Consolidated codes for reporting current COVID-19 immunizations, provisional codes for forthcoming monovalent vaccines, and codes for Respiratory Syncytial Virus (RSV) immunizations are among the features of the American Medical Association’s 2024 Current Procedural Terminology (CPT) code set unveiled today. In all, the 2024 code set includes 230 additions, 49 deletions and 70 revisions among its 11,163 codes according […]
CMS 2024 Proposed Rule Policy Updates On July 13, 2023, the Center for Medicare and Medicaid Services (CMS) released the CMS 2024 Proposed Rule and Medicare Physician Fee Schedule, including possible Medicare payments under the Physician Fee Schedule and other Medicare Part B issues policy updates. While the CMS 2024 proposed rule contained no new CPT […]
§ 411.15 Particular services excluded from coverage. Link to an amendment published at 88 FR 53345, Aug. 7, 2023. The following services are excluded from coverage: (a) Routine physical checkups such as: (1) Examinations performed for a purpose other than treatment or diagnosis of a specific illness, symptoms, complaint, or injury, except for screening mammography, colorectal cancer screening […]
2023: New Federal Developments There were no new federal developments in the last month. 2023: New State-Level Developments State Activity Illinois Illinois passed S.B. 1913, which requires Medicaid FFS and Medicaid managed care plans to provide coverage of mental health services, substance use disorder treatment, and ‘behavioral telehealth services’. Requires Medicaid FFS and Medicaid managed care plans […]
The 2023 Physician Fee Schedule final rule (“Final Rule”), which became effective in January 2023, lists the services and rates for which Medicare will reimburse providers. The Final Rule sets forth updates regarding several of Center for Medicare and Medicaid Service (CMS) key provisions relating to the delivery and reimbursement of Remote Therapeutic Monitoring (RTM), most notably […]
Table of Contents What is Remote Patient Monitoring (RPM)? Broadly speaking, Remote Patient Monitoring (RPM) is a healthcare delivery method that uses innovations in information technology to allow the streamlined collection of patient data beyond the traditional healthcare setting. You may also hear it called remote patient management, remote health monitoring, or remote physiologic monitoring. […]
Many physical therapy centers began providing telehealth at the start of the COVID- 19 public health emergency (PHE). In 2020, the Centers for Medicare & Medicaid Services (CMS) CMS added 11 new services to the list of telehealth services covered by Medicare during the COVID-19. The CY 2023 Medicare Physician Fee Schedule (PFS) final rule […]
Six of the seven Medicare Administrative Contractors (MACs) are scheduled to jointly host a multijurisdictional contractor advisory committee (CAC) meeting on February 28, 2023. This CAC panel meeting will allow the MACs to obtain feedback from a panel of experts on the strength of currently published evidence on remote physiologic monitoring (RPM) and remote therapeutic […]
Are you searching for a listing of 2023 remote patient monitoring CPT codes and reimbursement rates? As healthcare providers know, Centers for Medicare, and Medicaid Services (CMS) update RPM CPT billing codes yearly to incentivize more practices to implement RPM for their patients. The 2,000 plus page document includes updates for remote patient monitoring CPT […]
Jan 10, 2023 Renee Dowling Learning about the telehealth codes you’ll need to use in 2023. Question: Can you please give us the new telehealth services codes for 2023? A: Medicare Telehealth Services for 2023, Centers for Medicare and Medicaid Services (CMS) is adding new Healthcare Common Procedure Coding System (HCPCS) codes to the list […]
The 2023 final rule didn’t give rehab therapists much in the way of clarity when it comes to the long-term future of telehealth as a reimbursable service. But, it did present a path forward—if therapists are willing to take it. Here’s where rehab therapy telehealth stands in 2023, and how it can become a permanent addition in […]
As medicine continues its digital shift, new billing codes are being added next year for specialties like remote therapeutic monitoring and digital ophthalmology. “The [Current Procedural Terminology] code set does move at the pace of medicine, and it continues to evolve and keep pace with all of the changes,” said Leslie Prellwitz, the American Medical […]
Physician adoption of digital health tools continues to grow, as does the infrastructure facilitating appropriate payment for their use. The Current Procedural Terminology (CPT®) code set, often called “the language of medicine,” is expanding to meet the demand. “The CPT code set does move at the pace of medicine, and it continues to evolve and keep pace with […]
Make sure your facility is aware of all the Medicare policy changes that permit payment for expanded services. Telehealth as a healthcare delivery platform has been in existence since the late 1960s. It was first introduced through projects initiated by the National Aeronautics and Space Administration (NASA) and the Nebraska Psychology Institute. The declaration of […]