Reimbursement
CMS Faces Calls to Improve Remote Patient Monitoring Coverage in 2022 PFS
Telehealth advocates are submitting recommendations to CMS to improve coverage for remote patient monitoring services in the proposed 2022 Physician Fee Schedule. By Eric Wicklund September 03, 2021 – With remote patient monitoring projects surging in popularity as a result of the pandemic, telehealth advocates are lobbying the Centers for Medicare & Medicaid Services to improve proposed coverage […]
New Toolkit Aims to Help Telehealth Programs Negotiate Payer Reimbursement
An organization focused on supporting virtual-first programs has created a toolkit designed to help healthcare providers negotiate reimbursement with third party payers for their telehealth services. By Eric Wicklund October 11, 2021 – An organization focused on assisting healthcare providers with virtual care platforms has released a resource for negotiating third party payer reimbursement. The Payer-V1C Contracting Toolkit is […]
Many Groups Call on Congress to Expand Telehealth Flexibilities
More than 400 advocacy groups are calling for Congress to act quickly to permanently expand flexibilities for telehealth that could go away after the end of the COVID-19 public health emergency expected to run through 2021. The 430 groups sent a letter to congressional leadership underscoring the urgency for action now amid concerns from providers that expanded […]
The American Telemedicine Association Again Leads the Industry Commenting on Medicare Updates to Telehealth Policy
Faegre Drinker professionals Sarah-Lloyd Stevenson, Megan Herber, Nisha Quasba and Libby Baney provide ongoing support to the American Telemedicine Association’s (ATA) policy work. This month, the comment period for the Calendar Year 2022 Physician Fee Schedule (CY 2022 PFS) will close, marking an important regulatory step in how providers will be reimbursed for health care services next […]
How Remote Patient Monitoring Can Bolster Aging in Place
Digital health is the wave of the future in health care. We’ve heard many times that the COVID-19 pandemic brought telehealth greater popularity—but telehealth can’t do it all. While providers can “see” patients with a telehealth visit, they can’t check and monitor vital signs. The increased use of telehealth during the pandemic exposed some of […]
FCC Announces Latest Awards From COVID-19 Telehealth Program
More than 70 healthcare organizations will receive funding from the Federal Communications Commission’s COVID-19 Telehealth Program for projects aimed at expanding connected health platforms to improve access to care during the pandemic. By Eric Wicklund September 30, 2021 – More than 70 healthcare organizations will received federal funds for new connected health projects through the Federal Communications Commission’s […]
Docs press CMS for permanent telehealth flexibility, relief from pay cuts in fee schedule comments
Several doctor groups are pressing the Biden administration to not just extend Medicare telehealth reimbursement flexibilities through 2023 but to be made permanent. The Centers for Medicare & Medicaid Services proposed in the 2022 Physician Fee Schedule to extend telehealth flexibilities through 2023 instead of through the end of the COVID-19 public health emergency, which is expected […]
Remote patient monitoring use is on the rise, but reimbursement needs to catch up
The reimbursement model for remote patient monitoring needs to evolve as it may be holding providers back from investing in these programs, according to panelists at the MedCity INVEST Digital Health conference. Key issues with the structure as it stands now include the fact that there are too many gray areas that result in claims […]
FCC Launches 2nd Round of COVID-19 Telehealth Program With 62 Awards
The FCC has announced 62 award winners – one in each state and territory and Washington DC – for the first round of the newly revamped COVID-19 Telehealth Program. By Eric Wicklund August 27, 2021 – The Federal Communications Commission has approved 62 projects for funding under the COVID-19 Telehealth Program. The projects are the first to be […]
22 states changed telemedicine laws during the pandemic
Most pursued changes via administrative action, according to a new Commonwealth Fund report, which may not be a permanent solution after the COVID-19 public health emergency ends. By Kat Jercich June 24, 2021 03:01 PM The Commonwealth Fund released an issue brief this week reviewing state actions to expand individual and group health insurance coverage of telemedicine […]
Remote Patient Monitoring Promotes Chronic Care Management, Home Health
Remote patient monitoring solutions can play a critical role in chronic care management and home health programs that work to drive down care costs and improve patient outcomes. By Emily Sokol, MPH June 17, 2021 – Chronic care management and home health initiatives can drive down care costs and promote better patient outcomes. A key tool in these […]
Calendar Year (CY) 2022 Medicare Physician Fee Schedule Proposed Rule
Download PDF On July 13, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2022. The calendar year (CY) 2022 PFS […]
How to keep getting paid for telehealth in 2021
3 best practices you must implement to stay compliant and collect maximum reimbursement. The flourishing of telehealth in 2020 was driven not just by necessity, but also by a significant loosening of governmental regulations and of reimbursement requirements by payers. Waivers were granted during the public health emergency that allowed the use of traditionally noncompliant […]