Category: ROI

How Medical Practices Can Succeed At Remote Patient Monitoring

Once mastered, the remote patient monitoring platform gives the practice a pathway to establishing meaningful care management. June 07, 2021 – As the nation’s healthcare ecosystem looks to embrace value-based care, concepts like remote patient monitoring are gaining favor with providers—particularly medical practices—who want to improve care management. As with any...

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

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. Background on the Physician Fee Schedule...

CMS Finalizes Telehealth, RPM Coverage in 2021 Physician Fee Schedule

The agency has released its long-awaited final document on Medicare coverage for telehealth and remote patient monitoring services in the coming year, building upon trends seen during this year’s coronavirus pandemic. By Eric Wicklund December 02, 2020 – Telehealth and remote patient monitoring will see significant improvements in Medicare coverage in 2021....

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...

CMS Finalizes Calendar Year 2021 Payment and Policy Changes for Home Health Agencies – Summary

CMS released the 2021 home health final rule on Thursday, October 29, 2020.  There were minimal changes compared to the home health proposed rule that was released in July 2020. Probably the best news in the rule was the 1.9% aggregate increase (or $390 million) in reimbursement that agencies...

Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 – October 15, 2020

As the COVID-19 pandemic continues across the United States, states, payers, and providers are looking for ways to expand access to telehealth services. Telehealth is an essential tool in ensuring patients are able to access the healthcare services they need in as safe a manner as possible. In order to...

Medicaid Telehealth Policies States Can Make Permanent to Ensure Access for Children/Families

In response to the COVID-19 pandemic, state Medicaid agencies have temporarily expanded their telehealth coverage and reimbursement policies in varying degrees. States, providers, advocates and families recognize the important role that telehealth has played in maintaining access to care during the pandemic and are now turning to the difficult...

Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 – September 2020

As the COVID-19 pandemic continues across the United States, states, payers, and providers are looking for ways to expand access to telehealth services. Telehealth is an essential tool in ensuring patients are able to access the healthcare services they need in as safe a manner as possible. In order to...

MedPAC commissioners hint at telehealth policies that may stick post-COVID-19

Dive Brief: Members of the congressional advisory group Medicare Payment Advisory Commission agree telehealth is here to stay, but are concerned about how to improve access without also running up substantial costs in the Medicare program. The group weighed various Medicare telehealth payment policies that could become permanent after...

CMS Releases E&M Updates, Expands Telehealth, Makes ACO Changes

Among the changes announced this week include the expanded use of telehealth in Medicare, giving payment parity to hospital outpatient surgery centers, simplifying evaluation and management codes, and changing performance measures for accountable care organizations (ACOs). Among a swath of proposed policy and payment changes announced this week by...

Trump executive order targets rural telehealth expansion

The executive order would call on the Department of Health and Human Services to develop a new pilot payment model for rural hospitals, and would set up a task force to improve broadband infrastructure in rural communities. For the past few months, policymakers from the states to Congress have...
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