Special Needs Pediatric Patient Care That Works
Special needs pediatric patient care improves access, lowers stress, and helps providers deliver better virtual and in-person support for families.
Remote Patient Monitoring Systems That Scale
Remote patient monitoring systems help providers extend care, capture clinical data, and support reimbursement across settings and populations.
Calendar Year (CY) 2025 Medicare Physician Fee Schedule Final Rule
Medicare Parts A & B On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a rule finalizing changes for Medicare payments under the PFS and other Medicare Part B policies, effective on or after January 1, 2025.The CY 2025 PFS final rule is one of several final rules that reflect a broader […]
HHS Finalizes Physician Payment Rule Strengthening Person-Centered Care and Health Quality Measures
Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced it is finalizing new policies in the calendar year (CY) 2025 Medicare Physician Fee Schedule (PFS) final rule to strengthen primary care, expand access to preventive services, and further access to whole-person care for services […]
Calendar Year (CY) 2025 Home Health Prospective Payment System Final Rule Fact Sheet (CMS-1803-F)
On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) final rule, which updates Medicare payment policies and rates for Home Health Agencies (HHAs). This rule also updates the intravenous immune globulin (IVIG) items and services’ payment rate for CY […]
Hospital-at-home, telehealth extension advances in Congress
A U.S. House committee unanimously passed a bill Sept. 18 that would extend the hospital-at-home program and telehealth flexibilities.The Telehealth Modernization Act of 2024 moved out of the Committee on Energy and Commerce and will now go before the full House. The legislation, which would be funded by pharmacy benefit manager reform, would continue the CMS hospital-at-home waiver for five years […]
Proposed Medicare Physician Fee Schedule Would Extend Telehealth Flexibilities and Add New Coverage
Summary PointsThe Centers for Medicare & Medicaid Services (CMS) released its annual proposed rule updating the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2025.1The proposed rule includes various provisions related to telehealth service delivery and other virtual care modalities. Similar to recent proposed rules, many of the provisions seek to extend temporary telehealth and virtual care flexibilities […]
CMS 2025 Physician Fee Schedule Proposed Rule: What PAs Need to Know
AAPA Reimbursement TeamAugust 2, 2024The Centers for Medicare and Medicaid Services (CMS), the federal agency that oversees the Medicare program, released the 2025 Physician Fee Schedule (PFS) proposed rule. The rule updates numerous Medicare coverage and payment policies that impact PAs, physicians, and other health professionals.This year’s rule made no mention of any change to the […]
What the CMS 2025 PFS proposed rule means for virtual care
The 2025 PFS proposed rule extends existing virtual care payment rules and introduces new codes for digital therapeutics, highlighting virtual care’s lasting role in healthcare. The Centers for Medicare & Medicaid Services (CMS) issued its 2025 Physician Fee Schedule (PFS) proposed rule earlier this month. Alongside a 2.8 percent payment cut for physicians, the rule includes numerous proposals directed […]
2024 Telehealth Reimbursement Updates: Expanding Access and Optimizing Care
As the adoption of telehealth, remote monitoring, and connected care technologies continues to increase, it’s important for healthcare leaders to stay on top of the latest updates in telehealth reimbursement. Some of the most significant updates come from the Centers for Medicare & Medicaid Services (CMS), which released its final rule for Medicare payments under the Physician Fee […]
2024 Remote Therapeutic Monitoring Codes & How to Bill
If you are a medical professional interested in leveraging remote technology to optimize patient health, this guide outlines remote therapeutic monitoring codes for 2024 and how to bill using RTM CPT codes. Remote therapeutic monitoring (RTM) is similar to remote patient monitoring. However, RTM is used to acquire non-physiological patient data for the respiratory and musculoskeletal […]
CMS Releases Updated Medicaid & CHIP Telehealth Toolkit, Includes State Best Practices and Behavioral Health Strategies
February 15, 2024 Anne Dwyer This month, CMS released an updated State Medicaid and CHIP Telehealth Toolkit consolidating information from previous toolkits and providing additional guidance – as required by the Bipartisan Safer Communities Act – on issues from billing best practices to strategies for using telehealth in schools. In addition to FAQs on issues such as benefit flexibility, financing, […]
The Promise of Technology to Solve for Healthcare’s Most Pressing Challenges
Hospitals across the nation are facing financial constraints and unprecedented staffing shortages. This situation is compounded by the growing need to provide skilled, resource-intensive care for sicker patients being admitted to hospitals’ general care units. This situation is not only impacting clinical staff, who are overworked, stretched thin and reporting high levels of burnout, but […]