Federal Agencies
Medicare Telehealth Mental Health FAQs: CMS and the New In-Person Exam Requirement
The Centers for Medicare & Medicaid Services (CMS) has finalized its rule on in-person exam requirements for Medicare coverage of telehealth-based mental health services when the patient is located at home. The Frequently Asked Questions below are based on CMS’ policies in the 2022 Physician Fee Schedule Final Rule. 1. When does the rule take effect? The […]
HHS renews COVID-19 public health emergency order for another 90 days
By Robert King Jan 14, 2022 11:27am Department of Health and Human Services Secretary Xavier Becerra has renewed the COVID-19 public health emergency for another 90 days, extending key flexibilities for providers still grappling with the pandemic. The public health emergency was first ordered back in January 2020 and was set to expire after Jan. 16. […]
Outlook for the 2022 Federal Health Legislative Landscape
As the 117th Congress moves into its second legislative session, there is no shortage of health care policy issues dotting the landscape. The COVID-19 pandemic, legislative gridlock and a 2021 that was largely locked down by ongoing negotiations around the infrastructure and Build Back Better packages have left a range of stakeholders looking and hoping […]
New Chronic Care Management (CCM), Complex Chronic Care Management, Principal Care Management (PCM), and Remote Patient Monitoring (RPM) Reimbursement Codes for 2022
CMS shows strong support for Chronic Care Management by increasing reimbursement and adding more codes in 2022 CMS released their 2022 Medicare Physician Fee Schedule Final Ruling last month and it has some really good news for Chronic Care Management, Complex Chronic Care Management, and Principal Care Management for the year 2022 while some not-so-good news for […]
FCC AWARDS ADDITIONAL $42.7 MILLION IN ROUND 2 OF COVID-19 TELEHEALTH PROGRAM
COVID-19 TELEHEALTH PROGRAM WASHINGTON, December 21, 2021—The Federal Communications Commission today approved an additional 68 applications for funding commitments totaling $42,702,383 for Round 2 of its COVID-19 Telehealth Program. This is the FCC’s fifth funding announcement of approved Round 2 applications, bringing the total to over $208 million awarded to health care providers in each […]
CMS Announces Update to the State Medicaid & CHIP Telehealth Toolkit
Last week the Centers for Medicare and Medicaid Services (CMS) announced it was releasing a supplement to its toolkit “State Medicaid & CHIP Telehealth Toolkit: Policy Considerations for States Expanding Use of Telehealth, COVID-19 Version,” which was initially published on April 23, 2020. The original toolkit was meant to assist states in expanding the use of telehealth services in […]
Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 – December 2021
As the COVID-19 pandemic continues across the United States, states, payers, and providers are looking for ways to expand access to telehealth servic es. Telehealth is an essential tool in ensuring patients are able to access the healthcare services they need in as safe a manner as possible. In order to provide our clients with […]
Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) CPT Reimbursement Codes for 2022 – CPT Codes 99453, 99454, 99457, 99458, 99091, 98975, 98976, 98977, 98980, and 98981
CPT codes for the provision of Remote Patient Monitoring (RPM) include: CPT Code 99453:Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), plus initial set-up and patient education on use of equipment. (Initial set-up and patient education of monitoring equipment included; do not report 99453 for monitoring of less than […]
