Category: Current Procedural Terminology (CPT®) code set

Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021

On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021. Background on the Physician Fee Schedule...

CMS Finalizes Telehealth, RPM Coverage in 2021 Physician Fee Schedule

The agency has released its long-awaited final document on Medicare coverage for telehealth and remote patient monitoring services in the coming year, building upon trends seen during this year’s coronavirus pandemic. By Eric Wicklund December 02, 2020 – Telehealth and remote patient monitoring will see significant improvements in Medicare coverage in 2021....

Medicare Extends COVID-19 Telehealth Coverage in Diabetes Prevention Programs

As part of the 2021 Physician Fee Schedule, Medicare will continue to reimburse Diabetes Prevention Program providers who use certain telehealth services – but only for the duration of the public health emergency. By Eric Wicklund December 02, 2020 – Healthcare providers who use telehealth in their Diabetes Prevention Programs will continue...

CMS Finalizes Remote Patient Monitoring Regulations in Final Rule: 7 Takeaways

CMS released the 2021 physician fee schedule Dec. 1 with expanded telehealth services, remote physiologic monitoring updates and an extension for telecommunications tech supervision. Seven takeaways: 1. CMS clarified its payment policies related to the remote physiologic monitoring services for CPT codes 99453, 99454, 99091, 99457 and 99458, which were finalized in recent years. These...

Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021

Fact sheet Dec 01, 2020  On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021. The...

CMS Finalizes Permanent Expansion of Medicare Telehealth Services and Improved Payment for Time Doctors Spend with Patients

Today the Centers for Medicare & Medicaid Services (CMS) released the annual Physician Fee Schedule (PFS) final rule, prioritizing CMS’ investment in primary care and chronic disease management by increasing payments to physicians and other practitioners for the additional time they spend with patients, especially those with chronic conditions....

MEDPAC Presentation Offers Telehealth Policy Options for Medicare

Last week a presentation from the Medicare Payment Advisory Commission (MEDPAC) surfaced, presenting policy options for expanding telehealth in Medicare. MEDPAC is a nonpartisan legislative branch agency that provides the US Congress with analysis and policy advice on the Medicare program.  The presentation starts by putting the current telehealth policy environment into perspective, with...

Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 – October 15, 2020

As the COVID-19 pandemic continues across the United States, states, payers, and providers are looking for ways to expand access to telehealth services. Telehealth is an essential tool in ensuring patients are able to access the healthcare services they need in as safe a manner as possible. In order to...

The Role of Whole Person Care in Population Health, Telehealth

Whole person care is considered critical to payer strategies, but how can payers ensure it remains central to evolving population health and telehealth strategies? By Kelsey Waddill November 02, 2020 – As the healthcare environment faces major changes, payers may face challenges in maintaining their focus on whole person care across all...
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