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Centers for Medicare & Medicaid Services (CMS) – Medicare
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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 calendar year (CY) 2021 PFS final […]
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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. The rule allows non-physician practitioners to […]
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Diving into the Home Health Emergency Access to Telehealth (HEAT) Act
The Medicare home health benefit does not currently permit the inclusion of telehealth services as a reimbursable service as part of the plan of care. Despite this, many home health agencies (HHAs) have found great value for their patients in including telehealth as part of care delivery and do so despite the lack of reimbursement. […]
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Telehealth not enough to offset crushing demand for mental health services
Lightened telehealth regulations have expanded access to virtual visits for therapy and other mental health services. But many patients still aren’t having their needs met. By ELISE REUTER Post a comment / Nov 19, 2020 at 8:50 PM Worries about rising Covid-19 cases, a challenging presidential transition, and growing inequities are crushing people across the U.S. COVID-19 pandemic […]
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Verma: Older Adults Must Have a ‘More Robust’ Set of Home Care Options
The U.S. Centers for Medicare & Medicaid Services (CMS) on Monday touted several tools designed to help states rebalance their long-term care ecosystem toward home- and community-based services. The development is the latest in a series of CMS efforts aimed at strengthening home- and community-based services amid the COVID-19 pandemic, with the ultimate goal of […]
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Telehealth Gets a Boost Among Medicare Recipients in Pandemic
Medicare dramatically expanded benefits for remote health care in response to COVID-19. Here’s what you need to know. Walecia Konrad November 20, 2020 Many or all of the products featured here are from our partners who compensate us. This may influence which products we write about and where and how the product appears on a […]
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AMA Adopts Policy to Expand Access to Telehealth
Most physicians at the American Medical Association‘s virtual special meeting of its House of Delegates agreed that expanding access to telemedicine during the pandemic benefited patients and practices alike — saving at least one from bankruptcy. In a recent AMA poll, 60% said that telehealth has improved the health of their patients. Yet delegates struggled to craft […]
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Congress Eyes Permanent Medicare Coverage for Telehealth from Therapists
A bill introduced this week would permanently extend Medicare coverage for telehealth services delivered by physical and occupational therapists, speech and language pathologists and audiologists. By Eric Wicklund November 18, 2020 – A group of lawmakers has introduced a bill that would ensure Medicare coverage for telehealth services provided by physical and occupational therapists, audiologists and speech and […]
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Reps. Sherrill, McKinley Lead Bipartisan Legislation to Increase Access to Telehealth Services
Legislation expands practitioners eligible for Medicare reimbursement for telehealth services WASHINGTON, DC — Representatives Mike Sherrill (NJ-11), Rep. David McKinley (WV-01), Rep. Brian Fitzpatrick (PA-01), Rep. Denver Riggleman (VA-05), Rep. Joyce Beatty (OH-03), Rep. Andre Carson (IN-07), Rep. Glenn Thompson (PA-15), Rep. Andy Kim (NJ-03), Rep. Joseph Morelle (NY-25), Rep. Bobby Rush (IL-01), Rep. Albio Sires […]
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Don’t Lose Focus on Your Compliance with Important COVID-19 Requirements
The HHS Office of Inspector General (“OIG”) published its intent to review some key measures the Federal government made in response to COVID-19. Those key measures include the Medicare program’s telehealth policy changes and oversight of funds disbursed to providers under the CARES Act and the Provider Relief Fund (“PRF”). While the OIG’s review focuses on the […]
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Dr. Madara: Pandemic demands nimble response and AMA is delivering
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 […]
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‘Virtual Hospital’ Model Passes Test in COVID-19 Patients
Only a few patients with COVID-19 pneumonia required hospitalization when they received care in a “hospital at home” (HaH) telemedicine program, researchers at one health system reported. Of nearly 1,500 patients enrolled in the program, 40 required hospitalization and eight needed ventilation; just two patients died, reported Kranthi Sitammagari, MD, of Atrium Health in Monroe, […]
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Telehealth Boom Continues: CMS Adds New Covered Services
The push for increased telehealth coverage continues during the COVID-19 public health emergency (“PHE”). On October 14, 2020, CMS added 11 new telehealth services available for Medicare reimbursement during the PHE. The newly added services include cardiac and pulmonary rehabilitation services and certain neurostimulator analysis and programming services. Since the beginning of the PHE, CMS has added […]
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ATA Calls On Biden Administration To Continue Telehealth Expansion
The American Telemedicine Association reflects on telehealth expansion during the Trump Administration and looks forward to progress under President-Elect Biden. By Hannah Nelson November 11, 2020 – In response to the results of the 2020 presidential election with America choosing former Vice President Joe Biden as its 46th president, the American Telemedicine Association (ATA) issued a statement calling for policymakers to expand […]