{"id":42117,"date":"2015-09-21T16:07:20","date_gmt":"2015-09-21T16:07:20","guid":{"rendered":"http:\/\/tele.healthcare\/new.php\/?p=2060"},"modified":"2015-09-21T16:07:20","modified_gmt":"2015-09-21T16:07:20","slug":"cms-to-begin-to-pay-for-remote-patient-monitoring-in-2015","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/cms-to-begin-to-pay-for-remote-patient-monitoring-in-2015\/","title":{"rendered":"CMS to Begin to Pay for Remote Patient Monitoring in 2015"},"content":{"rendered":"

It\u2019s about time and the way that CMS is going to pay for Remote Patient Monitoring is, essentially, like this\u2026..<\/p>\n

Services to be covered when provided by telehealth:<\/p>\n

Chronic Care Management<\/p>\n

\u2014\u2014\u2014\u2014\u2014\u2014\u2014\u2014\u2014\u2014\u2014<\/p>\n

CMS is proposing reimbursement criteria for non-face-to-face chronic care management (CCM) services, defined as a unique, covered service designed to pay separately for non-face-to-face care coordination services furnished to Medicare beneficiaries with two or more chronic conditions. CMS discussed this new policy in 2013 but did not include a specific reimbursement proposal.<\/p>\n

The specific code for this service (tentatively called GXXXI) is defined as:<\/p>\n

\u201cChronic care management services furnished to patients with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, that place the patient at significant risk of death, acute exacerbation\/decompensation, or functional decline; 20 minutes or more; per 30 days\u201d<\/p>\n

A payment rate of $41.92 could be billed no more frequently than once per month per qualified patient.<\/p>\n

Eligible CCM services MUST be furnished with the use of an electronic health record or other health IT or health information exchange platform which includes an electronic care plan that is accessible to all providers within the practice, including being accessible to those who are furnishing care outside of normal business hours and is available to be shared electronically with care team members outside of the practice.<\/p>\n

The mTelehealth Remote Patient Monitoring Solution\u2019s clinical platform meets or exceeds all of the above conditions. \u00a0Any accounts that have physicians or eligible Part B providers that use the mTelehealth Remote Patient Monitoring Solution platform for chronic care management of patients meeting the criteria listed can bill Medicare $41.92 per user\/subscriber on a monthly basis, offsetting the monthly service cost. This is a clear and direct ability for providers to get paid for using our mTelehealth platform.<\/p>\n

Since this new code GXXXI is covered when provided by telehealth for non face-to-face management and carries its own set of unique criteria, it is a separately identifiable service from 99339, or 99374 (NOT considered \u201ctelehealth\u201d or \u201ctelemedicine\u201d by CMS) and can be billed separately for qualifying patients.<\/p>\n

Another example of this is examined in the following article:<\/p>\n

\n

<\/h1>\n<\/hgroup>\n
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\n
\n

Neil Versel, Contributor<\/span><\/p>\n

After July ended with what I called a\u00a0\u201cbig week for telemedicine and telehealth,\u201d<\/a>\u00a0August started with at least one telehealth company \u2014 maybe more \u201cdigital health,\u201d but let\u2019s not split hairs here \u2014 getting some national TV coverage to discuss an important development in the field.<\/p>\n

Bill Smith, president of\u00a0ALR Technologies<\/a>, Richmond, Va., appeared Monday on Fox Business Channel\u2019s \u201cOpening Bell With Maria Bartiromo\u201d (though Sandra Smith was in for Bartiromo that day) to discuss something I left out of my post: Medicare reimbursement for telehealth services.\u00a0 ALR makes devices and offers remote monitoring services for people with diabetes.<\/p>\n

The\u00a0proposed 2015 Medicare physician fee schedule<\/a>, released in early July, would expand the number and types of services eligible for reimbursement when care is delivered remotely. The Centers for Medicare and Medicaid Services has proposed paying physicians for annual wellness visits, psychoanalysis, psychotherapy and \u201cprolonged evaluation and management services.\u201d The latter, for which CMS would pay physicians $41.92 for each remote consultation involving a Medicare fee-for-service enrollee, means care for people with two or more chronic diseases<\/p>\n

This is where ALR comes in, as\u00a0this video<\/a>\u00a0illustrates.<\/p>\n

Bill Smith shot down Sandra Smith\u2019s worry that there would be more mistakes made simply because the patient is not physically present in front of the remote physician. \u201cYou may cut down on mistakes,\u201d Bill Smith said. \u201cA doctor can remotely see a patient\u2019s blood glucose. A lot of doctors don\u2019t know what\u2019s going on,\u00a0for example, with a diabetes patient between office visits. With remote technology, you have the potential to actually bring real data to the table.\u201d<\/p>\n

ALR pulls data from glucose meters, uploads it to a secure website, where clinical professionals working for the vendor look for trends that could indicate the need for medical intervention. \u201cIt\u2019s essentially a system for managing and monitoring chronic care, which is what this rule is about,\u201d he explained.<\/p>\n

Playing to its audience of people who invest in the stock market, Fox Business listed a handful of large publicly traded medical device companies that stand to benefit from this proposed rule change, but plenty of the action will be among startups and small companies such as Smith\u2019s. ALR is a penny stock, currently valued at 2.7 cents per share in over-the-counter trading.<\/p>\n

Expect the final 2015 physician fee schedule to appear in the fall.<\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

It\u2019s about time and the way that CMS is going to pay for Remote Patient […]<\/p>\n","protected":false},"author":3,"featured_media":0,"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":[14,1],"tags":[],"class_list":["post-42117","post","type-post","status-publish","format-standard","hentry","category-blog","category-uncategorized"],"acf":[],"yoast_head":"\nCMS to Begin to Pay for Remote Patient Monitoring in 2015 · Dr. Miltie, LLC - At-Home Testing<\/title>\n<meta name=\"description\" content=\"It\u2019s about time and the way that CMS is going to pay for Remote Patient Monitoring is, essentially, like this\u2026.. 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