Remote Patient Monitoring: Medicare Proposes Two Major Expansions

Tuesday, August 6, 2019

Last week, CMS proposed two significant changes to remote patient monitoring (RPM) services reimbursed under the Medicare program. The changes, part of the proposed 2020 Physician Fee Schedule, have been hotly anticipated by digital health providers hoping to see more clarity and flexibility for RPM services.

The creation of new RPM codes at the beginning of 2019 (CPT Codes 99457, 99454, and…

SNF Telehealth Adoption Hampered By Capital and Cultural Obstacles

By Maggie Flynn | July 28, 2019

Skilled nursing providers are becoming increasingly interested in telehealth technology as a way of improving clinical outcomes and reducing care costs.

But systemic obstacles blocking capital investment — and SNFs’ generally narrow margins — and cultural resistance mean that it’s hard for providers to implement the technology, Lana Adzhigirey, care transformation manager at the health care system CHI Franciscan in Tacoma, Washington, told Skilled Nursing News.

The first question about telehealth will almost always relate to connectivity and…

6 Steps Home Care Providers Must Take to Succeed in Medicare Advantage

By Jack Silverstein | July 28, 2019

The recent rule changes to Medicare Advantage (MA) from Centers for Medicare & Medicaid Services have created a level of flexibility and creativity for home care participation that is nearly unchecked.

For example, the final call letter for MA plan year 2020 notes that “MA organizations have broad discretion” in determining what’s called the “Special Supplemental Benefits for the Chronically Ill.” Among the examples of benefits: pest control.

In other words, home care’s place in MA is…

Telemedicine Reimbursement, Coverage is Better Than Ever

“The question of how telehealth can improve hospital revenue cycles is an evolving area worthy of additional study beyond the ATA Report,” says the American Telemedicine Association’s CEO.

More states than ever are expanding telehealth coverage and reimbursement, according to a new report from the American Telemedicine Association (ATA).

It shows that since 2017, 40 states and the District of Columbia have adopted substantive policies or received awards to expand telehealth coverage and reimbursement.

That friendlier reimbursement environment is combined with ramped-up physician adoption: an

Why 2020 Will Launch the Medicare Advantage Boom in Home Care

By Jack Silverstein | July 23, 2019

The Medicare Advantage revolution continues to grow — and starting in 2020, home care providers will reap the rewards.

Through a series of law changes over the past decade, including the Patient Protection and Affordable Care Act of 2010 and the Bipartisan Budget Act of 2018, Medicare’s move away from fee-for-service models and toward value-based care is sweeping the nation.

The Centers for Medicare & Medicaid Services (CMS) calls this national shift a “part of our larger quality strategy…

Telehealth services expand at state level, but adoption barriers remain

American Telemedicine Association’s “State of the States Report” finds progress, but still sees strategies for states to be incentivized to adopt pro-telehealth policies.

By Nathan EddyJuly 19, 201911:03 AM

Expansion of telehealth coverage and reimbursement at the state level has grown since 2017, according to the latest American Telemedicine Association

The report indicates that while states are realizing the many benefits of telehealth and are implementing policies that advance utilization, some states…

ATA Releases 2019 Update of State-by-State Telehealth Report Cards

The American Telemedicine Association has updated its survey of state telehealth coverage and reimbursement policies and laws, which was last issued in 2017

By Eric Wicklund

July 19, 2019 – Four out of every five US states have moved to improve telehealth coverage or reimbursement over the past two years, according to the latest survey of state laws and policies by the American Telemedicine Association.

But like so many other reports issued during that time, the ATA analysis found that each state is doing its own thing…

CMS Innovation Center Proposes Telehealth Solutions in ET3 Model

As part of its efforts to provide patient-centered care and reduce costs for Medicare beneficiaries, the Centers for Medicare and Medicaid (CMS) have developed an Innovation Center model for ambulance care teams: Emergency Triage, Treat, and Transport (ET3). As part of this model, the agency has proposed two potential telehealth offerings: 1) An individual who calls 911 may be connected to a dispatch system that has incorporated a medical triage line to be screened for eligibility for medical triage services prior to ambulance initiation, and 2) telehealth assistance via audiovisual communications technologies with a qualified provider once the ambulance…

Why is (almost) no one billing for remote patient monitoring?

Did you know that there are eight CPT codes that could generate potentially millions of dollars of annual revenue for your organization without significantly changing provider workflows — and that would also help you deliver better care?

The Centers for Medicare and Medicaid Services’ (CMS) remote patient monitoring (RPM) codes are here: however, very few organizations seem to know about them, and even fewer are taking advantage of them.

RPM codes appear to be the best-kept revenue-generation secret in healthcare today. Perhaps the main reason the codes have not been more fully embraced is the misconception…

CCHP Report Finds Video-Based Telemedicine Coverage Is Nationwide

The latest report on state Medicaid coverage of telehealth by the Center for Connected Health Policy finds that video-based telemedicine is now covered in some form in all 50 states and the District of Columbia.

By Eric Wicklund

May 30, 2019 – Every state now offers Medicaid reimbursement for some real-time virtual visits, according to the latest analysis of state telehealth and telemedicine laws and reimbursement policies by…

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