Category: Chronic Disease

Remote Patient Monitoring, Reimbursement Topped Headlines in 2019

Top mHealth trends in 2019 included remote patient monitoring, telehealth reimbursement, substance use disorder care, chronic disease management, and direct-to-consumer mHealth technology. By Samantha McGrail As 2019 comes to an end, healthcare organizations are reflecting on the trends and stories that most influenced their behaviors in the past year....

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...

Using Remote Monitoring to Reduce Hospital Visits for Cancer Patients

Until the 1990’s, patients with cancer requiring chemotherapy typically had to be admitted to the hospital to receive treatment. This inpatient care was stressful for patients and expensive. Since then, thanks to improvements in chemotherapy administration and symptom management, most treatment has moved from the inpatient setting to outpatient...

Industry Voices—3 steps to reducing readmissions amid an aging population

by Chris McCann Oct 23, 2019 Hospital readmissions are an expensive problem in the U.S. both for providers and patients. According to a study by the Agency for Healthcare Research and Quality, the average cost of hospital readmission in 2016 was $14,400 per person. In addition to the financial cost, readmissions...

Simplifying the Management of Complex Care Patients

Simplifying the Management of Complex Care Patients It’s complicated… Having a chronic illness is tough. Having multiple chronic conditions is even tougher.  Add financial, emotional, mobility or behavioral factors, and it can seem insurmountable. People who struggle with multiple ongoing health challenges (like diabetes, congestive heart failure, chronic obstructive...

Bipartisan support keeps telehealth adoption moving forward

Over the last decade, few issues in politics have been more polarizing than healthcare. It’s driven a deep wedge between Democrats and Republicans, particularly following the passage of the Affordable Care Act (ACA) and the subsequent efforts to repeal it, and has caused rifts within those parties. Yet despite...

Reimbursement Update for Remote Patient Monitoring and Chronic Care Management – CPT Codes 99091, 99490, 99487, 99489, and G0506

The 2018 Physician Fee Schedule Rule Includes Reimbursement for Remote Patient Monitoring and New Telemedicine Codes Medicare will pay for CPT code 99091 and the 2018 unadjusted reimbursement rate will be $58.67/month. The un-bundled CPT code 99091 in 2018 means that providers will be able to get reimbursed separately...

HEART Act Targets Medicare Limits on Rural Telehealth, RPM The bill – the latest to take aim at Medicare’s restrictions on telemedicine – seeks to boost rural residents’ access to telehealth and bolster remote patient monitoring programs for those with heart disease.

The HEART Act filed early this month is set to relief some of the challenges Medicare regulations has set for congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) patients in rural areas. The cost saving thus far as indicted by per Rep. Sean Duffy ( R-Wis)  in...
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