Category: Reimbursement

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...

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...

Congress Provides Nearly $7 Billion in New Broadband Funding in the Latest COVID-19 Stimulus Legislation

The historic $900 billion coronavirus (COVID-19) relief package deal that the President signed into law this past weekend – the second largest economic stimulus legislation ever produced by Congress – includes $7 billion in new funding for broadband-related purposes. Most of these funds will go to new programs seeking...

Why Telehealth and Continuous Remote Patient Monitoring Has Staying Power Beyond COVID-19

The spread of COVID-19 has caused an explosion in telehealth consultation and is catalyzing the use of remote patient monitoring (RPM) thanks to an acceleration of reimbursement from commercial and government health insurers (payers) during the pandemic. Look no further than statistics from the Centers for Medicare & Medicaid Services (CMS) that show telehealth visits during the pandemic surpassed 11 million through mid-September of this year. Before CMS...

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...

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...

Remote Patient Monitoring Goes Mainstream, And Healthcare Transformation Follows

Remote patient monitoring has finally gone mainstream. After more than two decades of cultivation – from cardiac telemetry to Bluetooth-enabled blood pressure cuffs and now to wearable devices – the technological progress of remote patient monitoring (RPM) has finally intersected with other trends in medicine such as telehealth (and...

CMS Clarifies 2021 PFS Reimbursements for Remote Patient Monitoring

In an update posted this week in the Federal Register, the Centers for Medicare & Medicaid Services has amended the 2021 Physician Fee Schedule to clarify reimbursement for remote patient monitoring programs. By Eric Wicklund January 20, 2021 – The Centers for Medicare & Medicaid Services has made corrections to the 2021...

Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021

On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021. Background on the Physician Fee Schedule...
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