Category: Reimbursement

CMS Affirms Payment Parity for Telehealth, Adds More Covered Services

In its latest moves to expand telehealth adoption during the Coronavirus pandemic, CMS has added 85 telehealth services to the list of services covered by Medicare and emphasized that payment will be at the same rate as in-service care.  By Eric Wicklund April 01, 2020 – CMS is adding more than 80...

The Center for Medicaid and Medicare Services (CMS) – 2020 Medicare Learning Network Telehealth Services Booklet

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...

Telehealth Coverage Policies In The Time of COVID-19 as of 2020-03-17

ANNOUNCED TODAY:  The Secretary of Health and Human Services utilized his waiver power provided in the March 6 COVID-19 bill, HR 6074, to waive certain telehealth limitations in Medicare.  Today the Center for Medicare and Medicaid Services (CMS) released guidance on what those policies will cover.  CCHP has updated...

Telehealth Coverage Policies In The Time of COVID-19 as of 2020-03-16

JUST RELEASED:  Telehealth policy changes made in the face of addressing COVID-19 have been rapidly developing and changing on an almost daily basis.  The Center for Connected Health Policy (CCHP) has developed a fact sheet summarizing the developments thus far as they relate to telehealth policy on the federal...

Coronavirus Appropriations Act Eases Restrictions on Medicare Telehealth Reimbursement during Emergency

One of the major hurdles to the expansion of telehealth has been the Medicare “originating site” requirement. This requirement limits Medicare telehealth reimbursement to services delivered in a physician’s office or healthcare facility in a rural area, but not in a home or non-rural area. In a shift, the...

CMS Releases Fact Sheets On COVID-19 Medicare Coverage, Billing Guidelines

Monday, March 9, 2020 The Centers for Medicare and Medicaid Services (CMS) released several fact sheets on COVID-19 coverage and benefits, and announced a second Healthcare Common Procedure Coding System (HCPCS) code, U0002, for billing COVID-19 diagnostic tests. Medicare will accept claims with U0001 and U0002 starting on April...

The Centers for Medicare & Medicaid Services is rolling out a new telehealth-enabled payment model for 911 triage

The Centers for Medicare & Medicaid Services (CMS) has selected more than 200 emergency transport providers to participate in its Emergency Triage, Treat and Transport (ET3) model — a new payment model that leverages mHealth and telehealth to reimburse Medicare-enrolled ambulance providers that triage 911 calls, according to mHealthIntelligence. The CMS’...

Humanizing health care with virtual health

Expanding the patient-centric care delivery model Ken Abrams, MD, MBA, Managing Director, National Chief Physician Executive, Deloitte Consulting LLPSummer Knight, MD, MBA, Virtual Health Platform Portfolio Leader, Deloitte Consulting LLPBill Fera, MD, Virtual Health Enterprise Leader, Deloitte Consulting LLPFelix Matthews, MD, MBA, Virtual Health Strategy Leader, Deloitte Consulting LP...

CMS Loosens Restrictions on Telehealth for Certain Shared-Risk ACOs

In a rule announced last month, CMS is giving certain ACOs at risk of owing money back to Medicare because they haven’t hit spending targets more freedom to use telehealth, including services delivered to the beneficiary’s home.  By Eric Wicklund February 11, 2020 – Accountable Care Organizations who are at risk of...
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