Reimbursement

1 Dec 2020

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Current Procedural Terminology (CPT®) code set, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, ROI, Telehealth 0 comments

CMS Finalizes Remote Patient Monitoring Regulations in Final Rule: 7 Takeaways

CMS released the 2021 physician fee schedule Dec. 1 with expanded telehealth services, remote physiologic monitoring updates and an extension for telecommunications tech supervision. Seven takeaways: 1. CMS clarified its payment policies related to the remote physiologic monitoring services for CPT codes 99453, 99454, 99091, 99457 and 99458, which were finalized in recent years. These services include remote monitoring of weight, […]

1 Dec 2020

CMS Finalizes 2021 Physician Fee Schedule

Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021

1 Dec 2020

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Current Procedural Terminology (CPT®) code set, Physician Fee Schedule, Reimbursement, Telehealth 0 comments

Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021

Fact sheet Dec 01, 2020 On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021. The calendar year (CY) 2021 PFS final […]

1 Dec 2020

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Current Procedural Terminology (CPT®) code set, Physician Fee Schedule, Reimbursement, Telehealth 0 comments

CMS Finalizes Permanent Expansion of Medicare Telehealth Services and Improved Payment for Time Doctors Spend with Patients

Today the Centers for Medicare & Medicaid Services (CMS) released the annual Physician Fee Schedule (PFS) final rule, prioritizing CMS’ investment in primary care and chronic disease management by increasing payments to physicians and other practitioners for the additional time they spend with patients, especially those with chronic conditions. The rule allows non-physician practitioners to […]

Diving into the Home Health Emergency Access to Telehealth (HEAT) Act

1 Dec 2020

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Home Health Emergency Access to Telehealth (HEAT) Act, Legislation, Reimbursement, Telehealth 0 comments

Diving into the Home Health Emergency Access to Telehealth (HEAT) Act

The Medicare home health benefit does not currently permit the inclusion of telehealth services as a reimbursable service as part of the plan of care. Despite this, many home health agencies (HHAs) have found great value for their patients in including telehealth as part of care delivery and do so despite the lack of reimbursement. […]

Telehealth Gets a Boost Among Medicare Recipients in Pandemic

20 Nov 2020

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Reimbursement, Telehealth 0 comments

Telehealth Gets a Boost Among Medicare Recipients in Pandemic

Medicare dramatically expanded benefits for remote health care in response to COVID-19. Here’s what you need to know. Walecia Konrad November 20, 2020 Many or all of the products featured here are from our partners who compensate us. This may influence which products we write about and where and how the product appears on a […]

AMA Adopts Policy to Expand Access to Telehealth

19 Nov 2020

American Medical Association (AMA), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Medicaid, Reimbursement, Telehealth 0 comments

AMA Adopts Policy to Expand Access to Telehealth

Most physicians at the American Medical Association‘s virtual special meeting of its House of Delegates agreed that expanding access to telemedicine during the pandemic benefited patients and practices alike — saving at least one from bankruptcy. In a recent AMA poll, 60% said that telehealth has improved the health of their patients. Yet delegates struggled to craft […]

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

18 Nov 2020

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

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. Bobby Rush (IL-01), Rep. Albio Sires […]

CMS finalizes changes to remote monitoring reimbursement for home health providers

16 Nov 2020

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Reimbursement, Telehealth 0 comments

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 of the PHE, CMS has added […]

Close up older man talking with doctor online, video call

16 Nov 2020

Blog, COVID-19 - Coronavirus, Reimbursement, Telehealth 0 comments

HHS Prioritizes Telehealth Expansion for Rural Areas During Pandemic

The department released an action plan to address health care and technological disparities facing rural communities in response to the pandemic. Faith Ryan Thu, 11/12/2020 The COVID-19 pandemic has exposed the need for major investments in digital health services and technology across the country, including telehealth and broadband infrastructure — particularly in rural communities. As […]

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

13 Nov 2020

Blog, COVID-19 - Coronavirus, Home Health Emergency Access to Telehealth (HEAT) Act, Legislation, Reimbursement, Telehealth 0 comments

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

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 of the telehealth waivers on the […]

HEART Act Targets Medicare Limits on Rural Telehealth, RPM

10 Nov 2020

American Medical Association (AMA), Blog, CARES ACT, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Reimbursement, Telehealth, Telemedicine 0 comments

Telehealth Services Will Transform Access and Quality of Healthcare

There may never be a better time for your medical practice to start developing its telemedicine portfolio. Recently, the federal government has made it easier for healthcare providers to provide and bill for telemedicine services. While some of these changes are temporary, applying only while the COVID-19 public health emergency persists, other changes are permanent. […]

10 Nov 2020

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Reimbursement, Telehealth 0 comments

HHS Approves Telecommunications for Providing Medicare Home Health Services, on a Permanent Basis, Effective January 1, 2021

On October 29, 2020, CMS issued the Home Health Prospective Payment System final rule [CMS-1730-F, CMS-1744-IFC, and CMS-5531-IFC], which permanently authorizes use of telecommunications technology as part of patient care under the Medicare home health benefit.[1] The final rule is another regulatory step toward CMS recognizing the critical role of virtual care in the home […]

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

9 Nov 2020

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

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 Anticipate Payment will go away next […]

CMS Finalizes 1.9% Boost for Medicare Home Health Reimbursement

9 Nov 2020

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

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 2021. The boost in reimbursement is […]

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