Category: Physician Fee Schedule

Recognizing and Testing Telehealth Models in Oncology Care First

Introduction to the Quality Outlook: Cancer and COVID-19 – Looking Ahead to Telehealth Post-Pandemic Mini-Series Tom Valuck, MD, JD—Blog Editor The pandemic has dramatically impacted cancer care, leading to a reduction in preventive care, alterations and delays in treatment, and suspension of some clinical trials. Certain cancers, including lung cancer and leukemia and...

How to Improve Patient Care with Remote Patient Monitoring Solutions

Remote healthcare has taken big leaps forward over the past year, spurred on equally by new technologies and the onset of the COVID-19 pandemic. The biggest winners: senior patients, who are now able to benefit from more proactive care and avoid trips to the doctor’s office, clinic or emergency...

OIG to Audit Telehealth Services Provided During Pandemic by Part B and Home Health Providers

The U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG) recently updated its 2021 Work Plan in January to include audits of Medicare Part B and home health telehealth services by OIG’s Office of Audit Services (OAS). OAS conducts independent audits of HHS programs, HHS grantees, and contractors to examine their...

Will FCC’s Emergency Broadband Benefit Program Boost Telehealth?

A $3.2 billion program spun out of the Consolidated Appropriations Act of 2021 aims to help low-income and underserved communities gain access to broadband services – and make it easier to access telehealth. By Eric Wicklund January 29, 2021 – The Federal Communications Commission will hold a round-table discussion next month on...

Washington is Awash in New and Reintroduced Telehealth Bills

In advance of the next session of Congress, lawmakers are scrambling to file new bills or resubmit old bills that aim to expand telehealth access and coverage through and beyond the coronavirus pandemic. By Eric Wicklund January 29, 2021 – The telehealth bills are starting to pile up on Capitol Hill. At...

Vital Signs Digital Health Law Update Winter 2021

Digital technologies have transformed almost every aspect of the health care and life sciences industry—from electronic health records and telemedicine, to diagnostics and therapeutics augmented by artificial intelligence, and to remote clinical trials. The year 2020 witnessed the COVID-19 pandemic catalyzing unprecedented levels of digital health innovation and adoption....

CMS Finalizes Telehealth Coverage and Reimbursement Changes in Medicare Physician Fee Schedule Rule

The Big Picture Since the onset of the COVID-19 pandemic, Congress and the Centers for Medicare & Medicaid Services (CMS) have dramatically—but temporarily—expanded coverage and reimbursement for telehealth services. On December 1, CMS issued the final calendar year (CY) 2021 Medicare physician fee schedule (MPFS) final rule and interim final rule,...

CMS Finalizes Telehealth Coverage and Reimbursement Changes in Medicare Physician Fee Schedule Rule

The Big Picture Since the onset of the COVID-19 pandemic, Congress and the Centers for Medicare & Medicaid Services (CMS) have dramatically—but temporarily—expanded coverage and reimbursement for telehealth services. On December 1, CMS issued the final calendar year (CY) 2021 Medicare physician fee schedule (MPFS) final rule and interim final rule,...

ATA, HIMSS Lobby Congress to Extend Telehealth Freedoms Through ‘21

In a letter to Congressional leaders, several telehealth groups have asked that emergency measures enacted during the coronavirus pandemic be kept in place through 2021 as Congress continues to work on long-term coverage. By Eric Wicklund December 15, 2020 – Telehealth advocates are lobbying Congress to get something done before the end...

2021 Could be a Busy Year for Telehealth Adoption and Sustainability

As the new year begins and the nation looks to tackle COVID-19 and move on, telehealth will be front and center in a lot of conversations from the halls of Congress to the patient’s home. By Eric Wicklund January 25, 2021 – Telehealth policy and new methods for connected care will figure...

CMS Revises 2021 Remote Patient Monitoring Rules, Issues Correction

CMS just issued a correction to its guidance on 2021 Medicare rules for remote physiologic monitoring (RPM) services. The correction is effective January 1, 2021 and revises the preamble commentary in the Medicare Physician Fee Schedule Final Rule, previously published on December 1, 2020. It adds language that was inadvertently deleted from the...

Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 – December 2020

As the COVID-19 pandemic continues across the United States, states, payers, and providers are looking for ways to expand access to telehealth services. Telehealth is an essential tool in ensuring patients are able to access the healthcare services they need in as safe...
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