Category: Medicare

Advice to Telehealth Caucus: Eliminate Geography-Based Restrictions

Telehealth stakeholders are urging a group of like-minded lawmakers to target Medicare restrictions on rural telemedicine coverage, broadband expansion and remote patient monitoring during this year’s Congressional session. By Eric Wicklund April 02, 2019 – Geographical restrictions on telehealth and telemedicine coverage and reimbursement top the list of complaints from...

Medicare Remote Patient Monitoring: CMS Allows “Incident to” Billing

CMS just announced a clarification that remote patient monitoring under CPT code 99457 may be furnished by auxiliary personnel, “incident to” the billing practitioner’s professional services.  An “incident to” service is one that is performed under the supervision of a physician (broadly defined), and billed to Medicare in the...

Congress Eyes Another Shot at Telehealth for SNFs with RUSH Act Return

Lawmakers are poised to reintroduce the RUSH Act, which aims to give SNFs more incentives to use telehealth and telemedicine to improve patient care and reduce rehospitalizations. By Eric Wicklund March 04, 2019 – A proposal to give skilled nursing facilities (SNFs) more incentives to use telehealth and telemedicine will...

CMS Again Moves to Expand Telehealth Coverage Under Medicare Advantage

The federal government on Friday unveiled a series of new test benefits that certain Medicare Advantage plans can offer, including expanded telehealth coverage — marking yet another push toward remote health care benefits. The Centers for Medicare & Medicaid Services (CMS) will implement the programs under the Value-Based Insurance...

CMS Announces ACO Overhaul, Enhances Telehealth Options

CMS has released new rules overhauling Medicare’s accountable care organizations (ACO) program. Called “Pathways to Success,” the new policies shorten risk-free periods and offer more regulatory flexibility, including for providing telehealth to people in their homes, among other changes. In recent years, home health companies have become more involved...

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