Category: Medicaid

CMS Pays for Coronavirus Counseling, Other COVID-19 Billing Updates

Provider reimbursement is now available to physicians who tell their patients to self-isolate at the time of COVID-19 testing, according to CMS. An announcement released late last week in collaboration with the Centers for Disease Control and Prevention (CDC) said CMS will leverage existing evaluation and management (E/M) payment codes to...
August 7, 2020 Dr. R. Cutler COVID-19 - Coronavirus, Medicaid, Medicare, Reimbursement, Telehealth.
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CMS Proposes Permanent Extension of Some Telehealth, Therapy Waivers After COVID-19 Emergency

The federal government on Monday introduced a proposed rule that would, if finalized, make permanent at least some of the emergency telehealth flexibilities implemented during the ongoing COVID-19 crisis, while potentially allowing a greater frequency of remote nursing home interventions. President Trump on Monday signed an executive order requiring the Department...
Dr. R. Cutler COVID-19 - Coronavirus, Medicaid, Medicare, Reimbursement, Telehealth.
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CMS proposed rules would extend certain telehealth flexibilities and expansions beyond the COVID-19 public health emergency

CY 2021 Medicare Physician Fee Schedule Proposed Rule On August 3, 2020, the Centers for Medicare and Medicaid Services (CMS) published the Calendar Year (CY) 2021 Medicare Physician Fee Schedule Proposed Rule (PFS Proposed Rule). The agency’s proposals relating to telehealth and remote services are particularly noteworthy given the central role telehealth...
Dr. R. Cutler COVID-19 - Coronavirus, Medicaid, Medicare, Reimbursement, Telehealth.
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The benefits of remote patient monitoring technologies

Hospitals & Healthcare investigates remote patient monitoring (RPM) technologies, how these are influencing the development of healthcare so that it is increasingly centred around the patient experience, and how payers and providers can benefit from this. Acording to Dr Sneh Khemka, Vice-President of Population Health, Aetna International, ‘around 60...
Dr. R. Cutler COVID-19 - Coronavirus, Medicaid, Medicare, Reimbursement, Telehealth.
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CMS proposes changes to docs’ Medicare payments for 2021, including payment cuts for some specialties

Federal health officials released a proposed rule late Monday that sets 2021 Medicare payment rates for physicians and includes changes to the Merit-based Incentive Payment System. The Centers for Medicare & Medicaid Services released the draft of its proposed annual Physician Fee Schedule and Quality Payment Program rule (PDF), which updates the payment rates for...
Dr. R. Cutler COVID-19 - Coronavirus, Medicaid, Medicare, Reimbursement, Telehealth.
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3 Developments As Trump Orders Lasting Telehealth Changes

President Donald Trump on Monday ordered a potentially long-term extension of reimbursements for telehealth services that have exploded in popularity during the coronavirus pandemic and once again claimed to be putting the finishing touches on a “tremendous health care plan.” President Donald Trump speaks during a news conference Monday...
Dr. R. Cutler COVID-19 - Coronavirus, Legislation, Medicaid, Medicare, Reimbursement, Telehealth.
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Hospitals rethink their strategy after haphazard adoption of telemedicine services during the COVID-19 crisis

Various reports indicate that physician adoption of telemedicine has boomed over the course of just the past few months, with virtual healthcare interactions set to surpass 1 billion by the end of the year. Similarly, in 2019 just 8% of patients surveyed had sought care via telemedicine, but as...
Dr. R. Cutler COVID-19 - Coronavirus, Medicaid, Medicare, Reimbursement, Telehealth.
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CMS expands telehealth coverage in physician fee rule following Trump executive order

Dive Brief: President Donald Trump late Monday signed an executive order directing the administration to permanently extend Medicare’s broader telehealth coverage after the public health emergency, and CMS followed by proposing a rule that does so — albeit on a piecemeal, service-by-service basis. The proposed changes, in its 2021 physician fee schedule...
Dr. R. Cutler COVID-19 - Coronavirus, Medicaid, Medicare, Reimbursement, Telehealth.
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CMS: True Telehealth Change Will Require Congressional Action

The Centers for Medicare & Medicaid Services (CMS) has proposed a new rule that would make certain COVID-19-related telehealth flexibilities introduced over the past few months permanent for Medicare beneficiaries. The move comes in conjunction with an executive order from President Trump to improve rural and telehealth access.  While CMS’s proposed rule potentially paves...
Dr. R. Cutler COVID-19 - Coronavirus, Medicaid, Medicare, Reimbursement, Telehealth.
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