Reimbursement

Medicare Expands Payment for Telehealth and Remote Patient Monitoring Services - title page

16 Nov 2018

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Reimbursement, Remote Patient Monitoring, Telehealth 0 comments

Medicare Expands Payment for Telehealth and Remote Patient Monitoring Services

[pdf-embedder url=”https://mtelehealth.com/wp-content/uploads/2018/11/Medicare-Expands-Payment-for-Telehealth-and-Remote-Patient-Monitoring-Services-1.pdf” title=”Medicare Expands Payment for Telehealth and Remote Patient Monitoring Services”] Through several recently published rules, the Centers for Medicare & Medicaid Services (CMS) is making it possible for Medicare beneficiaries to have greater access to health care services provided remotely through telehealth or “telehealth-like” methods and to implement telehealth provisions included in the […]

12 Nov 2018

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CMS Issues Final Medicare PFS Rule for CY 2019

On November 1, 2018, the Centers for Medicare and Medicaid Services (CMS) released in pre-publication form the Medicare Physician Fee Schedule (PFS) Final Rule for Calendar Year (CY) 2019 (PFS Final Rule) [1]. The PFS Final Rule contains a number of significant changes, including: • providing for reimbursement for communication technology-based services and expanding access […]

CMS Code Gives Docs a Chance to Use Store-and-Forward Telehealth

12 Nov 2018

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CMS Code Gives Docs a Chance to Use Store-and-Forward Telehealth

Beginning next year, CMS will reimburse providers using store-and-forward telehealth (also known as asynchronous telehealth) to analyze and diagnose images sent to them from established patients. By Eric Wicklund November 12, 2018 – Healthcare providers looking for new ways to implement telehealth and telemedicine are getting a Christmas present from the Centers for Medicare & Medicaid […]

7 Nov 2018

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Medicare Telehealth Coverage—Ten Things

Health Update November 07, 2018 Recognizing significant changes in healthcare practice, especially innovations in the active management and ongoing care of chronically ill patients, and patients’ desire to avoid unnecessary doctor visits, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on November 1, 2018 that includes reimbursement for a variety of […]

6 Nov 2018

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Health Care Alert: CMS Rules Expand Use of Telehealth And Remote Patient Monitoring Under Medicare

The Centers for Medicare and Medicaid Services (CMS) recently published two rules designed to promote the use of telehealth and remote patient monitoring (RPM) under the Medicare program. Telehealth Benefits under Medicare Advantage On November 1, 2018, CMS published a proposed rule that (among other things) implements provisions of the Bipartisan Budget Act of 2018 […]

2019 Medicare Physician Fee Schedule and Quality Payment Program - CMS Final Rule - CPT Codes 99453, 99454, and 99457 - Everything You Need to Know - 2018-11-01

2 Nov 2018

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Reimbursement, Remote Patient Monitoring, Telehealth 0 comments

2019 Medicare Physician Fee Schedule and Quality Payment Program – CMS Final Rule – CPT Codes 99453, 99454, and 99457 – Everything You Need to Know – 2019

CMS has issued a final rule with three new codes for RPM services, retitled “Chronic Care Remote Physiologic Monitoring,” which do a far better job reflecting how providers can more effectively and efficiently use RPM technology to monitor and manage patient care needs, including chronic care management. These three codes go live January 1, 2019. These […]

CMS to Reimburse Providers for Remote Patient Monitoring Services

2 Nov 2018

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CMS to Reimburse Providers for Remote Patient Monitoring Services

CMS has issued its final update to the 2019 Physician Fee Schedule and Quality Payment Program, including three new CPT codes for reimbursement of remote patient monitoring. The changes mark an important step in the government’s acceptance of mHealth and telehealth technology. By Eric Wicklund November 02, 2018 – The Centers for Medicare & Medicaid Services […]

CMS’ final physician payment rule for 2019: 6 things to know

1 Nov 2018

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CMS’ final physician payment rule for 2019: 6 things to know

CMS issued its annual update to the Medicare Physician Fee Schedule Nov. 1, which overhauls Medicare billing and expands coverage of telehealth. Here are six takeaways from the final rule: 1. Physician payment rates. The 2019 physician fee schedule conversion factor is $36.04, which is up from $35.99 this year and reflects a budget-neutrality adjustment […]

CMS overhauls Medicare billing, telehealth standards

1 Nov 2018

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CMS overhauls Medicare billing, telehealth standards

By Virgil Dickson | November 1, 2018 The CMS on Thursday finalized a rule that will pay doctors for virtual visits and overhaul Medicare billing standards for office visits that haven’t changed since the 1990s. The agency will now pay doctors for telehealth visits and communication with patients, acknowledging the time those efforts take. The CMS […]

CMS will cover virtual care for the first time

1 Nov 2018

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CMS will cover virtual care for the first time

Medicare will pay for certain communication technology-based services, the remote evaluation of recorded video and/or images and an expanded list of telehealth services. By Erin Dietsche On November 1, the Centers for Medicare and Medicaid Services finalized changes to the 2019 Physician Fee Schedule and the Quality Payment Program. One of the adjustments involves telehealth. For […]

CMS proposes new rule to boost telehealth payments

1 Nov 2018

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CMS finalizes rule for remote patient monitoring reimbursement under Medicare

CMS Administrator Seema Verma said that the remote monitoring change and others would promote care innovation and reduce provider burden. The Centers for Medicare and Medicaid Services has locked in a rule that will allow home health agencies to report the cost of remote patient monitoring for reimbursement under Medicare. According to the announcement, released […]

Centers for Medicare & Medicaid Services - Final Rule - 42 CFR Parts 409, 424, 484, 486, and 488 - Medicare and Medicaid Programs; CY 2019 Home Health Prospective Payment System Rate Update

31 Oct 2018

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Centers for Medicare & Medicaid Services – Final Rule – 42 CFR Parts 409, 424, 484, 486, and 488 – Medicare and Medicaid Programs; CY 2019 Home Health Prospective Payment System Rate Update

[pdf-embedder url=”https://mtelehealth.com/wp-content/uploads/2018/11/Centers-for-Medicare-Medicaid-Services-Final-Rule-42-CFR-Parts-409-424-484-486-and-488-Medicare-and-Medicaid-Programs-CY-2019-Home-Health-Prospective-Payment-System-Rate-Update.pdf” title=”Centers for Medicare & Medicaid Services – Final Rule – 42 CFR Parts 409, 424, 484, 486, and 488 – Medicare and Medicaid Programs; CY 2019 Home Health Prospective Payment System Rate Update”]

31 Oct 2018

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Reimbursement, Remote Patient Monitoring, Telehealth 0 comments

CMS Shifting Home Health to Value-Based Payments Under New Model

The finalized Patient-Driven Groupings Model will transition home health agencies to more of a value-based payment system by 2020, CMS announced. November 01, 2018 – CMS recently finalized a new value-based payment system for home health agencies that would move Medicare reimbursement away from the volume of therapy delivered. Medicare will start to reimburse home health […]

CMS Finalizes PDGM and $420 Million Increase for 2019 Medicare Payments

31 Oct 2018

Blog, Reimbursement, Remote Patient Monitoring, Telehealth 0 comments

CMS Finalizes PDGM and $420 Million Increase for 2019 Medicare Payments

Despite industry concerns, the Centers for Medicare & Medicaid Services (CMS) has finalized the Patient-Driven Groupings Model (PDGM) planned to start in 2020. The agency has also finalized several other changes to how home health providers are reimbursed for their services starting in 2019, tweaking remote patient monitoring rules and refining the Value-Based Purchasing Model […]

The RUSH Act – Another Advancement in Telehealth Acceptance?

31 Oct 2018

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The RUSH Act – Another Advancement in Telehealth Acceptance?

As previously noted in our Digital Health Mid-Year Review, 2018 has seen greater acceptance of telemedicine within the Medicare program. Both regulatory and statutory changes have expanded reimbursement opportunities and, consequentially, opportunities for the deployment of telemedicine technologies. As we noted then, however, improvement in the Medicare reimbursement environment for telemedicine services has been tied to a […]

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