Posts tagged RPM
WEBINAR: New Remote Therapeutic Monitoring and Virtual Care Management Codes in the 2022 MPFS: Everything you need to know
WEBINAR: New Remote Therapeutic Monitoring and Virtual Care Management Codes in the 2022 MPFS: Everything you need to know

We're back with our most-anticipated webinar of the year! If you are interested in leveraging the new RTM codes or learning more about expanded CCM and PCM reimbursement opportunities in the 2022 MPFS, join us on January 19th!

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Remote MonitoringCarrie Nixon and Kaitlyn O'ConnorRPM, RTM, Remote Therapeutic Monitoring, Remote Patient Monitoring, virtual care, Care Management Services, 2022 MPFS, 2022 Medicare Physician Fee Schedule
New Reimbursement for Remote Therapeutic Monitoring in the Final 2022 Medicare Physician Fee Schedule
New Reimbursement for Remote Therapeutic Monitoring in the Final 2022 Medicare Physician Fee Schedule

This article examines the new CPT codes for Remote Therapeutic Monitoring as finalized for reimbursement in the 2022 Medicare Physician Fee Schedule, discussing key takeaways and implications for digital health and remote patient monitoring companies.

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Remote MonitoringCarrie NixonRemote Therapeutic Monitoring, Remote Monitoring, Remote Patient Monitoring, Reimbursement, MPFS, 2022 Medicare Physician Fee Schedule, CPT Code 98975, CPT Code 98976, CPT code 98977, CPT code 98980, CPT code 98981, RPM, RTM, CPT
[video] Digital Health Innovators: Does your solution qualify as Software as a Medical Device (SaMD)?
[video] Digital Health Innovators: Does your solution qualify as Software as a Medical Device (SaMD)?

If you’re in the Remote Patient Monitoring (RPM) or Remote Therapeutic Monitoring (RTM) space, then you’ll want to understand the criteria and opportunities for qualifying as Software as a Medical Device (SaMD)

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Digital Therapeutics/SaMDKaitlyn O'ConnorRPM, RTM, SaMD, FDA, Life Sciences and Biotech, Tommy Miller, Kaitlyn O'Connor, CMS, Remote Therapeutic Monitoring, Remote Monitoring, Remote Patient Monitoring, software as a medical device
Remote Therapeutic Monitoring in the 2022 MPFS: How CMS Can (and Should) Get it Right
Remote Therapeutic Monitoring in the 2022 MPFS: How CMS Can (and Should) Get it Right

This is our take on the approach CMS should follow in improving and finalizing the RTM codes and associated reimbursement that improve patient outcomes and lower the overall cost of care. It is based on our extensive work with remote patient monitoring and care management digital health companies along with the physician practices who use the existing care management codes – including Remote Patient Monitoring (“RPM”), Chronic Care Management, Principal Care Management, and Behavioral Health Integration.

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Remote MonitoringCarrie Nixon2022 Medicare Physician Fee Schedule, Remote Therapeutic Monitoring, remote patient monitoring, Remote Monitoring, virtual care, RPM, RTM, MPFS, 2022, proposed rule, proposed medicare physician fee schedule, medicare physician fee schedule, CMS
New Remote Therapeutic Monitoring CPT codes introduced in Proposed 2022 Medicare Physician Fee Schedule
New Remote Therapeutic Monitoring CPT codes introduced in Proposed 2022 Medicare Physician Fee Schedule

On July 13th, the Centers for Medicare and Medicaid Services (“CMS”) released its proposed Medicare Physician Fee Schedule for Calendar Year 2022 (the “2022 Proposed MPFS” or the “Proposed Rule”). In doing so, it recognized five new CPT codes for Remote Therapeutic Monitoring (“RTM”) of “non-physiologic” patient data such as “musculoskeletal system status, respiratory system status, therapy (medication) adherence, and therapy (medication) response” as well as pain. While this new code set is welcomed by advocates for virtual care, the 2022 Proposed MPFS that discusses RTM may raise just as many questions as it answers.

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Remote Monitoring, Medicare Physician Fee ScheduleCarrie Nixon and Kaitlyn O'Connorremote patient monitoring, RPM, Remote Therapeutic Monitoring, RTM, 2022 Medicare Physician Fee Schedule
**Video Post** The OIG is Watching: Why your telehealth or virtual care company should be focused on compliance right now.
**Video Post** The OIG is Watching: Why your telehealth or virtual care company should be focused on compliance right now.

We’ve hit the record button during our weekly Partner meeting to talk about the increased scrutiny of telemedicine and virtual care service by the Office of the Inspector General (OIG), as reflected in the latest OIG work Plan and ongoing audits and evaluations.

This conversation is especially relevant for those of you in the telehealth/digital health space, whether you’re a healthcare provider or platform/tech providers.

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Telehealth, Remote MonitoringNixon Law GroupOIG, Office of Inspector General, telehealth, telemedicine, virtual care, digital health, provider, RPM, remote monitoring, remote patient monitoring, compliance assessment
Carrie Nixon in mHealth Intelligence Discussing the 2021 MPFS Reimbursements for RPM
Carrie Nixon in mHealth Intelligence Discussing the 2021 MPFS Reimbursements for RPM

Nixon Gwilt Law’s Managing Partner, Carrie Nixon, was quoted in an article appearing in mHealth Intelligence discussing the January amendments by the Centers for Medicare & Medicaid Services to the 2021 Physician Fee Schedule to clarify reimbursement for remote patient monitoring programs.

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Remote Monitoring, Medicare Physician Fee ScheduleCarrie NixonRPM, remote patient monitoring, 2021 MPFS, 2021 Medicare Physician Fee Schedule
Webinar Recording: Remote Patient Monitoring and Virtual Care: Trends, Changes and Clarifications under the 2021 MPFS
Webinar Recording: Remote Patient Monitoring and Virtual Care: Trends, Changes and Clarifications under the 2021 MPFS

Join Nixon Gwilt Law’s Carrie Nixon and Kaitlyn O’Connor for a presentation and discussion about Remote Patient Monitoring and other virtual care services, with a particular focus on how these services are addressed in the 2021 Medicare Physician Fee Schedule and what that may mean for business and reimbursement models going forward.

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Remote MonitoringNixon Law Groupremote patient monitoring, RPM, MPFS, 2021 Medicare Physician Fee Schedule, 2021 MPFS
Carrie Nixon in mHealth Intelligence Discussing the 2021 Medicare Physician Fee Schedule
Carrie Nixon in mHealth Intelligence Discussing the 2021 Medicare Physician Fee Schedule

Nixon Gwilt Law’s Managing Partner, Carrie Nixon, was quoted in an article appearing in mHealth Intelligence discussing the recent changes to Telehealth and Remote Patient Monitoring with the new 2021 Medicare Physician Fee Schedule (learn about our take here and here).

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Telehealth, Medicare Physician Fee ScheduleCarrie Nixontelehealth, remote patient monitoring, 2021 MPFS, 2021 Medicare Physician Fee Schedule, rpm, RPM, Carrie Nixon
Discover how six important additions and amendments to the physician self-referral law ("Stark") could create opportunities to grow your healthcare business in 2021
Discover how six important additions and amendments to the physician self-referral law ("Stark") could create opportunities to grow your healthcare business in 2021

A Final Rule published by CMS makes several important changes to the Stark Law that will be a boon for physicians eager to more closely coordinate with other providers to (1) better manage patient care and (2) to participate in the shift to value-based reimbursement.

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Corporate Healthcare LawRebecca GwiltStark Law, Stark, Digital Health, telemedicine, data analytics, innovation, CMS, healthcare innovation, healthcare attorney, healthcare lawyer, fee for value, value-based care, RPM, fraud and abuse, AKS, Safe Harbor, Rebecca Gwilt
Remote Patient Monitoring in the 2021 Medicare Physician Fee Schedule: The good, the bad, and the ugly
Remote Patient Monitoring in the 2021 Medicare Physician Fee Schedule: The good, the bad, and the ugly

On December 1, 2020, the Centers for Medicare and Medicaid Services (“CMS”) released its Final Medicare Physician Fee Schedule for 2021 (the “Final 2021 MPFS”), revising payment policies for services provided to Medicare beneficiaries by medical practitioners. These policies will take effect on January 1, 2021. Read on for insights from Team NGL.

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Remote Monitoring, Medicare Physician Fee ScheduleCarrie Nixon and Kaitlyn O'Connor2021 MPFS, Digital Health, Telehealth, Telemedicine, Remote Patient Monitoring, RPM, CMS, Medicare, regulations, 2021 Medicare Physician Fee Schedule, Carrie Nixon, Kaitlyn O'Connor
Changes to the Anti-Kickback Regulations are Good News for Digital Health Innovation and the Shift to Value-Based Care
Changes to the Anti-Kickback Regulations are Good News for Digital Health Innovation and the Shift to Value-Based Care

The Office of the Inspector General for HHS released a Final Rule aimed at reducing regulatory barriers and facilitating the move towards value-based care and giving healthcare providers and digital health companies more flexibility to enter into new business arrangements. This article is a high-level overview of the Rule and what it may mean for the future of healthcare.

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Value-Based Care ModelsCarrie NixonAnti-Kickback Statue, regulations, Digital Health, Healthcare innovation, OIG, Safe Harbor, AKS Safe Harbor, Carrie Nixon, Stark Law, Stark, rp, m, RPM, fraud and abuse, AKS, safe harbor
Behavioral Health Integration Under the 2021 Medicare Physician Fee Schedule Proposed Rule
Behavioral Health Integration Under the 2021 Medicare Physician Fee Schedule Proposed Rule

On Monday, August 3, 2020, the Centers for Medicare & Medicaid Services (“CMS”) released the 2021 Medicare Physician Fee Schedule Proposed Rule (the “Proposed Rule”). The 2021 Proposed Rule includes a new code under the Behavioral Health Integration (“BHI”) Collaborative Care Model (“CoCM”) that, if finalized, would offer reimbursement for a shorter increment of time than had previously been available under BHI.

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Behavioral Health, Medicare Physician Fee ScheduleKaitlyn O'Connorbehavioral health, CMS, MPFS, 2021 MPFS, RPM, Telehealth, Telemedicine, Kaitlyn O'Connor
Remote Patient Monitoring in the 2021 Proposed Medicare Physician Fee Schedule
Remote Patient Monitoring in the 2021 Proposed Medicare Physician Fee Schedule

Last evening, the Centers for Medicare & Medicaid Services (“CMS”) issued its proposed Medicare Physician Fee Schedule for CY 2021 (the “MPFS”). In addition to a number of important changes relating to the provision and reimbursement of telehealth, the proposed MPFS includes long-awaited clarifications around use of the Remote Patient Monitoring (“RPM”) codes established over the past three years

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Remote MonitoringCarrie NixonRPM, Remote Patient Monitoring, regulations, CMS, MPFS, 2021 MPFS, Carrie Nixon
FQHCs and RHCs now paid for Telehealth and Virtual Communications Services during COVID-19
FQHCs and RHCs now paid for Telehealth and Virtual Communications Services during COVID-19

The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) passed by Congress on March 27, 2020 opened the door for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to increase healthcare access to patients in rural and underserved areas by reimbursing for telehealth services to Medicare beneficiaries during the public health emergency (PHE). In addition, CMS has issued non-legislative policy changes and flexibility to address the increased need for remote services for Medicare beneficiaries in rural areas of the country.

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TelehealthRebecca GwiltCoronavirus, COVID-19, Telehealth, virtual care, communications, RPM, Remote Patient Monitoring, CMS, Rebecca Gwilt