Category: Reimbursement

CMS rule to overhaul Medicare Shared Savings Program would imperil ACOs, group says

The National Association of ACOs (NAACOS) argues that a rule proposed by the Centers for Medicare and Medicaid Services (CMS) to overhaul the Medicare Shared Savings Program (MSSP) begun in 2012 under the Affordable Care Act would create havoc by “introducing many untested and troubling policies.” “The administration’s proposed...

Medicare Proposes (and Rejects) New Telehealth Services for 2019

Medicare Proposes (and Rejects) New Telehealth Services for 2019 Wednesday, August 8, 2018 The telemedicine industry was pleased to learn CMS recently proposed adding new services to its list of Medicare-covered telehealth services.  But what may be more interesting are the services CMS declined to add, and why.  This article summarizes the newly-proposed...

2019 Medicare Physician Fee Schedule and Quality Payment Program – CMS Proposed Rule CPT Codes 990X0, 990X1, and 994X9

CMS’ explanation for its bold, new proposal: “We now recognize that advances in communication technology have changed patients’ and practitioners’ expectations regarding the quantity and quality of information that can be conveyed via communication technology. From the ubiquity of synchronous, audio/video applications to the increased use of patient-facing health...

CMS Makes a ‘Landmark Change’ in RPM, Telehealth Reimbursement

Digital health expert Nathaniel Lacktman breaks down CMS’ proposed 2019 Physician Fee Schedule and Quality Payment Program, examining how it should boost support for services like remote patient management and store-and-forward telehealth. By Eric Wicklund July 20, 2018 – Earlier this month, the Centers for Medicare & Medicaid Services unveiled...

Virtual care reimbursement proposed by Medicare: 5 things to know

Written by Julie Spitzer | July 17, 2018 | CMS made a series of suggestions to expand telehealth in its latest Medicare Physician Fee Schedule and Quality Payment Program, a 1,473-page proposal released July 12. Here are five telehealth changes CMS proposed: 1. Although CMS has bundled “routine non-face-to-face communication” into...

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