Tag: Reimbursement

Medicare Expands Payment for Telehealth and Remote Patient Monitoring Services

Through several recently published rules, the Centers for Medicare & Medicaid Services (CMS) is making it possible for Medicare beneficiaries to have greater access to health care services provided remotely through telehealth or “telehealth-like” methods and to implement telehealth provisions included in the Bipartisan Budget Act of 2018 (BBA)....

Understanding Medicare’s New Remote Evaluation of Pre-Recorded Patient Information (Asynchronous Telemedicine)

Tuesday, November 6, 2018 Starting January 1, 2019, the Medicare program will cover certain medical services delivered via asynchronous telemedicine technologies. The Centers for Medicare and Medicaid Services (CMS) just published the final rule for the 2019 Physician Fee Schedule, introducing a new code, officially titled “Remote Evaluation of Pre-Recorded Patient Information”(HCPCS...

CMS to Reimburse Providers for Remote Patient Monitoring Services

CMS has issued its final update to the 2019 Physician Fee Schedule and Quality Payment Program, including three new CPT codes for reimbursement of remote patient monitoring. The changes mark an important step in the government’s acceptance of mHealth and telehealth technology. By Eric Wicklund November 02, 2018 – The...

CMS will cover virtual care for the first time

Medicare will pay for certain communication technology-based services, the remote evaluation of recorded video and/or images and an expanded list of telehealth services. By Erin Dietsche On November 1, the Centers for Medicare and Medicaid Services finalized changes to the 2019 Physician Fee Schedule and the Quality Payment Program. One...

CMS Finalizes PDGM and $420 Million Increase for 2019 Medicare Payments

Despite industry concerns, the Centers for Medicare & Medicaid Services (CMS) has finalized the Patient-Driven Groupings Model (PDGM) planned to start in 2020. The agency has also finalized several other changes to how home health providers are reimbursed for their services starting in 2019, tweaking remote patient monitoring rules...

2019 Medicare Physician Fee Schedule and Quality Payment Program – CMS Proposed Rule CPT Codes 990X0, 990X1, and 994X9

CMS’ explanation for its bold, new proposal: “We now recognize that advances in communication technology have changed patients’ and practitioners’ expectations regarding the quantity and quality of information that can be conveyed via communication technology. From the ubiquity of synchronous, audio/video applications to the increased use of patient-facing health...

CMS Makes a ‘Landmark Change’ in RPM, Telehealth Reimbursement

Digital health expert Nathaniel Lacktman breaks down CMS’ proposed 2019 Physician Fee Schedule and Quality Payment Program, examining how it should boost support for services like remote patient management and store-and-forward telehealth. By Eric Wicklund July 20, 2018 – Earlier this month, the Centers for Medicare & Medicaid Services unveiled...

Virtual care reimbursement proposed by Medicare: 5 things to know

Written by Julie Spitzer | July 17, 2018 | CMS made a series of suggestions to expand telehealth in its latest Medicare Physician Fee Schedule and Quality Payment Program, a 1,473-page proposal released July 12. Here are five telehealth changes CMS proposed: 1. Although CMS has bundled “routine non-face-to-face communication” into...

Telehealth Advocates Respond to CMS ‘Virtual Visit’ Proposal

July 16, 2018 by David Raths To get around legal restrictions on telehealth reimbursement, CMS expands its definition of ‘communication technology–based services’ Among all the proposed changes the Centers for Medicare and Medicaid Services (CMS) rolled out last week, ones related to telehealth drew considerable interest. Although it can’t...

Healthcare Leaders React to CMS’ 2019 QPP Proposed Rule and E&M Coding Changes

Many health IT industry groups, policy experts and other industry stakeholders continue to delve into the 1,473-page proposed rule released by the Centers for Medicare and Medicaid Services (CMS) on July 12 that provides updates to the Physician Fee Schedule and Quality Payment Program (QPP), which encapsulates the Medicare...

Federal Regulatory Developments Brewing in Telehealth

Wednesday, July 18, 2018 Two federal agencies – the Centers for Medicare and Medicaid Services (“CMS”) and the Federal Communications Commission (“FCC”) – announced separate initiatives last week that stand to increase patient access to telehealth services. Proposed Medicare Physician Fee Schedule for Calendar Year 2019. The CY 2019 Medicare...
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