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Physician Fee Schedule

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

Sep 4, 2020 Centers for Medicare & Medicaid Services (CMS) - Medicare

CMS: True Telehealth Change Will Require Congressional Action

The Centers for Medicare & Medicaid Services (CMS) has proposed a new rule that would make certain COVID-19-related telehealth flexibilities introduced over the past few months permanent for Medicare…

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Sep 4, 2020 Centers for Medicare & Medicaid Services (CMS) - Medicare

CMS expands telehealth coverage in physician fee rule following Trump executive order

Dive Brief: President Donald Trump late Monday signed an executive order directing the administration to permanently extend Medicare’s broader telehealth coverage after the public health emergency, and CMS followed…

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Sep 4, 2020 FAQ

Top Ten Medicare Remote Patient Monitoring FAQs for 2021

On August 3, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a number of clarifications and proposals on remote patient monitoring (RPM) services reimbursed under…

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Sep 4, 2020 Physician Fee Schedule

CMS Proposes to Boost Office Visit Pay, Expand Telehealth Coverage

Among the many changes proposed in the 2021 Physician Fee Schedule rule were telehealth coverage expansions, permanent COVID-19 flexibilities, and higher values for office/outpatient visits. August 04,…

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Sep 4, 2020 Centers for Medicare & Medicaid Services (CMS) - Medicare

CMS proposes changes to docs’ Medicare payments for 2021, including payment cuts for some specialties

Federal health officials released a proposed rule late Monday that sets 2021 Medicare payment rates for physicians and includes changes to the Merit-based Incentive Payment System. The Centers for…

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Sep 2, 2020 Centers for Medicare & Medicaid Services (CMS) - Medicare

Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021

On August, 3 2020, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare…

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Aug 25, 2020 Centers for Medicare & Medicaid Services (CMS) - Medicare

CMS Tool Kit – Complete List of Medicare Telehealth Services

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Aug 25, 2020 Current Procedural Terminology (CPT®) code set

Telehealth Coding Guide for Billing

There’s nothing more frustrating than rendering a service and not being paid. Nuanced coding rules are difficult to understand, and physicians aren’t taught this information in medical…

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Aug 25, 2020 Current Procedural Terminology (CPT®) code set

CMS Proposes New Medicare Changes in Telehealth for 2021

On August 3, 2020, the Centers for Medicare and Medicaid Services (CMS) issued the advance copy of its proposed 2021 Physician Fee Schedule rule, which contains new telehealth…

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Aug 25, 2020 Current Procedural Terminology (CPT®) code set

Proposed Policy, Payment, and Quality Provisions Could Bring Changes to the Medicare Physician Fee Schedule for Calendar Year 2021

On August, 3 2020, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare…

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Nov 5, 2019 Blog

Medicare Remote Patient Monitoring: CMS Finalizes New Code and General Supervision

05 November 2019 Authors: Nathaniel M. LacktmanEmily H. Wein CMS just released the 2020 final rule with changes to remote patient monitoring (RPM), officially titled “Chronic Care…

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Nov 5, 2019 Blog

CMS Finalizes New Reimbursement Rules for Remote Patient Monitoring

The final rule for the 2020 Physician Fee Schedule gives hospitals and health systems more opportunities to use remote patient monitoring and paves the way for new…

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Aug 6, 2019 Blog

Remote Patient Monitoring: Medicare Proposes Two Major Expansions

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…

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Jun 22, 2019 Blog

Why is (almost) no one billing for remote patient monitoring?

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…

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Apr 22, 2019 American Medical Association (AMA)

U.S. health officials unveil experiment to overhaul primary care

By Casey Ross @caseymross Federal health officials on Monday unveiled a new primary care experiment that seeks to pay doctors for providing stepped-up services that keep patients…

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