On August 3, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a number of clarifications and proposals on remote patient monitoring (RPM) services reimbursed under the Medicare program. The changes, part of the advance copy of CMS’ proposed 2021 Physician Fee Schedule, are intended to clarify CMS’ position on how it reads and interprets […]
There’s nothing more frustrating than rendering a service and not being paid. Nuanced coding rules are difficult to understand, and physicians aren’t taught this information in medical school. Still, health care is a business. As business owners, physicians need to know how they’re paid, including what codes to use, what modifiers to append and what […]
On August 3, 2020, the Centers for Medicare and Medicaid Services (CMS) issued the advance copy of its proposed 2021 Physician Fee Schedule rule, which contains new telehealth services covered under Medicare. Compared to last year, where CMS made only minor additions to telehealth services, the changes proposed for 2021 are bold and designed to more deliberately expand […]
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 […]
On August 3, 2020, the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2021 Physician Fee Schedule (PFS) proposed rule, which proposes to revise certain MDPP policies during the remainder of the COVID-19 Public Health Emergency (PHE) and any future applicable 1135 waiver event. We are proposing that we would determine […]
Alongside President Trump’s call for more rural telehealth coverage, CMS’ proposed 2021 Physician Fee Schedule could keep the momentum going for connected health. But is it enough? August 06, 2020 – The Centers for Medicare & Medicaid Services has come out with its long-anticipated plans to expand telehealth coverage beyond the coronavirus pandemic. An advance copy of the […]
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 with a range of chronic conditions […]
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 for ongoing treatment during the COVID-19 […]
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 modern age of medicine have lagged […]
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 Track the evolving situation with the […]
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 rules on Chronic Care Remote Physiologic […]
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 remote patient monitoring. If you want […]
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 their proposal to allow for concurrent […]
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 more virtual care services in the […]
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, have been hotly-anticipated by digital health […]