Category: Reimbursement

2019 Medicare Physician Fee Schedule and Quality Payment Program – CMS Proposed Rule – CPT Codes 990X0, 990X1, and 994X9 – Everything You Need to Know

CMS has proposed 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.  If finalized, these three codes would...

After-Hours Telemedicine Helps Skilled Nursing Facilities Avoid Unnecessary Hospitalizations, AJMC® Study Finds

August 20, 2018 As skilled nursing facilities handle more complex care, the need arises for physician input before sending patients to the hospital. Study findings reported this month in The American Journal of Managed Care® show that using telemedicine for this purpose can lead to fewer hospitalizations and savings for Medicare....

CMS rule to overhaul Medicare Shared Savings Program would imperil ACOs, group says

The National Association of ACOs (NAACOS) argues that a rule proposed by the Centers for Medicare and Medicaid Services (CMS) to overhaul the Medicare Shared Savings Program (MSSP) begun in 2012 under the Affordable Care Act would create havoc by “introducing many untested and troubling policies.” “The administration’s proposed...

Medicare Proposes (and Rejects) New Telehealth Services for 2019

Medicare Proposes (and Rejects) New Telehealth Services for 2019 Wednesday, August 8, 2018 The telemedicine industry was pleased to learn CMS recently proposed adding new services to its list of Medicare-covered telehealth services.  But what may be more interesting are the services CMS declined to add, and why.  This article summarizes the newly-proposed...

2019 Medicare Physician Fee Schedule and Quality Payment Program – CMS Proposed Rule CPT Codes 990X0, 990X1, and 994X9

CMS’ explanation for its bold, new proposal: “We now recognize that advances in communication technology have changed patients’ and practitioners’ expectations regarding the quantity and quality of information that can be conveyed via communication technology. From the ubiquity of synchronous, audio/video applications to the increased use of patient-facing health...

CMS Makes a ‘Landmark Change’ in RPM, Telehealth Reimbursement

Digital health expert Nathaniel Lacktman breaks down CMS’ proposed 2019 Physician Fee Schedule and Quality Payment Program, examining how it should boost support for services like remote patient management and store-and-forward telehealth. By Eric Wicklund July 20, 2018 – Earlier this month, the Centers for Medicare & Medicaid Services unveiled...

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