Category: Reimbursement

Reps. Sherrill, McKinley Lead Bipartisan Legislation to Increase Access to Telehealth Services

Legislation expands practitioners eligible for Medicare reimbursement for telehealth services WASHINGTON, DC — Representatives Mike Sherrill (NJ-11), Rep. David McKinley (WV-01), Rep. Brian Fitzpatrick (PA-01), Rep. Denver Riggleman (VA-05), Rep. Joyce Beatty (OH-03), Rep. Andre Carson (IN-07), Rep. Glenn Thompson (PA-15), Rep. Andy Kim (NJ-03), Rep. Joseph Morelle (NY-25), Rep....

Telehealth Boom Continues: CMS Adds New Covered Services

The push for increased telehealth coverage continues during the COVID-19 public health emergency (“PHE”). On October 14, 2020, CMS added 11 new telehealth services available for Medicare reimbursement during the PHE. The newly added services include cardiac and pulmonary rehabilitation services and certain neurostimulator analysis and programming services. Since the beginning...

Telehealth Update: Expansion of the Public Health Emergency, Telehealth Services for Home Health Beneficiaries, and a Special Event

mHealth, Telehealth Groups Lobby CMS for Better RPM Reimbursement
As COVID-19 infection rates continue to rise in areas of the country, telehealth continues to play an important role in the delivery of healthcare, especially to those most vulnerable to the virus.  The Public Health Emergency has officially been extended through January 23, 2021, which means that the majority...

Home Health Final Rule contains ‘significant change’ for agencies, expert warns

The 2020 Home Health Final Rule has a “significant change” that home healthcare agencies “should be paying close attention,” according to Aaron Tripp, vice president for reimbursements and financing policy at LeadingAge. During a LeadingAge Coronavirus Update call this week, Tripp noted that although the payment part of the Request for...

CMS Finalizes 1.9% Boost for Medicare Home Health Reimbursement

That is a $390M increase in Medicare home health reimbursement, according to a new final rule that also expands coverage of telecommunications tech and keeps the PDGM’s behavioral adjustment. By Jacqueline LaPointe November 04, 2020 – CMS has finalized a 1.9 percent, or $390 million, increase in Medicare home health reimbursement in...

CMS Finalizes Calendar Year 2021 Payment and Policy Changes for Home Health Agencies – Summary

CMS released the 2021 home health final rule on Thursday, October 29, 2020.  There were minimal changes compared to the home health proposed rule that was released in July 2020. Probably the best news in the rule was the 1.9% aggregate increase (or $390 million) in reimbursement that agencies...

Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 – October 15, 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 a manner as possible. In order to...

The Role of Whole Person Care in Population Health, Telehealth

Whole person care is considered critical to payer strategies, but how can payers ensure it remains central to evolving population health and telehealth strategies? By Kelsey Waddill November 02, 2020 – As the healthcare environment faces major changes, payers may face challenges in maintaining their focus on whole person care across all...
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