Vermont RHTP Funding Pillars and Dr. Miltie N9+
Learn the pillars of the RHTP funding in the state of Vermont and how the Dr. Miltie N9+ supports access, virtual exams, and care.
Centers for Medicare & Medicaid Services (CMS) – Medicare
Calendar Year (CY) 2025 Medicare Physician Fee Schedule Final Rule
Medicare Parts A & B On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a rule finalizing changes for Medicare payments under the PFS and other Medicare Part B policies, effective on or after January 1, 2025.The CY 2025 PFS final rule is one of several final rules that reflect a broader […]
HHS Finalizes Physician Payment Rule Strengthening Person-Centered Care and Health Quality Measures
Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced it is finalizing new policies in the calendar year (CY) 2025 Medicare Physician Fee Schedule (PFS) final rule to strengthen primary care, expand access to preventive services, and further access to whole-person care for services […]
Calendar Year (CY) 2025 Home Health Prospective Payment System Final Rule Fact Sheet (CMS-1803-F)
On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) final rule, which updates Medicare payment policies and rates for Home Health Agencies (HHAs). This rule also updates the intravenous immune globulin (IVIG) items and services’ payment rate for CY […]
Proposed Medicare Physician Fee Schedule Would Extend Telehealth Flexibilities and Add New Coverage
Summary PointsThe Centers for Medicare & Medicaid Services (CMS) released its annual proposed rule updating the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2025.1The proposed rule includes various provisions related to telehealth service delivery and other virtual care modalities. Similar to recent proposed rules, many of the provisions seek to extend temporary telehealth and virtual care flexibilities […]
CMS 2025 Physician Fee Schedule Proposed Rule: What PAs Need to Know
AAPA Reimbursement TeamAugust 2, 2024The Centers for Medicare and Medicaid Services (CMS), the federal agency that oversees the Medicare program, released the 2025 Physician Fee Schedule (PFS) proposed rule. The rule updates numerous Medicare coverage and payment policies that impact PAs, physicians, and other health professionals.This year’s rule made no mention of any change to the […]
What the CMS 2025 PFS proposed rule means for virtual care
The 2025 PFS proposed rule extends existing virtual care payment rules and introduces new codes for digital therapeutics, highlighting virtual care’s lasting role in healthcare. The Centers for Medicare & Medicaid Services (CMS) issued its 2025 Physician Fee Schedule (PFS) proposed rule earlier this month. Alongside a 2.8 percent payment cut for physicians, the rule includes numerous proposals directed […]
2024 Telehealth Reimbursement Updates: Expanding Access and Optimizing Care
As the adoption of telehealth, remote monitoring, and connected care technologies continues to increase, it’s important for healthcare leaders to stay on top of the latest updates in telehealth reimbursement. Some of the most significant updates come from the Centers for Medicare & Medicaid Services (CMS), which released its final rule for Medicare payments under the Physician Fee […]
2024 Remote Therapeutic Monitoring Codes & How to Bill
If you are a medical professional interested in leveraging remote technology to optimize patient health, this guide outlines remote therapeutic monitoring codes for 2024 and how to bill using RTM CPT codes. Remote therapeutic monitoring (RTM) is similar to remote patient monitoring. However, RTM is used to acquire non-physiological patient data for the respiratory and musculoskeletal […]
CMS Releases Updated Medicaid & CHIP Telehealth Toolkit, Includes State Best Practices and Behavioral Health Strategies
February 15, 2024 Anne Dwyer This month, CMS released an updated State Medicaid and CHIP Telehealth Toolkit consolidating information from previous toolkits and providing additional guidance – as required by the Bipartisan Safer Communities Act – on issues from billing best practices to strategies for using telehealth in schools. In addition to FAQs on issues such as benefit flexibility, financing, […]
CMS drops 4 final payment rules for 2024: 19 takeaways
Andrew Cass, Nick Thomas and Alan Condon – 14 hours ago SavePostTweetShareListenText SizePrintEmail CMS has released annual payment updates for physicians, hospital outpatient settings and the Medicare Shared Savings Program as well as a remedy for the 340B-acquired drug payment policy. Physician fee schedule rule 1. The physician fee schedule conversion factor for 2024 is $32.74, a […]
The Future of Remote Patient Monitoring
Executive Summary Digital health advocates believe remote monitoring—the use of digital technologies to collect and relay patient data to health care professionals—has the potential to transform disease management, health outcomes, and patient care, especially for individuals with multiple chronic conditions who lack convenient access to providers. Medicare, most state Medicaid agencies, and many private health […]