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Lots to Like in the Executive Order on Medicare

On October 3, President Trump issued an executive order on “protecting and improving Medicare for our nation’s seniors.” For now, it’s only a statement of intent, but there’s quite a bit to like among the stated intentions.

I’ve long argued that both Republicans and Democrats focus too heavily on the demand side of health care — specifically federal health insurance law. Both sides largely ignore the supply side — how we actually deliver care. For this reason, I’ve criticized some previous initiatives by the Trump administration and its Republican allies in Congress, such as…

California Expands Medicaid Tele-Health Policy

The California Department of Health Care Services (“DHCS”) recently revised its Medi-Cal telehealth policy to allow providers increased flexibility in their use of telehealth as a modality for delivering medically necessary services to their patients. The policy is retroactively effective as of July 1, 2019, and fee-for-service providers must submit claims for services provided via telehealth according to the new policy. Updates to the telehealth policy include the following:

  • Reimbursable Modalities: Providers now decide what modality (either live video or store-and-forward technology), they want to use to deliver eligible services to a Medi-Cal enrollee as long…

Telehealth Continues To Change The Face Of Healthcare Delivery – For The Better

As the federal government, via Medicare/Medicaid, and insurance companies strive to keep “heads out of beds” (e.g., patients managed into an outpatient setting vs. inpatient/hospital settings), the need for more clinicians and better access to care grows unabated. In an effort to manage both increased demand (e.g., access) by patients and patients (appropriately) nudged into clinic settings, telehealth and its component pieces provide needed access to healthcare, possible cost savings, and, in many cases, improved continuity of care/care management via patient monitoring and adherence to treatment protocols.

Outpatient care, generally, is…

AMA Supports Remote Patient Monitoring, Telehealth in 2020 CPT Codes

The American Medical Association is adding several new codes to its 2020 CPT code set to support remote patient monitoring and telehealth services.

By Eric Wicklund

September 09, 2019 – Remote patient monitoring and telehealth play prominently in the 2020 CPT codes unveiled this month by the American Medical Association.

Among the 248 new codes added to the list for the coming year, the AMA has created six for online digital evaluation services, or e-visits, in which care providers can connect with patients at home to…

6 new digital health CPT codes that you should know about

Six new codes that are part of the 2020 Current Procedural Terminology (CPT®) code set will help physicians and others report a range of digital health services including electronic visits through secure patient portal messages.

The new codes are spurred by digital health tools that are growing in popularity, such as patient portals. These tools enable patients and physicians to connect asynchronously and outside of face-to-face settings, making it easier for patients with transportation and scheduling barriers to get questions answered and receive care.

The new CPT codes report online…

CPT changes in 2020 include new codes to allow doctors to bill for digital health

The American Medical Association (AMA) released updates to its Current Procedural Terminology (CPT) codes for 2020, including new codes to keep doctors up-to-date with new technology.

The AMA released 394 code changes, including 248 new codes, 71 deletions and 75 revisions. The changes, which will take effect on January 1, 2020, reflect new tech-enabled patient services.

The CPT codes, which describe medical, surgical and diagnostic services provided to patients, are used to bill outpatient and office procedures. Among the changes for 2020 are codes that will give doctors more room to bill…

AMA Releases 2020 CPT® code set

CHICAGO —The American Medical Association (AMA) today announced the release of the 2020 Current Procedural Terminology (CPT®) code set containing identifiers and descriptors assigned to each medical, surgical, and diagnostic services available to patients. Trusted since 1966 as the health system’s common language, the CPT code set enables accurate reporting, measurement, analysis, and benchmarking of medical services and procedures across the nation’s entire health care system.

“An annual editorial process draws insight from the entire health care community to produce practical code enhancements to CPT that support advancements in technology and medical knowledge…

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…

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