Category: Telehealth

2019 Medicare Physician Fee Schedule and Quality Payment Program CMS Proposed Rule CPT Codes 99453, 99454, and 99457 – Everything You Need to Know

Please see below for CMS Final Rule Update* CMS has proposed three new codes for RPM services, retitled “Chronic Care Remote Physiologic Monitoring,” which do a far better job reflecting how providers can more effectively and efficiently use RPM technology to monitor and manage patient care needs, including chronic...

The AMA helps rather than hurts telehealth

The AMA’s new CPT codes streamline virtual care visits, simplifying and incentivizing telehealth services for mainstream clinical practices. Recently, the American Medical Association revealed the 2019 Current Procedural Terminology (CPT) code set. These codes make it possible for physicians and other healthcare providers to bill insurers for services provided...

KLAS: Remote patient monitoring reduces admissions, readmissions, ER visits

Remote patient monitoring programs offer multiple clinical and financial benefits, including reducing hospital admissions among patients, according to a new KLAS Research report. KLAS Research partnered with the American Telemedicine Association to examine success factors for remote patient monitoring programs at different healthcare organizations, including hospitals, payers and home...

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, the healthcare industry is driven by profitability. In healthcare, profitability is generally driven by reimbursements from government payers such as Medicare and...

Adopting Telemedicine Increases Ability to Treat in Place and Lower Hospitalizations

By Mary Jo Gorman, MD, MBA ON September 14, 2018 An Increasing Number of Skilled Nursing Facilities are Catching the Telemedicine Wave Skilled Nursing Facilities (SNFs) nationwide are experiencing increasing challenges. These include sicker patients, higher turnover in staff, narrowing of referral networks, increased regulatory oversight and pressure to...

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

CMS has proposed three new codes for RPM services, retitled “Chronic Care Remote Physiologic Monitoring,” which do a far better job reflecting how providers can more effectively and efficiently use RPM technology to monitor and manage patient care needs, including chronic care management.  If finalized, these three codes would...

After-Hours Telemedicine Helps Skilled Nursing Facilities Avoid Unnecessary Hospitalizations, AJMC® Study Finds

August 20, 2018 As skilled nursing facilities handle more complex care, the need arises for physician input before sending patients to the hospital. Study findings reported this month in The American Journal of Managed Care® show that using telemedicine for this purpose can lead to fewer hospitalizations and savings for Medicare....

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...

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