12 August 2019 Health Care Law Today Blog Authors: Emily H. WeinNathaniel M. Lacktman On July 29, the Centers for Medicare and Medicaid Services (CMS) issued its proposed 2020 Physician Fee Schedule rule, which contains new telehealth services covered under Medicare. Surprisingly, CMS did not receive any provider requests to add new telehealth services this […]
On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued three proposed rules on payment updates and policy changes for calendar year 2020 under 1) the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System (the OPPS Proposed Rule);1 2) the Medicare Physician Fee Schedule (the PFS […]
Tuesday, August 6, 2019 Last week, CMS proposed two significant changes to remote patient monitoring (RPM) services reimbursed under the Medicare program. The changes, part of the proposed 2020 Physician Fee Schedule, have been hotly anticipated by digital health providers hoping to see more clarity and flexibility for RPM services. The creation of new RPM codes at the […]
Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020 On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) […]
By Maggie Flynn | July 28, 2019 Skilled nursing providers are becoming increasingly interested in telehealth technology as a way of improving clinical outcomes and reducing care costs. But systemic obstacles blocking capital investment — and SNFs’ generally narrow margins — and cultural resistance mean that it’s hard for providers to implement the technology, Lana […]
By Jack Silverstein | July 28, 2019 The recent rule changes to Medicare Advantage (MA) from Centers for Medicare & Medicaid Services have created a level of flexibility and creativity for home care participation that is nearly unchecked. For example, the final call letter for MA plan year 2020 notes that “MA organizations have broad […]
“The question of how telehealth can improve hospital revenue cycles is an evolving area worthy of additional study beyond the ATA Report,” says the American Telemedicine Association’s CEO. More states than ever are expanding telehealth coverage and reimbursement, according to a new report from the American Telemedicine Association (ATA). It shows that since 2017, 40 […]
By Jack Silverstein | July 23, 2019 The Medicare Advantage revolution continues to grow — and starting in 2020, home care providers will reap the rewards. Through a series of law changes over the past decade, including the Patient Protection and Affordable Care Act of 2010 and the Bipartisan Budget Act of 2018, Medicare’s move […]
American Telemedicine Association’s “State of the States Report” finds progress, but still sees strategies for states to be incentivized to adopt pro-telehealth policies. By Nathan EddyJuly 19, 201911:03 AM Expansion of telehealth coverage and reimbursement at the state level has grown since 2017, according to the latest American Telemedicine Association The report indicates that while […]
The American Telemedicine Association has updated its survey of state telehealth coverage and reimbursement policies and laws, which was last issued in 2017 By Eric Wicklund July 19, 2019 – Four out of every five US states have moved to improve telehealth coverage or reimbursement over the past two years, according to the latest survey of […]
As part of its efforts to provide patient-centered care and reduce costs for Medicare beneficiaries, the Centers for Medicare and Medicaid (CMS) have developed an Innovation Center model for ambulance care teams: Emergency Triage, Treat, and Transport (ET3). As part of this model, the agency has proposed two potential telehealth offerings: 1) An individual who […]
Did you know that there are eight CPT codes that could generate potentially millions of dollars of annual revenue for your organization without significantly changing provider workflows — and that would also help you deliver better care? The Centers for Medicare and Medicaid Services’ (CMS) remote patient monitoring (RPM) codes are here: however, very few […]
Monday, May 13, 2019 Citing the use of telehealth as a care delivery option for Medicare Advantage (MA or Part C) enrollees with the potential to “improve access to and timeliness of needed care, increase convenience for patients, increase communication between providers and patients, enhance care coordination, improve quality and reduce costs related to in-person […]
An updated Telehealth Services Medicare Learning Network booklet was published in 2019. This booklet contains information regarding Telehealth Services requirements, distant site practitioners, and billing and payment for the originating site facility.
On April 5, 2019, CMS issued final rules (the Final Rule) implementing various provisions of the 2018 Bipartisan Budget Act (the 2018 Budget). The 2018 Budget includes provisions allowing Medicare Advantage plans to provide telehealth benefits as basic benefits, which are paid for by the Medicare program, rather than solely as supplemental benefits, which are […]
