{"id":5455,"date":"2018-07-13T13:40:34","date_gmt":"2018-07-13T13:40:34","guid":{"rendered":"http:\/\/tele.healthcare\/?p=5455"},"modified":"2018-07-13T13:40:34","modified_gmt":"2018-07-13T13:40:34","slug":"cms-proposes-new-rule-to-boost-telehealth-payments","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/cms-proposes-new-rule-to-boost-telehealth-payments\/","title":{"rendered":"CMS proposes new rule to boost telehealth payments"},"content":{"rendered":"<div class=\"group-title-line field-group-div\">\n<div class=\"field field-name-field-subheader field-type-text field-label-hidden\">\n<div class=\"field-items\">\n<div class=\"field-item even\">The rule would mean the Centers for Medicare and Medicaid Services will pay doctors for telemedicine visits as well as evaluation of images and videos.<\/div>\n<\/div>\n<\/div>\n<div class=\"group-author-line field-group-div\">By <a href=\"https:\/\/www.healthcareitnews.com\/author\/jonah-comstock\">Jonah Comstock<\/a><\/p>\n<div class=\"field field-name-post-date field-type-ds field-label-hidden\">\n<div class=\"field-items\">\n<div class=\"field-item even\">July 12, 2018<\/div>\n<\/div>\n<\/div>\n<div class=\"field field-name-post-time-am-pm field-type-ds field-label-hidden\">\n<div class=\"field-items\">\n<div class=\"field-item even\">06:25 PM<\/div>\n<\/div>\n<\/div>\n<div class=\"field field-name-sharethis-top-block field-type-ds field-label-hidden\">\n<div class=\"field-items\">\n<div class=\"field-item even\">\n<section id=\"block-sharethis-sharethis-block--2\" class=\"block block-sharethis clearfix\">\n<div class=\"sharethis-wrapper\"><\/div>\n<\/section>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"field field-name-field-thumbnail field-type-image field-label-hidden\">\n<div class=\"field-items\">\n<div class=\"field-item even\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.healthcareitnews.com\/sites\/default\/files\/vermaHITNhimss18_2.jpg\" alt=\"\" width=\"712\" height=\"400\" \/><\/div>\n<\/div>\n<\/div>\n<div class=\"field field-name-body field-type-text-with-summary field-label-hidden\">\n<div class=\"field-items\">\n<div class=\"field-item even\">\n<p>In a move that Centers for Medicare and Medicaid Services Administrator Seema Verma described as among \u201cthe most significant reductions in provider burden undertaken by any administration,&#8221; CMS late Thursday proposed a new rule intended to make big strides in telehealth, documentation requirements and interoperability.<\/p>\n<p>&#8220;Today is a huge win for patients and providers as CMS is proposing historic changes to modernize Medicare and restore the doctor-patient relationship,&#8221; Verma said of the \u00a0proposed Physician Fee Schedule and Qualified Payment Program updates for 2019 on a call with reporters.<\/p>\n<p>On the telemedicine side, the proposal, would mean CMS will begin paying physicians for &#8220;brief check-ins&#8221; via telemedicine as well as remote evaluation of images and videos taken by patients.<\/p>\n<p>It also expands the list of Part B services that can be offered by telehealth and adds mobile stroke units, dialysis facilities, and the homes of end-stage renal disease patients as valid originating sites for telemedicine visits.<\/p>\n<p>&#8220;Under this proposal, Medicare will start paying for virtual check-ins, meaning patients can connect with their doctor by phone or video chat,&#8221; Verma said. &#8220;Many times this type of check-in will resolve patient concerns in a convenient manner that gets them the care that they need and avoids unnecessary cost to the system. This is a big issue for our elderly and disabled populations where transportation can be a burden to care as well as to caregivers. We\u2019re not intending to replace office visits but rather to augment them and provide new access points for patients.&#8221;<\/p>\n<p>The proposal isn&#8217;t carte blanche for telemedicine reimbursement, but it is fairly open-ended. Notably, it would allow providers to bill for a telemedicine check-up that neither stems from nor is followed up by an in-person visit.<\/p>\n<p>&#8220;There are going to be many situations where a physician might say &#8216;I\u2019m going to need to see you in my office&#8217; but it could be a check-in where they come in for a visit and they want to talk to their doctor about the medication that they\u2019re taking and how it\u2019s impacting them, and [this gives] the ability for them to not have to come in physically to have that conversation with the doctor, but to be able to have that remotely,&#8221; Verma said.<\/p>\n<p>It will be difficult for services like Teladoc to make use of this reimbursement, however, since the proposed rule requires an established doctor-patient relationship. Interestingly, however, CMS seems open to new patient relationships for the store-and-forward option.<\/p>\n<p>&#8220;We are seeking comment as to whether these services should\u00a0be limited to established patients; or whether there are certain cases, like dermatological or\u00a0ophthalmological services, where it might be appropriate for a new patient to receive these\u00a0services,&#8221; CMS\u00a0wrote in the proposal.<\/p>\n<p>The proposal also greatly eases documentation requirements, with the intent of allowing EHR developers to build tools geared towards patient care rather than satisfying billing requirements. CMS estimates the changes could\u00a0save clinicians an estimated 29,305 hours and approximately $2.6 million in reduced administrative costs over a year. It works by standardizing the requirements among different\u00a0evaluation and management codes.<\/p>\n<p>&#8220;Doctors should not be spending time typing information into a computer simply in order to bill a certain level of code. They should focus on documenting the material that\u2019s needed to capture the patient\u2019s health data. Therefore we are proposing to move from a system with four kinds of documentation requirements to a system with one set of documentation requirements. There will still be four distinct code levels, but the differences will be meaningless. There will be one set of documentation requirements.&#8221;<\/p>\n<p>Finally, the proposal includes\u00a0changes to the Merit-based Incentive Payment System (MIPS) \u201cPromoting Interoperability\u201d performance category, with the goal of\u00a0encouraging patient access to their health information and aligning the program with the Office of Innovation&#8217;s\u00a0MyHealthEData Initiative.<\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The rule would mean the Centers for Medicare and Medicaid Services will pay doctors for [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":2718,"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":[14,186,141,159],"tags":[300,314,434,498],"class_list":["post-5455","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-medicare","category-reimbursement","category-telehealth","tag-centers-for-medicare-and-medicaid-services-cms","tag-cms","tag-medicare-reimbursement-of-telehealth","tag-reimbursement"],"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>CMS proposes new rule to boost telehealth payments &#183; Dr. Miltie, LLC - At-Home Testing<\/title>\n<meta name=\"description\" content=\"The rule would mean the Centers for Medicare and Medicaid Services will pay doctors for telemedicine visits as well as evaluation of images and videos. 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