Category: Physician Fee Schedule

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,...
September 5, 2019 Dr. M Telehealth Medicare, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Telehealth, Telemedicine.
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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...
August 12, 2019 Dr. M Telehealth CPT code 99457, CPT code 994X0, Medicare, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring.
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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....
August 6, 2019 Dr. M Telehealth CPT code 99457, Medicare, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Telehealth.
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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...
July 29, 2019 Dr. M Telehealth CPT code 99457, CPT code 994X0, Medicare, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Telehealth.
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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)...
June 22, 2019 Dr. M Telehealth Medicare, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Telehealth.
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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....
April 22, 2019 Dr. M Telehealth American Medical Association (AMA), Health and Human Services, Medicare, Physician Fee Schedule, Primary Care, Reimbursement, Remote Patient Monitoring, Telehealth, Telemedicine.
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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...
March 14, 2019 Dr. M Telehealth CPT code 99457, Medicare, Physician Fee Schedule, Remote Patient Monitoring.
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