Reimbursement
CMS CPT Codes 99490, 99491, 99487, 99489 & G0506: A Guide to Chronic Care Management (CCM) Codes in 2022
Chronic care management (CCM) is a model of care recognized by the Centers for Medicare and Medicaid Services (CMS) for the treatment of chronic care patients. First introduced in 2015, CPT® Code 99490 for CCM services has been joined by four other CPT Codes in the years since, including revisions as recently as January 1, 2022. […]
Preparing for the 2022 CPT Code Changes Evolving Remote Patient Care
By Shailendra Sinhasane Posted March 31, 2022 Each year, new Current Procedural Terminology (CPT) codes are renewed by the American Medical Association (AMA). The 2022 CPT code changes are minimal and it brings forth modifications to the existing descriptors and codes in the healthcare system. CPT billing codes create an influx of revenue streams through remote patient monitoring […]
4 Remote Patient Monitoring Reimbursement Tips for Your Practice
By: Collin Couey on March 25, 2022 Imagine spending precious time and money setting up a remote patient monitoring program at your practice only to realize it’s too costly to maintain. If you’re on the fence about setting up such a program, you can avoid that worst-case scenario. We’ll break down the ins and outs of remote patient monitoring […]
Telehealth Policy Update
Thursday, March 24, 2022 There have been several significant developments with regard to Federal government telehealth policy. These include the recently enacted appropriations bill funding the Federal government for the balance of the fiscal year, a Department of Health and Human Services Office of Inspector General data brief, the MedPAC annual report to Congress and […]
The future of telehealth: 4 insights on overcoming challenges and reimagining care delivery
Telehealth continues to offer solutions to old and new healthcare challenges, from extending services in rural areas to addressing nursing shortages amid COVID-19. But formidable barriers remain in expanding telehealth. Overcoming these barriers requires bold thinking and leadership. During a March virtual roundtable hosted by Becker’s Hospital Review and sponsored by T-Mobile for Business, a panel of […]
Telehealth Policy Update
There have been several significant developments with regard to Federal government telehealth policy. These include the recently enacted appropriations bill funding the Federal government for the balance of the fiscal year, a Department of Health and Human Services Office of Inspector General data brief, the MedPAC annual report to Congress and statements by the Secretary […]
Telehealth Update: A Federal Appropriations Bill, A Positive OIG Report, and Good News from HHS
Last week saw a lot of great news in the world of telehealth. On March 15, President Biden signed into law H.R. 2471, the “Consolidated Appropriations Act, 2022”, which extends many of the Medicare telehealth flexibilities put in place during the COVID-19 pandemic for a period following the end of the Public Health Emergency (PHE). […]
The economics of a comprehensive care management program in 2022
Care management services are reimbursable remote medical services that provide ongoing care to patients between traditional or remote doctor’s office visits. Such services include chronic care management (CCM), remote patient monitoring (RPM), behavioral health integration (BHI), and many others, with even more services emerging regularly. Since their inception, care management services have largely been conceptualized […]
CMS Greenlights Teletherapy and Signals Support for Future Telehealth Services
The end of 2021 brings positive indications of the continued acceptance of telehealth as an important clinical care approach post public health emergency (“PHE”). The Centers for Medicare and Medicaid Services (“CMS”), like other payors, overhauled its approach to telehealth services in response to the COVID-19 PHE. In the CY 2022 Physician Fee Schedule Final […]
Fact Sheet: COVID-19 Waivers that should be Extended, Made Permanent or Enacted in Order to Improve Patient Care
At the outset of the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) quickly moved to waive a number of regulatory requirements. These waivers provided hospitals and health systems with critical flexibilities to manage what has been a prolonged and unpredictable pandemic. Hospitals and health systems used these newly permitted tools to increase […]
GOP, Independent Senators Co-Sponsor Medicare Telehealth Access Bill
The bipartisan legislation would eliminate Medicare’s geographic and originating site restrictions and establish policies that ensure Medicare coverage for telehealth services. January 28, 2022 – U.S. Sens. Susan Collins (R-ME) and Angus King (I-ME) are co-sponsoring the Telehealth Modernization Act, which aims to solidify access to and coverage of telehealth services for Medicare beneficiaries. At the start of the […]
Congress Extends Telehealth Flexibilities: 7 Things You Need to Know
The Consolidated Appropriations Act, 2022 (the Act), was passed by the U.S. House and Senate on March 9th and 10th, 2022, and signed into law by the President on March 15, 2022. The Act extends certain telehealth flexibilities for Medicare patients for 151 days after the official end of the federal public health emergency (PHE). Currently, the PHE […]