Dr. Miltie Resources

Centers for Medicare & Medicaid Services (CMS) – Medicare

Healthcare access, remote physical exams, rural and school health, reimbursement, clinical technology, and the evolving ways care can reach patients.

Apr 4, 2019 Blog

CMS Tweaks CPT Code for Remote Monitoring, Giving mHealth a Boost

The Centers for Medicare & Medicaid Services has adjusted a new CPT code for remote patient monitoring, giving providers more leeway in using mHealth for chronic care…

Read article →

Apr 2, 2019 Blog

Advice to Telehealth Caucus: Eliminate Geography-Based Restrictions

Telehealth stakeholders are urging a group of like-minded lawmakers to target Medicare restrictions on rural telemedicine coverage, broadband expansion and remote patient monitoring during this year’s Congressional…

Read article →

Mar 14, 2019 Blog

Medicare Remote Patient Monitoring: CMS Allows “Incident to” Billing

CMS just announced a clarification that remote patient monitoring under CPT code 99457 may be furnished by auxiliary personnel, “incident to” the billing practitioner’s professional services. An…

Read article →

Feb 14, 2019 Blog

Emergency Triage, Treat, and Transport (ET3) Model

Emergency Triage, Treat, and Transport (ET3) is a voluntary, five-year payment model that will provide greater flexibility to ambulance care teams to address emergency health care needs…

Read article →

Feb 5, 2019 Blog

CMS Will Increase Access to Telehealth as Part of Value-Based Insurance Model

A couple of weeks ago, CMS announced four new interventions, including Telehealth Networks, that will be tested as part of a Value-Based Insurance Design (VBID) model for…

Read article →

Jan 18, 2019 Blog

CMS Again Moves to Expand Telehealth Coverage Under Medicare Advantage

The federal government on Friday unveiled a series of new test benefits that certain Medicare Advantage plans can offer, including expanded telehealth coverage — marking yet another…

Read article →

Jan 18, 2019 Blog

CMS Pushes Telehealth to Replace Some In-Person Visits in MA Plans

CMS is updating its Value-Based Insurance Design model of care to allow telehealth to replace certain in-person medical visits in Medicare Advantage plans. By Eric Wicklund January…

Read article →

Dec 28, 2018 Blog

AAFP Says CMS Changes Could Tilt the Scales to DTC Telehealth

The American Academy of Family Physicians says proposed changes to Medicare Advantage plans will improve members’ access to telehealth, but they may also support direct-to-consumer channels at…

Read article →

Dec 26, 2018 Blog

CMS broadens reimbursement for remote patient monitoring services

The landscape of US healthcare is changing, both geographically and technologically. Healthcare providers are not only beginning to implement new technologies such as the cloud, artificial intelligence…

Read article →

Dec 21, 2018 Accountable Care Organizations (ACOs)

CMS Announces ACO Overhaul, Enhances Telehealth Options

CMS has released new rules overhauling Medicare’s accountable care organizations (ACO) program. Called “Pathways to Success,” the new policies shorten risk-free periods and offer more regulatory flexibility,…

Read article →

Dec 21, 2018 Accountable Care Organizations (ACOs)

CMS Looks to Expand 3-Day SNF Waivers, Encourage Risk with New ACO Models

The Centers for Medicare & Medicaid Services (CMS) on Friday finalized its new set of rules for accountable care organizations (ACOs), removing the no-risk tracks that represented…

Read article →

Dec 14, 2018 Blog

What to know about the telehealth upsides of Medicare Advantage plans

Forthcoming policies from CMS will open up the home as a covered site of care in which hospitals can earn payment. Susan Morse, Senior Editor This past…

Read article →

Dec 6, 2018 Blog

Modernizing Medicare: CMS Expands Reimbursement for Virtual Care and Telehealth

As part of the 2019 Medicare Physician Fee Schedule Final Rule (Final Rule) published on November 23, 2018,1 the Centers for Medicare & Medicaid Services (CMS) took…

Read article →

Nov 27, 2018 Blog

This New Rule Will Expand Telemedicine to More Medicare Advantage Users

Good news for Americans who use Medicare Advantage. The Trump administration is proposing a new Medicare rule that will enable more Medicare Advantage enrollees to access telemedicine,…

Read article →

Nov 27, 2018 Blog

CMS Finalizes New Structure to Move Home Health to Value-Based Payment

November 27, 2018 Laura Joszt CMS is moving home health agencies away from a volume-based payment model and to a new value-based payment system. The Patient-Driven Groupings…

Read article →

Interested in the technology behind the topics?

See how the Dr. Miltie N9+ brings the physical exam into virtual care.

Explore N9+