On May 19, 2023, Novitas Solutions and First Coast Options sent an email to certain interested parties, with whom they had engaged following the multijurisdictional contractor advisory committee (CAC) meeting explaining that they have decided to not pursue at this time a local coverage determination for remote physiological monitoring (RPM) and remote therapeutic monitoring (RTM). […]
09 March 2023 by Caroline Reignley (Washington, DC) , Deborah R. Godes (Washington, DC), Michael Ryan (Washington, DC), Dale Van Demark (New York), Marshall Jackson (Washington, DC) and Abby Higgins (London) A recent multijurisdictional contractor advisory committee (CAC) meeting held by six of the seven Medicare Administrative Contractors (MACs) gave stakeholders an initial opportunity to provide feedback on the strength of clinical evidence to support Medicare coverage […]
A recent multijurisdictional contractor advisory committee (CAC) meeting held by six of the seven Medicare Administrative Contractors (MACs) gave stakeholders an initial opportunity to provide feedback on the strength of clinical evidence to support Medicare coverage for remote physiologic monitoring (RPM) and remote therapeutic monitoring (RTM) services for non-implantable medical devices. We previewed how this […]
By Anuja Vaidya February 24, 2023 – The American Telemedicine Association and Alliance for Connected Care have expressed concerns regarding a Contractor Advisory Committee (CAC) Meeting on remote physiologic monitoring (RPM) and remote therapeutic monitoring (RTM) for non-implantable devices slated to take place on Feb. 28. The meeting, hosted by multiple Medicare Administrative Contractors (MACs), will seek advice on the […]
The lockdowns of the Covid-19 pandemic accelerated the use of communication technology to offer work, education and life resources remotely. The healthcare industry was no different, where services like telehealth provided access to patients during precarious times, increasing in use by 15x the pre-pandemic levels in some states. Remote therapeutic monitoring (RTM) is just one facet of […]
As medicine continues its digital shift, new billing codes are being added next year for specialties like remote therapeutic monitoring and digital ophthalmology. “The [Current Procedural Terminology] code set does move at the pace of medicine, and it continues to evolve and keep pace with all of the changes,” said Leslie Prellwitz, the American Medical […]
On November 1, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the 2023 Physician Fee Schedule (PFS) Final Rule. CMS publishes a PFS annually so as to make changes in federal healthcare reimbursement and policy. PFS changes often spill over into the private sector, as private payors typically consult the PFS when evaluating […]
On November 1, 2022, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2023 Medicare Physician Fee Schedule (PFS) Final Rule. This article highlights noteworthy provisions of the Final Rule related to telehealth and other remote services. Of particular note, the Final Rule contains provisions extending Medicare coverage to additional telehealth services, […]
It’s that time of year again! Medicare has released the calendar year 2023 final rule related to Medicare Part B, which is impacted by the physician fee schedule and determines rates and coding updates for your rehab providers. So what should your therapist know regarding the conversion factor, telehealth provisions, audiology services and remote therapeutic monitoring codes? […]
The growing and continuing physician interest in using digital health tools is being supported by a steadily developing regulatory framework and an infrastructure that creates a pathway to payment while defining how devices and software can help treat, manage and prevent disease. An AMA physician survey (PDF), conducted every three years, finds adoption of digital health tools […]
On November 2, the Centers for Medicare & Medicaid Services (CMS) released its annual final rule updating the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2023, which included various changes related to the provision of telehealth, including implementing telehealth provisions included within the Consolidated Appropriations Act, 2022, and extending coverage through the end of CY […]
On November 1, 2022, the US Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2023 final rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS) (the Final Rule). The Final Rule establishes changes to Medicare Part B professional payment policies and rates for the upcoming year. The Final Rule […]
As it does every Fall around this time, the Centers for Medicare and Medicaid Services (“CMS”) released its final version of Medicare Physician Fee Schedule for 2023 (the “Final 2023 MPFS”), the regulatory Rule governing payment and coverage policies for physician services, including reimbursement for Remote Therapeutic Monitoring (“RTM”) services under the new CPT code […]
On July 7, the Centers for Medicare & Medicaid Services (CMS) released its annual proposed rule updating the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2023, which included various proposed changes related to the provision of telehealth, including implementing telehealth provisions included within the Consolidated Appropriations Act, 2022, and extending coverage through the end of […]