services. By Eric Wicklund September 09, 2019 – Remote patient monitoring and telehealth play prominently in the 2020 CPT codes unveiled this month by the American Medical Association....
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