Dr. Miltie Resources

Reimbursement

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

Nov 7, 2018 •Blog

Medicare Telehealth Coverage—Ten Things

Health Update November 07, 2018 Recognizing significant changes in healthcare practice, especially innovations in the active management and ongoing care of chronically ill patients, and patients’ desire…

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Nov 6, 2018 •Blog

Health Care Alert: CMS Rules Expand Use of Telehealth And Remote Patient Monitoring Under Medicare

The Centers for Medicare and Medicaid Services (CMS) recently published two rules designed to promote the use of telehealth and remote patient monitoring (RPM) under the Medicare…

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Nov 2, 2018 •Blog

CMS to Reimburse Providers for Remote Patient Monitoring Services

CMS has issued its final update to the 2019 Physician Fee Schedule and Quality Payment Program, including three new CPT codes for reimbursement of remote patient monitoring.…

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Nov 1, 2018 •Blog

CMS overhauls Medicare billing, telehealth standards

By Virgil Dickson | November 1, 2018 The CMS on Thursday finalized a rule that will pay doctors for virtual visits and overhaul Medicare billing standards for office…

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Nov 1, 2018 •Blog

CMS will cover virtual care for the first time

Medicare will pay for certain communication technology-based services, the remote evaluation of recorded video and/or images and an expanded list of telehealth services. By Erin Dietsche On…

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Nov 1, 2018 •Blog

CMS finalizes rule for remote patient monitoring reimbursement under Medicare

CMS Administrator Seema Verma said that the remote monitoring change and others would promote care innovation and reduce provider burden. The Centers for Medicare and Medicaid Services…

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Oct 31, 2018 •Blog

CMS Shifting Home Health to Value-Based Payments Under New Model

The finalized Patient-Driven Groupings Model will transition home health agencies to more of a value-based payment system by 2020, CMS announced. November 01, 2018 – CMS recently finalized…

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Oct 31, 2018 •Blog

The RUSH Act – Another Advancement in Telehealth Acceptance?

As previously noted in our Digital Health Mid-Year Review, 2018 has seen greater acceptance of telemedicine within the Medicare program. Both regulatory and statutory changes have expanded reimbursement…

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Oct 26, 2018 •Blog

Contract Year (CY) 2020 Medicare Advantage and Part D Flexibility Proposed Rule (CMS-4185-P)

Contract Year (CY) 2020 Medicare Advantage and Part D Flexibility Proposed Rule (CMS-4185-P) On October 26, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a…

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Oct 26, 2018 •Blog

CMS Proposes to Modernize Medicare Advantage, Expand Telehealth Access for Patients

CMS Proposes to Modernize Medicare Advantage, Expand Telehealth Access for Patients Proposed rule would strengthen the popular system for private health insurance plans to provide Medicare coverage,…

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Oct 26, 2018 •Blog

CMS Proposes New Telehealth Guidelines and RADV Extrapolation for MAOs

In Depth The Centers for Medicare & Medicaid Services (CMS) released a Notice of Proposed Rulemaking on Friday, October 26, 2018 (the Proposed Rule) addressing expanded telehealth…

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Oct 26, 2018 •Blog

CMS Moves to Expand Telehealth Coverage Under Medicare Advantage

The Centers for Medicare & Medicaid Services on Friday unveiled a proposal that the agency says will expand telehealth coverage to enrollees in Medicare Advantage plans. Under…

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Oct 8, 2018 •Blog

Accountable care organizations: Time to make risk-adjustment more stable

ACO stakeholders ask CMS to keep upside-only risk model, while 29 others from Next Gen ACO Coalition want to make risk more predictable. Susan Morse, Senior Editor…

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Sep 21, 2018 •Blog

Telehealth and the law: the challenge of reimbursement

Technological advances continue to expand the healthcare delivery marketplace. Through technology, more and more providers are trying to cash in on telehealth. As with any other business,…

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Healthcare Medical Digital Patient Management

Sep 7, 2018 •Blog

AMA Adds Connected Health CPT Codes, Pushes for Medicare Payment

The 2019 CPT code set includes new remote patient monitoring and internet consulting codes to encourage innovative care delivery and Medicare payment for connected health. September 07,…

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