Category: Physician Fee Schedule

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...

Finalized Coverage Year 2020 Physician Fee Schedule – Everything You Need to Know

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...

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,...

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...

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,...

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...

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....

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...

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)...

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....
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