Home care providers slow to chase Medicare Advantage business opportunities may now be motivated to speed up their pursuits. Last week, the Centers for Medicare & Medicaid Services (CMS) announced it was broadening the range of supplemental benefits Medicare Advantage (MA) plans can offer in 2020. Starting next year, health care policymakers will allow MA […]
Access to telehealth services for seniors got another boost Friday when the Centers for Medicare & Medicaid Services said it would allow private Medicare Advantage plans to offer additional access to virtual doctors in their basic benefit packages. The so-called final rule will bring new benefits to seniors in 2020 as part of their Medicare […]
CMS finalizes policies to bring innovative telehealth benefit to Medicare AdvantageFinal Rule will strengthen popular Medicare private health insurance plans, expand telehealth access for patients, and improve coordination for dual-eligible individuals Today, the Centers for Medicare & Medicaid Services (CMS) finalized policies that will increase plan choices and benefits, including allowing Medicare Advantage plans to […]
Final Rule will strengthen popular Medicare private health insurance plans, expand telehealth access for patients, and improve coordination for dual-eligible individuals Today, the Centers for Medicare & Medicaid Services (CMS) finalized policies that will increase plan choices and benefits, including allowing Medicare Advantage plans to include additional telehealth benefits. These policies continue the agency’s efforts […]
Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule (CMS-4185-F) On April 5, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates the Medicare Advantage (MA or Part C) and Medicare Prescription Drug Benefit (Part D) programs by promoting innovative plan designs, improved quality, and choices for […]
The Centers for Medicare & Medicaid Services (CMS) on Friday finalized new guidance that will allow Medicare Advantage plans to expand coverage of telehealth services. Beginning in plan year 2020, Medicare Advantage providers can include telehealth services as part of their basic benefits to enrollees, moving remote doctor visits from an optional add-on to a […]
The CMS finalized a rule on Friday that would give Medicare Advantage plans more flexibility to offer additional telehealth services to seniors as part of their basic benefits package starting in 2020. The rule, proposed in October 2018, allows seniors to use telehealth services in their homes, rather than being required to go to a […]
Dr. Miltie offers this information and guidance towards adopting, implementing, and deploying a successful telehealth program within your organization. CMS Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule (CMS-4185-F) On April 4, 2019, the Centers for Medicare & Medicaid Services (CMS) issued the final Medicare Advantage Rule for calendar year 2020, announcing […]
The Centers for Medicare & Medicaid Services has adjusted a new CPT code for remote patient monitoring, giving providers more leeway in using mHealth for chronic care management and coordination. By Eric Wicklund April 04, 2019 – The Centers for Medicare & Medicaid Services has tweaked its new CPS code for remote patient monitoring, giving healthcare […]
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 organizations seeking federal support for connected […]
With the increased premium placed on preventing rehospitalizations from skilled nursing facilities, timely interventions from a doctor can potentially make a major difference. Between 2012 and 2014, about 10.4% of residents did not see a physician at all during their time in the skilled nursing facility, according to a study published Monday in the journal […]
Telehealth’s Role in Digital Transformation Telehealth is part of a larger digital transformation in healthcare. Care that used to take place only in brick-and-mortar settings can now occur digitally. Accordingly, hospitals and health systems are exploring a variety of virtual care models, many of which are underpinned by telehealth technology. Hospitals already are using telehealth […]
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 name of the physician, subject to […]
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Towards the end of 2018, several developments in the area of telehealth signal significant changes are on the horizon in 2019. The following provides a summary of these developments and implications for 2019 and beyond. Medicare Advantage Payment for Telehealth In the November 1, 2018 proposed policy and technical changes to Medicare Advantage for fiscal […]