Physician Fee Schedule

13 May 2020

Blog, CARES ACT, Centers for Medicare & Medicaid Services (CMS) - Medicare, CMS Flexibilities to Fight COVID-19, COVID-19 - Coronavirus, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Telehealth 0 comments

CMS Flexibilities to Fight COVID-19 -COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing

Updated: 5/1/2020 COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing The FAQs in this document supplement the following previously released FAQs: 1135 Waiver FAQs, available at https://www.cms.gov/About-CMS/Agency- Information/Emergency/Downloads/MedicareFFS-EmergencyQsAs1135Waiver.pdf, and Without 1135 Waiver FAQs, available at https://www.cms.gov/About-CMS/Agency- Information/Emergency/Downloads/Consolidated_Medicare_FFS_Emergency_QsAs.pdf). We note that in many instances, the general statements of the FAQs referenced above have been […]

25 Mar 2020

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, CPT code 99457, CPT code 994X0, HB6074, HR6074, Medicaid, Medicare Advantage (MA), Physician Fee Schedule, Reimbursement, Telehealth, Telemedicine, Virtual Exam and Virtual Care 0 comments

The Center for Medicaid and Medicare Services (CMS) – 2020 Medicare Learning Network Telehealth Services Booklet

MLN Booklet TELEHEALTH SERVICES ICN MLN901705 March 2020 Target Audience: Medicare Fee-For-Service Providers The Hyperlink Table, at the end of this document, provides the complete URL for each hyperlink. TABLE OF CONTENTS Originating Sites………………………………………………………………………………………………………………….. 3 Distant Site Practitioners……………………………………………………………………………………………………… 4 Telehealth Services……………………………………………………………………………………………………………… 4 Telehealth Services Billing and Payment………………………………………………………………………………. 7 Telehealth Originating Sites Billing and Payment………………………………………………………………….. 8 […]

Remote Patient Monitoring, Reimbursement Topped Headlines in 2019

31 Dec 2019

aTouchAway, Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Chronic Disease, CONNECT Act, Legislation, Medicare Advantage (MA), Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Telehealth 0 comments

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. Based on our most clicked stories […]

13 Dec 2019

aTouchAway, Blog, Chronic Disease, CPT code 99457, CPT code 994X0, Current Procedural Terminology (CPT®) code set, Medicare Advantage (MA), Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Telehealth 0 comments

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 remote patient monitoring. If you want […]

23 Nov 2019

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Chronic Disease, CPT code 99457, CPT code 994X0, Current Procedural Terminology (CPT®) code set, Home Health Agencies (HHAs), Legislation, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Telehealth, Telemedicine, U.S. Department of Health and Human Services (HHS), Virtual Exam and Virtual Care 0 comments

2020 Medicare Physician Fee Schedule and Quality Payment Program – CMS Final Rule – CPT Codes 99453, 99454, and 99457 – Everything You Need to Know – 2020

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 […]

Medicare Remote Patient Monitoring - CMS Finalizes New Code and General Supervision

5 Nov 2019

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

Medicare Remote Patient Monitoring: CMS Finalizes New Code and General Supervision

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 […]

5 Nov 2019

CMS Finalizes New Reimbursement Rules for Remote Patient Monitoring

The final rule for the 2020 Physician Fee Schedule gives hospitals and health systems more opportunities to use remote patient monitoring and paves the way for new telehealth and mHealth programs. By Eric Wicklund November 05, 2019 – Hospitals and health systems will see Medicare reimbursement for more remote patient monitoring services, according to finalized guidelines […]

Medicine doctor and stethoscope touching medical information network connection interface on digital tablet in hospital background. Medical data and technology network concept

5 Sep 2019

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Telehealth, Telemedicine 0 comments

CPT changes in 2020 include new codes to allow doctors to bill for digital health

The American Medical Association (AMA) released updates to its Current Procedural Terminology (CPT) codes for 2020, including new codes to keep doctors up-to-date with new technology. The AMA released 394 code changes, including 248 new codes, 71 deletions and 75 revisions. The changes, which will take effect on January 1, 2020, reflect new tech-enabled patient services. […]

12 Aug 2019

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, CPT code 99457, CPT code 994X0, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring 0 comments

Telehealth: Medicare Moves Forward by Proposing New Telehealth Services for 2020

12 August 2019 Health Care Law Today Blog Authors: Emily H. WeinNathaniel M. Lacktman On July 29, the Centers for Medicare and Medicaid Services (CMS) issued its proposed 2020 Physician Fee Schedule rule, which contains new telehealth services covered under Medicare. Surprisingly, CMS did not receive any provider requests to add new telehealth services this […]

Remote Patient Monitoring: Medicare Proposes Two Major Expansions

6 Aug 2019

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, CPT code 99457, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Telehealth 0 comments

Remote Patient Monitoring: Medicare Proposes Two Major Expansions

Tuesday, August 6, 2019 Last week, CMS proposed two significant changes to remote patient monitoring (RPM) services reimbursed under the Medicare program. The changes, part of the proposed 2020 Physician Fee Schedule, have been hotly anticipated by digital health providers hoping to see more clarity and flexibility for RPM services. The creation of new RPM codes at the […]

29 Jul 2019

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, CPT code 99457, CPT code 994X0, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Telehealth 0 comments

Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020

Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020 On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) […]

22 Jun 2019

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Telehealth 0 comments

Why is (almost) no one billing for remote patient monitoring?

Did you know that there are eight CPT codes that could generate potentially millions of dollars of annual revenue for your organization without significantly changing provider workflows — and that would also help you deliver better care? The Centers for Medicare and Medicaid Services’ (CMS) remote patient monitoring (RPM) codes are here: however, very few […]

U.S. health officials unveil experiment to overhaul primary care

22 Apr 2019

American Medical Association (AMA), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Physician Fee Schedule, Primary Care, Reimbursement, Remote Patient Monitoring, Telehealth, Telemedicine, U.S. Department of Health and Human Services (HHS) 0 comments

U.S. health officials unveil experiment to overhaul primary care

By Casey Ross @caseymross Federal health officials on Monday unveiled a new primary care experiment that seeks to pay doctors for providing stepped-up services that keep patients healthy and out of the hospital, an effort they say will transform basic medical services for tens of millions of American patients. The initiative, called CMS Primary Cares, […]

14 Mar 2019

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, CPT code 99457, Physician Fee Schedule, Remote Patient Monitoring 0 comments

Medicare Remote Patient Monitoring: CMS Allows “Incident to” Billing

CMS just announced a clarification that remote patient monitoring under CPT code 99457 may be furnished by auxiliary personnel, “incident to” the billing practitioner’s professional services. An “incident to” service is one that is performed under the supervision of a physician (broadly defined), and billed to Medicare in the name of the physician, subject to […]

«‹ 9 10 11 12