Posts tagged Remote Monitoring
New Reimbursement Opportunities for Digital Mental Health Treatment in 2025: CMS’ Final Rule
New Reimbursement Opportunities for Digital Mental Health Treatment in 2025: CMS’ Final Rule

See what the final Medicare Physician Fee Schedule for 2025 has to say about Digital Mental Health Treatment

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Remote Monitoring, Medicare Physician Fee ScheduleCarrie Nixonremote patient monitoring, Remote Therapeutic Monitoring, Remote Monitoring, remote care, Telehealth, Medicare, Teleheath, Digital Health, behavioral health integration, mpfs, medicare physician fee schedule, remote therapeutic monitoring, digital health, mental health, telemental health, DMHT
OIG’s Call for Increased Oversight of Remote Patient Monitoring Misses the Mark
OIG’s Call for Increased Oversight of Remote Patient Monitoring Misses the Mark

Learn about the Office of Inspector General’s new report around remote patient monitoring and the key areas where it misses the mark.

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Remote MonitoringCarrie NixonOIG, remote patient monitoring, Remote Therapeutic Monitoring, Remote Monitoring, remote care, Telehealth, Medicare, Teleheath, software as a medical device, Digital Health, compliance, compliance assessment, Healthcare compliance, Chronic Care Management, Principal Care Management, behavioral health integration
Point Solution Fatigue, Meet M&A: How Strategic Transactions Can Transform Digital Health
Point Solution Fatigue, Meet M&A: How Strategic Transactions Can Transform Digital Health

Explore how strategic mergers and acquisitions (M&A) can reduce or even eliminate point solution fatigue by creating more comprehensive and integrated platforms that will improve patient care and reduce administrative burden.

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Corporate Healthcare LawKevin Joyce, Carrie Nixon, Sam PinsonM&A, Digital Health, Remote Patient Monitoring, Remote Monitoring, AI, reimbursement, fee for service, privacy and security
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
CMS clarifies use of Remote Patient Monitoring during COVID-19 and further expands Telehealth for Physical Therapists, Occupational Therapists, Speech Pathologists, other practitioners
CMS clarifies use of Remote Patient Monitoring during COVID-19 and further expands Telehealth for Physical Therapists, Occupational Therapists, Speech Pathologists, other practitioners

The Center for Medicare and Medicaid Services (“CMS”) has issued a second Interim Final Rule (“IFR2”) that includes additional expansions and clarifications relating to the provision and reimbursement of telehealth, remote patient monitoring, and telephone services during the COVID-19 Public Health Emergency (“PHE”). While these expansions are another step forward for the adoption of digital technologies and services in healthcare, there are additional changes needed in the near-term, as detailed in the summary below.

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Telehealth, Care Management ServicesCarrie NixonTelehealth, Telemedicine, Remote Patient Monitoring, Remote Monitoring, COVID-19, Medicare, CMS, Reimbursement, Coronavirus, Carrie Nixon
Webinar and Discussion: Reimbursement and Implementation of Telehealth, Remote Patient Monitoring, and Virtual Check-Ins during COVID-19...and Beyond
Webinar and Discussion: Reimbursement and Implementation of Telehealth, Remote Patient Monitoring, and Virtual Check-Ins during COVID-19...and Beyond

Join us for a webinar to explain the most recent regulatory and reimbursement changes around the Remote Patient Monitoring, Telehealth, e-Visit, and Virtual Check-in CPT codes, during COVID-19, and what those changes mean from a practical perspective.

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Telehealth, Remote MonitoringCarrie Nixon and Kaitlyn O'ConnorRemote Monitoring, Remote Patient Monitoring, Telehealth, Telemedicine, e-Visit, virtual check-in, virtual care, COVID-19, CMS, FDA, OIG, Coronavirus
Is Your Digital Health or Remote Patient Monitoring Company Violating the BIPA?
Is Your Digital Health or Remote Patient Monitoring Company Violating the BIPA?

Historically, biometric data – think fingerprint scans to “clock in” and face recognition technology for identifying potential suspects – has been collected by employers, law enforcement, and financial institutions and used for security purposes. As technology evolves and becomes more sophisticated, private companies—including digital health, telemedicine, and RPM companies—are beginning to incorporate biometric data from consumers and patients into their solutions.

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Remote Monitoring, PrivacyRebecca GwiltBIPA, biometric data, biometric information, Digital Health, Remote Monitoring
How to Get Paid for Patient "e-Visits" under the 2020 Medicare Physician Fee Schedule
How to Get Paid for Patient "e-Visits" under the 2020 Medicare Physician Fee Schedule

The Centers for Medicare and Medicaid Services (CMS) released the Final Medicare Physician Fee Schedule for CY 2020 (the “2020 MPFS”) on November 1, 2019. The 2020 MPFS finalizes six new CPT codes for e-Visits, providing new opportunities for physician practices to be reimbursed for conducting digital health assessments and evaluations for their patients and for remote patient monitoring companies to add these capabilities to their platforms.

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Remote Monitoring, Medicare Physician Fee ScheduleKaitlyn O'ConnorRemote Patient Monitoring, Remote Monitoring, RPM, Digital Health, virtual care, 2020 MPFS, 2020 Medicare Physician Fee Schedule, Coronavirus
Proposed 2020 Medicare Physician Fee Schedule offers new reimbursement for Remote Patient Monitoring
Proposed 2020 Medicare Physician Fee Schedule offers new reimbursement for Remote Patient Monitoring

On July 29, 2019, the Center for Medicare and Medicaid Services (“CMS”) released its proposed rule for the 2020 Medicare Physician Fee Schedule (the “2020 MPFS”).

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Remote Monitoring, Medicare Physician Fee ScheduleCarrie NixonRemote Monitoring, Remote Patient Monitoring, Medicare, 2020 Medicare Physician Fee Schedule, physician practice, Physicians, Reimbursement, Coronavirus
CMS issues Technical Correction regarding "Incident To" Billing for Remote Patient Monitoring
CMS issues Technical Correction regarding "Incident To" Billing for Remote Patient Monitoring

On March 14, 2019, CMS issued “Technical Corrections” to address errors in the 2019 Final Medicare Physician Fee Schedule (“MPFS”) published on November 23, 2018. One of these corrections addresses “incident to” billing by clinical staff, and has important implications for Remote Patient Monitoring under CPT Code 99457.

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Remote Monitoring, Care Management ServicesCarrie NixonRemote Monitoring, Remote Patient Monitoring
How to Get Paid for Remote Interprofessional Consultation between Physicians
How to Get Paid for Remote Interprofessional Consultation between Physicians

Beginning January 1, 2019, physicians and other Qualified Healthcare Providers (“QHCPs”) eligible to independently bill for E/M services can obtain standalone reimbursement for Interprofessional Internet Consultations using CPT Codes 99446-99449, 99451, and 99452.

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Corporate Healthcare Law, Remote MonitoringKaitlyn O'ConnorInterprofessional internet consultation, MPFS, 2019 Medicare Physician Fee Schedule, CPT 99446, CPT 99447, CPT 99448, CPT 99449, CPT 99451, CPT 99452, CPT, Remote Patient Monitoring, Remote Monitoring, Healthcare innovation, Coronavirus
CMS introduces CPT Codes 99453, 99454, and 99457 to reimburse for Chronic Care Remote Patient Monitoring
CMS introduces CPT Codes 99453, 99454, and 99457 to reimburse for Chronic Care Remote Patient Monitoring

The final 2019 Medicare Physician Fee Schedule (the “Rule”), released on November 1st, creates three new codes in the category of Chronic Care Remote Physiologic Monitoring (“CCRPM”) for (1) initial set-up and patient education, (2) initial device supply, and (3) monitoring data and interacting with patients or caregivers.

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Care Management Services, Remote Monitoring, Telehealth, Corporate Healthcare LawKaitlyn O'ConnorRemote Monitoring, Remote Patient Monitoring, chronic condition, Chronic Care Management, medicare, 2019 Medicare Physician Fee Schedule, Healthcare innovation, Coronavirus
HCPCS Code G2010 reimburses for Remote Evaluation of Patient-Submitted Images and Video
HCPCS Code G2010 reimburses for Remote Evaluation of Patient-Submitted Images and Video

The final 2019 Medicare Physician Fee Schedule, released by CMS on November 1, 2018, includes a new code that physicians may use to bill for remote evaluation of images to determine whether or not an in-person office visit is necessary. Learn more about HCPCS Code G2010 and how it can be used in medical practices.

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Remote Monitoring, Medicare Physician Fee ScheduleCarrie NixonRemote Monitoring, Remote Patient Monitoring, Reimbursement, HCPCS G2010, 2019 Medicare Physician Fee Schedule, Coronavirus
How to get Reimbursed for Virtual Check-ins under HCPCS Code G2012
How to get Reimbursed for Virtual Check-ins under HCPCS Code G2012

In its Final Rule for the 2019 Medicare Physician Fee Schedule released on Friday, CMS introduced a new code, HCPCS G2012, allowing physicians and other qualified healthcare professionals (“QHCPs”) to be reimbursed for “virtual check-ins” with patients who aren’t sure whether or not their symptoms warrant an in-office visit. Learn more about virtual check-ins and how they can be used by practices.

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Medicare Physician Fee Schedule, Remote MonitoringRebecca GwiltRemote Patient Monitoring, Remote Monitoring, virtual check-in, 2019 Medicare Physician Fee Schedule, QHCP, Qualified Health Care Professional, HCPCS G2012, Healthcare innovation, Coronavirus