{"id":31671,"date":"2020-12-14T15:15:45","date_gmt":"2020-12-14T15:15:45","guid":{"rendered":"https:\/\/dev.mtelehealth.com\/?p=31671"},"modified":"2020-12-14T15:15:45","modified_gmt":"2020-12-14T15:15:45","slug":"how-cpt-codes-set-stage-for-telehealths-rise-amid-pandemic","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/how-cpt-codes-set-stage-for-telehealths-rise-amid-pandemic\/","title":{"rendered":"How CPT codes set stage for telehealth\u2019s rise amid pandemic"},"content":{"rendered":"\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p>The use of telemedicine has skyrocketed during the COVID-19 pandemic. In part because specific regulatory barriers were lowered, but also because an infrastructure was already in place to help manage workflow and facilitate payment.<\/p>\n\n\n\n<p>The story of how telehealth has flourished in the public health emergency and insights about where digital health may go next were presented during \u201cCoverage, Payment and Coding for Digital Medicine and Telehealth: The Present and Future,\u201d an extended session at the&nbsp;<a href=\"https:\/\/www.ama-assn.org\/practice-management\/cpt\/outpatient-cdi-workshop-cpt-and-rbrvs-2021-annual-symposium\">AMA CPT<sup>\u00ae<\/sup>&nbsp;and RBRVS 2020 Annual Symposium<\/a>.<\/p>\n\n\n\n<p>The event, held virtually this year, attracts coding professionals from across the nation to learn the latest changes to the\u202f<a href=\"https:\/\/www.ama-assn.org\/amaone\/cpt-current-procedural-terminology\" target=\"_blank\" rel=\"noreferrer noopener\">Current Procedural Terminology<\/a>\u202f(CPT\u00ae) code set and review developments from the AMA\/Specialty Society RVS Update Committee (<a href=\"https:\/\/www.ama-assn.org\/about\/rvs-update-committee-ruc\" target=\"_blank\" rel=\"noreferrer noopener\">RUC<\/a>).<\/p>\n\n\n\n<p>Getting the spotlight this year was the work of the&nbsp;<a href=\"https:\/\/www.ama-assn.org\/practice-management\/digital\/digital-medicine-payment-advisory-group\">AMA Digital Medicine Payment Advisory Group<\/a>&nbsp;(DMPAG), which identifies barriers to digital medicine adoption and proposes comprehensive solutions on coding, payment, coverage, clinical integration and more.<\/p>\n\n\n\n<p>Joseph C. Kvedar, MD, a professor of Dermatology at Harvard Medical School and senior advisor of virtual care at Mass General Brigham , serves as DMPAG co-chair and he summarized the panel\u2019s mission as answering the four main questions physicians have about digital medicine tools:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/www.ama-assn.org\/practice-management\/digital\/validating-digital-health-innovations\" target=\"_blank\" rel=\"noreferrer noopener\">Does it work?<\/a><\/li><li><a href=\"https:\/\/www.ama-assn.org\/practice-management\/digital\/digital-health-payment\" target=\"_blank\" rel=\"noreferrer noopener\">Will I receive proper payment?<\/a><\/li><li><a href=\"https:\/\/www.ama-assn.org\/practice-management\/digital\/liability-risk-digital-health-innovation\" target=\"_blank\" rel=\"noreferrer noopener\">Will I be liable and what are the risks?<\/a><\/li><li><a href=\"https:\/\/www.ama-assn.org\/practice-management\/digital\/improving-electronic-health-records\" target=\"_blank\" rel=\"noreferrer noopener\">Will it work in my practice or workflow?<\/a><\/li><\/ul>\n\n\n\n<p>Dr. Kvedar summarized a&nbsp;<a href=\"https:\/\/www.ama-assn.org\/practice-management\/digital\/why-physicians-use-digital-health-rise\">pre-COVID-19 AMA survey<\/a>&nbsp;that compared levels of physician digital health adoption in 2019 and 2016. The survey showed that, ahead of the pandemic, the percentage of physicians who saw patients via televisits grew to 28% from 14% while the percentage of physicians who used remote patient monitoring (RPM) technology rose to 22% from 13%.<\/p>\n\n\n\n<p>\u201cWe were delighted when we got that information,\u201d said Dr. Kveder, who is also president of the American Telemedicine Association and editor-in-chief of&nbsp;<em>npj Digital Medicine<\/em>, a Nature Partner Journal.<\/p>\n\n\n\n<p>DMPAG\u2019s accomplishments include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Ongoing efforts to educate legislators, payers and others regarding coding, coverage and payment for digital medicine.<\/li><li>Defining terminology.<\/li><li>Identifying coding gaps in digital medicine.<\/li><li>Development of RPM coding and its acceptance by the Centers for Medicare &amp; Medicaid Services (CMS).<\/li><li>CMS coverage of augmented intelligence-driven retinal diagnostic imaging starting in 2021.<\/li><\/ul>\n\n\n\n<p>Regarding the use of&nbsp;<a href=\"https:\/\/www.ama-assn.org\/amaone\/augmented-intelligence-ai\">augmented intelligence<\/a>&nbsp;(or AI, often called artificial intelligence), Dr. Kveder said it\u2019s a \u201crelatively a short story,\u201d but he added that it\u2019s an important one.<\/p>\n\n\n\n<p>\u201cThis will change the practice of medicine,\u201d he said. \u201cIf we get involved and steer the ship, it will change it for the better.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"big-bang-theory\">Big bang theory<\/h2>\n\n\n\n<p>The other co-chair of DMPAG, Ezequiel \u201cZeke\u201d Silva III, MD, described how adoption of the technology exploded this spring as physicians sought to continue providing care to their patients while allowing them to stay at home and avoid potential exposure to the coronavirus.<\/p>\n\n\n\n<p>The rapid adoption of telehealth was the \u201clargest pilot study in the history of the universe,\u201d said Dr. Silva, medical director of radiology for the Methodist Hospital Texsan in San Antonio.<\/p>\n\n\n\n<p>In addition to the need for services, adoption was facilitated by CMS when it lowered regulatory barriers after the public health emergency was declared Jan. 31. The declaration, renewed three times already, allowed all Medicare and Medicaid beneficiaries to become eligible to receive telemedicine services and removed geographic restrictions on its use.<\/p>\n\n\n\n<p>\u201cIn normal times, from a regulatory-statutory perspective, that probably would\u2019ve taken years to achieve,\u201d Silva said. \u201cBut, because of the public health emergency, it almost literally happened overnight.\u201d<\/p>\n\n\n\n<p>In addition to those factors, AMA advocacy has also served to push adoption forward. Dr. Silva noted several areas where AMA advocacy had made a difference\u2014including clarification that&nbsp;<a href=\"https:\/\/searchlf.ama-assn.org\/letter\/documentDownload?uri=%2Funstructured%2Fbinary%2Fletter%2FLETTERS%2F2020-6-1-Letter-to-Verma-re-Medicare-Medicaid-Programs-and-COVID-19-v3.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">remote patient monitoring<\/a>&nbsp;could be used for both patients with chronic and acute conditions.<\/p>\n\n\n\n<p>\u201cAs technology evolves, the physician voice is critical to that innovation,\u201d he said.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"new-codes-nuances-noted\">New codes\u2019 nuances noted<\/h2>\n\n\n\n<p>The third speaker, DPMAG member David Kanter, MD, MBA, is also a member of the CPT\u00ae Editorial Panel, which ensures that codes reflect the latest medical care available to patients.<\/p>\n\n\n\n<p>Dr. Kanter, vice president of medical coding for Mednax Services Inc., highlighted the many digital medicine codes that have had broad adoption by Medicare and commercial payers. There have been six such codes this year dealing with communication tools. Other recently developed digital medicine codes concern remote monitoring and screening utilizing augmented intelligence.<\/p>\n\n\n\n<p>Dr. Kanter noted the nuances of each. E-consult codes, for example, are not to be used when the sole purpose of the interprofessional communication is to arrange the transfer of care and that patient consent must be obtained before their information is shared in a consult.<\/p>\n\n\n\n<p>In addition to helping secure payment for collecting and interpreting data through RPM, other new codes facilitate payment for equipment setup, calibration and removal. Other codes cover patient education and training in using RPM equipment.<\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>The use of telemedicine has skyrocketed during the COVID-19 pandemic. In part because specific regulatory [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":4214,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[58,14,186,189,80,159,165],"tags":[],"class_list":["post-31671","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-american-telemedicine-association-ata","category-blog","category-medicare","category-covid-19-coronavirus","category-current-procedural-terminology-cpt-code-set","category-telehealth","category-telemedicine"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How CPT codes set stage for telehealth\u2019s rise amid pandemic &#183; Dr. Miltie, LLC - At-Home Testing<\/title>\n<meta name=\"description\" content=\"The use of telemedicine has skyrocketed during the COVID-19 pandemic. 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