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RPM Will Become the Hero of Healthcare in the Next 5 Years

By Meeta Ramnani – August 23, 201943

Installing Remote Patient Monitoring comes with many challenges, but due to the benefits it provides, it will find massive usage across the globe in the coming years

Clinicians also use RPM to track medical and health-related information from their patients, to monitor and treat chronic illnesses like cardiovascular disease, diabetes, and asthma. By leveraging remote monitoring technology, healthcare organizations can improve clinical efficiency and also drastically reduce care costs.

According to the ‘Remote Patient Monitoring Market – Forecasts from 2018 to…

Do benefits of remote patient monitoring outweigh challenges?

Remote patient monitoring keeps healthcare providers informed about their patients’ health between visits, and can warn them if something changes that needs immediate attention.

Remote patient monitoring allows providers to stay updated about their patients’ health outside of the four walls of a hospital. Being able to collect data about patients while they’re going about their daily life can alert providers to potential health issues as soon as they arise, improving patients’ health outcomes and reducing healthcare costs.

For…

Telehealth: Medicare Moves Forward by Proposing New Telehealth Services for 2020

12 August 2019 Health Care Law Today Blog Authors: Emily H. WeinNathaniel M. Lacktman

On July 29, the Centers for Medicare and Medicaid Services (CMS) issued its proposed 2020 Physician Fee Schedule rule, which contains new telehealth services covered under Medicare. Surprisingly, CMS did not receive any provider requests to add new telehealth services this year. Fortunately, CMS took it upon itself to propose three new codes. This article discusses the proposed new codes, explains how to submit public comments on the proposed rule,…

CMS Releases Key 2020 Payment and Policy Proposals

On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued three proposed rules on payment updates and policy changes for calendar year 2020 under 1) the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System (the OPPS Proposed Rule);1 2) the Medicare Physician Fee Schedule (the PFS Proposed Rule);2 and 3) the Medicare End Stage Renal Disease and Durable Medical Equipment, Prosthetics, and Orthotics (the DMEPOS Proposed Rule).3 Interested parties should submit comments to CMS for consideration during the rulemaking process by 5 p.m. EDT on…

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…

Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020

Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020

On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2020.

The calendar year (CY) 2020 PFS proposed rule is one of several proposed rules that reflect a broader Administration-wide strategy to create a healthcare system that results in better accessibility,…

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…

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