MLN Booklet TELEHEALTH SERVICES ICN MLN901705 March 2020 Target Audience: Medicare Fee-For-Service Providers The Hyperlink Table, at the end of this document, provides the complete URL for each hyperlink. TABLE OF CONTENTS Originating Sites…………………………………………………………………………………………………………………. 3 Distant Site Practitioners…………………………………………………………………………………………………….. 4 Telehealth Services …………………………………………………………………………………………………………….. 4 Telehealth Services Billing and Payment……………………………………………………………………………… 7...

Billing for Telehealth Encounters AN INTRODUCTORY GUIDE ON FEE-FOR-SERVICE January 2020 INTRODUCTION Among the most frequent questions raised regarding telehealth is how an encounter is billed. According to the American Hospital Association, “76 percent of U.S. hospitals connect with patients and consulting practitioners at a distance through the use...

Top mHealth trends in 2019 included remote patient monitoring, telehealth reimbursement, substance use disorder care, chronic disease management, and direct-to-consumer mHealth technology. By Samantha McGrail As 2019 comes to an end, healthcare organizations are reflecting on the trends and stories that most influenced their behaviors in the past year....

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...

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...

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,...

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...

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,...

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...

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....