Category: Medicare

Medicare and Medicaid Programs – CY 2019 Home Health Prospective Payment System Update – Proposed Rule – 2018-07-02

DEPARTMENT OF HEALTH AND HUMAN SERVICES  Centers for Medicare & Medicaid Services 42 CFR Parts 409, 424, 484, 486, and 488 RIN 0938-AT29   Medicare and Medicaid Programs; CY 2019 Home Health Prospective Payment System Rate Update and CY 2020 Case-Mix Adjustment Methodology Refinements; Home...

CMS proposes calendar year 2019 and 2020 payment and policy changes for Home Health Agencies and Home Infusion Therapy Suppliers

Date 2018-07-02 Title CMS proposes calendar year 2019 and 2020 payment and policy changes for Home Health Agencies and Home Infusion Therapy Suppliers Contact press@cms.hhs.gov CMS proposes calendar year 2019 and 2020 payment and policy changes for Home Health Agencies and Home Infusion Therapy Suppliers On July 2, 2018,...

49 groups urge CMS to set codes to cover remote monitoring

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By Fred Bazzoli Published June 12 2018, 7:47am EDT Some 49 provider organizations, IT professional groups and vendors are urging the Centers for Medicare and Medicaid Services to designate reimbursement codes that will enable reimbursement for remote monitoring services. Such a step would ensure payment for digital health services...

Reimbursement Update for Remote Patient Monitoring and Chronic Care Management – CPT Codes 99091, 99490, 99487, 99489, and G0506

The 2018 Physician Fee Schedule Rule Includes Reimbursement for Remote Patient Monitoring and New Telemedicine Codes Medicare will pay for CPT code 99091 and the 2018 unadjusted reimbursement rate will be $58.67/month. The un-bundled CPT code 99091 in 2018 means that providers will be able to get reimbursed separately...

HEART Act Targets Medicare Limits on Rural Telehealth, RPM The bill – the latest to take aim at Medicare’s restrictions on telemedicine – seeks to boost rural residents’ access to telehealth and bolster remote patient monitoring programs for those with heart disease.

The HEART Act filed early this month is set to relief some of the challenges Medicare regulations has set for congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) patients in rural areas. The cost saving thus far as indicted by per Rep. Sean Duffy ( R-Wis)  in...

Senate Finance Committee Considering Telehealth Options to Improve Care and Lower Costs

Providing “ACOs the Ability to Expand Telehealth Use”, “Medicare Advantage Changes” and “Expanding Access to Home Dialysis Therapy” are among the strategic changes the Bipartisan Chronic Care Working Group is looking into get feedback on for the use of telehealth products and services. January 5th 2016, The National Law Review On December 18, 2015,...

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