The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2024 Revisions to Payment Policies Under the Physician Fee Schedule (MPFS) 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). The Proposed Rule, released on July […]
CMS recently released the CY 2024 Medicare Physician Fee Schedule (MPFS) Proposed Rule (Proposed Rule), which included many noteworthy proposals and clarifications related to Medicare telehealth services and other remote services. Since the COVID-19 Public Health Emergency (PHE) terminated on May 11, 2023, providers and practitioners have sought clarity on the end dates of various waivers and […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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, […]
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). […]
Tuesday, June 6, 2023 Telehealth experienced massive growth during the COVID-19 pandemic, due in no small part to various regulatory and reimbursement policies that federal agencies implemented following a declaration by the US Department of Health and Human Services (HHS) in early 2020 that the COVID-19 pandemic was a public health emergency (PHE). Although the […]
The use of telehealth increased exponentially in 2020 and 2021 as health care providers and patients responded to the COVID-19 pandemic. The Government Accountability Office (GAO) estimated that the use of telehealth services by Medicaid enrollees increased 15-fold from March 2020 to February 2022.1 This increasing utilization was spurred in part by Medicaid agencies adjusting policies […]
The COVID-19 public health emergency declared by the Department of Health and Human Services (HHS) expired earlier this month. But that doesn’t mean the deadly respiratory illness has disappeared, warned Deb Houry, MD, MPH, chief medical officer and deputy director for program and science at the Centers for Disease Control and Prevention (CDC). COVID-19 and […]
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. […]