It’s that time of year again! Medicare has released the calendar year 2023 final rule related to Medicare Part B, which is impacted by the physician fee schedule and determines rates and coding updates for your rehab providers. So what should your therapist know regarding the conversion factor, telehealth provisions, audiology services and remote therapeutic monitoring codes? […]
The growing and continuing physician interest in using digital health tools is being supported by a steadily developing regulatory framework and an infrastructure that creates a pathway to payment while defining how devices and software can help treat, manage and prevent disease. An AMA physician survey (PDF), conducted every three years, finds adoption of digital health tools […]
On November 2, the Centers for Medicare & Medicaid Services (CMS) released its annual final rule updating the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2023, which included various changes related to the provision of telehealth, including implementing telehealth provisions included within the Consolidated Appropriations Act, 2022, and extending coverage through the end of CY […]
Type 2 Diabetes is a chronic condition that affects over 400 million individuals worldwide, and can lead to major health issues if not properly managed. In recent years there have been significant advances in the treatments available for people with diabetes. Thanks to new technologies, such as telehealth, outcomes for patients living with the disease […]
CMS is moving ahead with major changes to evaluation and management (E/M) services, telehealth, coverage of dental services, and more in the 2023 Medicare Physician Fee Schedule (MPFS) final rule. The rule, released November 1, also includes updates to vaccine payments and quality and reporting programs. E/M CMS finalized its proposals to bring E/M coding and guidelines […]
CMS is moving ahead with major changes to evaluation and management (E/M) services, telehealth, coverage of dental services, and more in the 2023 Medicare Physician Fee Schedule (MPFS) final rule. The rule, released November 1, also includes updates to vaccine payments and quality and reporting programs. E/M CMS finalized its proposals to bring E/M coding and guidelines […]
For more than a century, Centura Health, based in Centennial, Colorado, has strived to define whole person care. The organization says it improves lives and strengthens communities by honoring the mind, body and spirit in equal measure. Further, it says it understands the way care is provided is as meaningful as the care itself, which […]
On November 1, 2022, the US Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2023 final rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS) (the Final Rule). The Final Rule establishes changes to Medicare Part B professional payment policies and rates for the upcoming year. The Final Rule […]
What’s at stake Before the pandemic hit in March 2020, the Medicare program only paid for telehealth services in very limited circumstances: COVID-19 sparked policy change and led to dramatic increases in adoption of telehealth by patients and physicians. Early in the pandemic, with strong support from the AMA, such restrictions on coverage for telehealth services were […]
With physician burnout at all all-time high, physicians are searching for ways to provide high-quality patient care while easing some of the burdens prevalent in medicine today. “Never before has there been a greater need to be able to leverage digital solutions and technologies to help really meet the need of helping to ensure that the […]
As it does every Fall around this time, the Centers for Medicare and Medicaid Services (“CMS”) released its final version of Medicare Physician Fee Schedule for 2023 (the “Final 2023 MPFS”), the regulatory Rule governing payment and coverage policies for physician services, including reimbursement for Remote Therapeutic Monitoring (“RTM”) services under the new CPT code […]
This week, the Centers for Medicare & Medicaid Services (CMS) announced the Calendar Year 2023 Physician Fee Schedule (PFS) final rule. The final rule includes several National Council and RCPA recommended priorities. These are wins for mental health and substance use care organizations that will help expand access to care by strengthening the workforce. RCPA recommends […]
The Centers for Medicare & Medicaid Services released on Tuesday the final physician fee schedule rule that sets out payment rates for 2022. The rule also includes several provisions that aim to expand flexibility for telehealth reimbursement for mental health. CMS had expanded flexibility for providers to get Medicare reimbursement for telehealth at the onset […]
As the nation’s largest health care payer, responsible for more than one in five dollars spent on health care within the United States, Medicare plays a key role in transitioning the health care system away from fee-for-service, which incentivizes quantity of care, and towards value-based care, which incentivizes high-quality care and smarter spending. The passage […]