Centers for Medicare & Medicaid Services (CMS) – Medicare

21 Jul 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Federally Qualified Health Centers (FQHCs), Physician Fee Schedule, Remote Physiological Monitoring (RPM), Remote Therapeutic Monitoring (RTM), Rural Health Clinics (RHCs) 0 comments

Remote Monitoring: CMS Clarifies Guidance, Proposes Rural Provider Payment, Requests Information on Digital Therapeutics

Over the past several years, the Centers for Medicare and Medicaid Services (CMS) has expanded payment for care management and remote monitoring services in an effort to recognize and pay for non-face-to-face services that improve care coordination for Medicare beneficiaries. In connection with the calendar year 2024 Medicare Physician Fee Schedule (MPFS) proposed rule, CMS […]

18 Jul 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Physician Fee Schedule, Telehealth, Virtual Exam and Virtual Care 0 comments

CMS’ Proposed Fee Schedule Boosts Payments for Telehealth

CMS proposed changes to the physician fee schedule that would provide physicians with additional compensation to account for balancing telehealth visits with maintaining their physical offices, Politico reported July 17. The proposal would increase the payment rates of healthcare providers for the virtual care they offer Medicare patients remotely. The additional compensation for telehealth services will be […]

17 Jul 2023

Blog, CMS Flexibilities to Fight COVID-19, Consolidated Appropriations Act (CAA), Medicare Shared Savings Program (MSSP), Physician Fee Schedule 0 comments

CMS RELEASES CY 2024 PHYSICIAN FEE SCHEDULE PROPOSED RULE

On July 13, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2024 Revisions to Payment Policies Under the Physician Fee Schedule (PFS) and Other Revisions to Medicare Part B [CMS-1784-P] Proposed Rule, which includes proposals related to Medicare physician payment and the Quality Payment Program (QPP). Physicians and other […]

CMS’ Proposed Medicare Physician Fee Schedule Provokes Strong Reactions

14 Jul 2023

American Medical Association (AMA), AMGA (American Medical Group Association), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Physician Fee Schedule, Telehealth 0 comments

CMS’ Proposed Medicare Physician Fee Schedule Provokes Strong Reactions

Industry reactions have been very mixed to the announcement by the federal Centers for Medicare and Medicaid Services (CMS) of the agency’s proposed physician fee schedule, with many national provider associations blasting the proposed fee schedule, while praising the extension of payment parity for telehealth-delivered patient care. The agency’s announcement was posted to its website on […]

14 Jul 2023

American Medical Association (AMA), American Physical Therapy Association’s (APTA), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Remote Therapeutic Monitoring (RTM) 0 comments

Takeaways From the Proposed 2024 Medicare Physician Fee Schedule, Part 1

The U.S. Centers for Medicare & Medicaid Services has released the proposed 2024 Medicare Part B Physician Fee Schedule, and, as always, it’s a mixed bag of good and not-so-good news. Unfortunately, as in previous years, payment cuts are a part of the proposal. This time around, however, other upsides are more prevalent than they’ve been […]

26 Jun 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Current Procedural Terminology (CPT®) code set, Remote Patient Monitoring, Remote Therapeutic Monitoring (RTM) 0 comments

CMS Final Rules on Payment Impacts Remote Therapeutic Monitoring

The 2023 Physician Fee Schedule final rule (“Final Rule”), which became effective in January 2023, lists the services and rates for which Medicare will reimburse providers. The Final Rule sets forth updates regarding several of Center for Medicare and Medicaid Service (CMS) key provisions relating to the delivery and reimbursement of Remote Therapeutic Monitoring (RTM), most notably […]

Telehealth groups applaud CONNECT reintroduction in Senate

22 Jun 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, CONNECT Act, COVID-19 - Coronavirus, Telehealth 0 comments

Telehealth groups applaud CONNECT reintroduction in Senate

Dive Brief: Dive Insight: Permanently expanding telemedicine access has broad bipartisan support in Congress. A number of bills have been introduced to codify more telehealth protections after COVID-19, including CONNECT, which is considered the most comprehensive virtual care legislation by advocacy groups. Since CONNECT was first introduced in 2016, a number of the bill’s original provisions have […]

Executive Summary Tracking Telehealth Changes State-by-State in Response to COVID-19 - June 2023

15 Jun 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Department of Health and Human Services (DHHS), Office of Inspector General (OIG), Public Health Emergency (PHE), Telehealth 0 comments

Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 – June 2023

2023: New Federal Developments New Item Activity S. 1699: Tech to Save Moms ActIntroduced May 18, 2023 This bill would require 1) the Center for Medicare and Medicaid Innovation to test payment and delivery models regarding the adoption and use of telehealth tools for screening, monitoring, and managing health complications during the pregnancies of Medicaid beneficiaries, […]

Remote Monitoring Services Under Review Update on Potential Medicare Coverage Policies (May 2023 Update)

9 Jun 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Digital Health, Remote Patient Monitoring, Remote Therapeutic Monitoring (RTM) 0 comments

Remote Monitoring Services Under Review: Update on Potential Medicare Coverage Policies (May 2023 Update)

On May 19, 2023, Novitas Solutions and First Coast Options sent an email to certain interested parties, with whom they had engaged following the multijurisdictional contractor advisory committee (CAC) meeting explaining that they have decided to not pursue at this time a local coverage determination for remote physiological monitoring (RPM) and remote therapeutic monitoring (RTM). […]

Remote Patient Monitoring is Here To Stay It’s Cost-Effective and Convenient

24 May 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Current Procedural Terminology (CPT®) code set, Remote Patient Monitoring, Telehealth, Telemedicine 0 comments

What is Remote Patient Monitoring? All You Need To Know: Explained

Table of Contents What is Remote Patient Monitoring (RPM)? Broadly speaking, Remote Patient Monitoring (RPM) is a healthcare delivery method that uses innovations in information technology to allow the streamlined collection of patient data beyond the traditional healthcare setting. You may also hear it called remote patient management, remote health monitoring, or remote physiologic monitoring. […]

CMS Therapists in home health can bill Part B for telehealth

24 May 2023

American Physical Therapy Association’s (APTA), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Consolidated Appropriations Act (CAA), Telehealth 0 comments

CMS: Therapists in home health can bill Part B for telehealth

The Centers for Medicare and Medicaid Services (CMS) has clarified that outpatient therapists can continue to bill Medicare Part B for telehealth services across a range of facilities, including home health, as it did during the pandemic. The update represents a positive development for hospital-based therapists. As the end of the PHE loomed, it appeared that these […]

22 May 2023

Accountable Care Organizations (ACOs), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Consolidated Appropriations Act (CAA), COVID-19 - Coronavirus, Public Health Emergency (PHE), Telehealth, U.S. Department of Health and Human Services (HHS) 0 comments

HHS Announces Continuing Telehealth Flexibilities Following the End of the COVID-19 PHE

On May 10, 2023, HHS announced that many telehealth and teleprescribing flexibilities will remain in place after the end of the COVID-19 Public Health Emergency (PHE) on May 11, 2023. Congress extended many telehealth flexibilities under the Medicare program through December 31, 2024, via the 2023 Consolidated Appropriations Act. The Drug Enforcement Agency (DEA) and […]

Senior living providers navigate PHE unwinding, state-level guidelines

15 May 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Public Health Emergency (PHE) 0 comments

Senior living providers navigate PHE unwinding, state-level guidelines

The May 11 expiration of the federal public health emergency declaration will bring changes to federal healthcare programs, with various regulatory flexibilities expiring immediately or within a short period of time. Many policy interventions to combat COVID-19 will continue, however, leaving senior living providers to navigate the unwinding of pandemic-era rules and sometimes conflicting state-level guidelines. […]

2 New Telehealth Bills Aim to Solidify Expanded Virtual Care Access

11 May 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Consolidated Appropriations Act (CAA), COVID-19 - Coronavirus, Public Health Emergency (PHE), Telehealth, U.S. Department of Health and Human Services (HHS) 0 comments

What’s New in Telehealth Reimbursements for 2023?

The big question for healthcare organizations that have expanded their telehealth services since the beginning of the pandemic has been what will happen when the public health emergency ends. This uncertainty is what’s known as the “telehealth cliff.” By authority granted under the Coronavirus Aid, Relief, and Economic Security Act, the Centers for Medicare and Medicaid Services provided flexibility for […]

9 May 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Public Health Emergency (PHE), U.S. Department of Health and Human Services (HHS) 0 comments

Fact Sheet: End of the COVID-19 Public Health Emergency

Based on current COVID-19 trends, the Department of Health and Human Services (HHS) is planning for the federal Public Health Emergency (PHE) for COVID-19, declared under Section 319 of the Public Health Service (PHS) Act, to expire at the end of the day on May 11, 2023. Since HHS Secretary Xavier Becerra’s February 9, 2023, letter […]

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