The use of telemedicine has skyrocketed during the COVID-19 pandemic. In part because specific regulatory barriers were lowered, but also because an infrastructure was already in place to help manage workflow and facilitate payment. The story of how telehealth has flourished in the public health emergency and insights about where digital health may go next […]
In the 2021 final Medicare Physician Fee Schedule (MPFS) rule, CMS made both permanent and temporary changes to supervision, telehealth and other provisions, capturing the fluidity of COVID-19 pandemic times. The rule, which was announced Dec. 1, extended the shelf life of some additions and revisions, which won’t expire until the end of the year in […]
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 services include remote monitoring of weight, […]
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 calendar year (CY) 2021 PFS final […]
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. The rule allows non-physician practitioners to […]
The COVID-19 pandemic has tested physicians and the health care system, and its full impact on society may not be known for some time. But is has also provided validation, even if painful, that the AMA’s strategic plan has put the organization on the right path, said James L. Madara, MD, the AMA’s executive vice […]
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 provide our clients with quick and […]
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 strategies. Given the influence of the […]
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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 provide our clients with quick and […]
The Centers for Medicare & Medicaid Services has clarified how providers can use telehealth and mHealth to establish and run remote patient monitoring programs, with changes that some feel could hinder care at home. By Eric Wicklund September 01, 2020 – The federal government is clarifying how it regulates remote patient monitoring, with changes that could significantly affect […]
Dive Brief: Members of the congressional advisory group Medicare Payment Advisory Commission agree telehealth is here to stay, but are concerned about how to improve access without also running up substantial costs in the Medicare program. The group weighed various Medicare telehealth payment policies that could become permanent after the COVID-19 public health emergency ends […]
Among the changes announced this week include the expanded use of telehealth in Medicare, giving payment parity to hospital outpatient surgery centers, simplifying evaluation and management codes, and changing performance measures for accountable care organizations (ACOs). Among a swath of proposed policy and payment changes announced this week by the Trump administration, CMS continued its […]
On August, 3 2020, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021. The calendar year (CY) 2021 PFS proposed rule is one […]