Medicare Reimbursement

Congress Mulls Audio-Only Telehealth Coverage for MA, PACE Members

by Eric Wicklund

A new bill before Congress aims to ensure Medicare coverage for audio-only telehealth services during the coronavirus pandemic for Medicare Advantage and PACE (Program of All-Inclusive Care for the...

MedPAC Recommends Limiting Post-COVID-19 Telehealth Coverage, More Study

by Eric Wicklund

The Medicare Payment Advisory Commission is taking a cautious approach to permanent telehealth policy, advising lawmakers to extend some emergency rules for telehealth access and coverage up to a few...

As CMS Moves Forward With ET3 Model, Will Telehealth Get Its Chance?

by Eric Wicklund

Federal officials have selected another 184 emergency healthcare providers to take part in an innovative program that can use telehealth and mHealth to improve care coordination for people dialing...

Will Telehealth Payment Parity Be Permanent or a Passing Fancy?

by Eric Wicklund

As federal and state lawmakers look to establish telehealth policy beyond the coronavirus pandemic, much of the conversation will focus on payment parity. That’s the biggest take-away from a...

MetroHealth Launches a Medicare-Backed Mobile Integrated Health Program

by Eric Wicklund

Cleveland’s MetroHealth System is partnering with three EMS agencies in a Medicare-based mobile integrated health (MIH) program aimed at bringing virtual care to the patient and reducing...

AHA Tells MedPAC to Take its Time on Telehealth Coverage Recommendations

by Eric Wicklund

The American Hospital Association is asking the Medicare Payment Advisory Commission to hold off on long-term recommendations for telehealth expansion and coverage, saying more analysis is needed to...

Questions Arise Over Medicare Coverage for Mental Health Services by Telehealth

by Eric Wicklund

An overlooked part of last year’s pandemic relief bill is causing headaches for mental healthcare providers seeking Medicare reimbursement for telehealth visits – and prompting one expert...

Humana Launches Remote Patient Monitoring Program for Chronic Care

by Eric Wicklund

Humana is launching a home healthcare service that includes remote patient monitoring. The Kentucky-based insurer is partnering with DispatchHealth to launch the program in Denver and Tacoma, WA, for...

Lawmakers Reintroduce Post-COVID-19 Telehealth Bill, Hoping for a Better Outcome

by Eric Wicklund

With a new administration taking over in Washington, a group of lawmakers is looking to put the emphasis back on passing long-term telehealth legislation. The group this week re-introduced the...

OIG to Audit Telehealth Payments to Home Health Care Providers

by Eric Wicklund

Health systems and home healthcare agencies who have expanded their telehealth footprint to offer home health services during the coronavirus pandemic may soon be facing federal scrutiny. The Health...

CMS Clarifies 2021 PFS Reimbursements for Remote Patient Monitoring

by Eric Wicklund

The Centers for Medicare & Medicaid Services has made corrections to the 2021 Physician Fee Schedule, opening the door to improved reimbursement for remote patient monitoring. In a January 19...

NY Healthcare Program Adds Telehealth Services for PACE Participants

by Eric Wicklund

A healthcare service run by the Archdiocese of New York is launching a home telehealth platform for seniors that coordinates care through their television. ArchCare, which offers services for seniors,...

Telehealth Supporters See Little to Celebrate in Pandemic Relief Bill

by Eric Wicklund

Telehealth advocates aren’t impressed with the lack of support for connected health services in the latest pandemic relief package. While the $900 billion bill, passed by Congress and signed by...

New Bill Aims to Ensure Medicare Coverage for Audio-Only Telehealth Calls

by Eric Wicklund

A new bill before Congress aims to expand Medicare coverage for audio-only phone calls in telehealth programs. The Permanency for Audio-Only Telehealth Act, introduced last week by US Reps. Jason...

CMS Report Cites Benefits, Challenges for Telehealth in Rural Hospitals

by Eric Wicklund

A three-year demonstration project at critical access hospitals in some of the country’s most rural regions found strong support for the use of telehealth to improve access to care. The apparent...

Brigham and Women’s Sees Telehealth Success With Home Hospital Program

by Eric Wicklund

Dozens of health systems across the country are embracing a program that uses telehealth and mHealth to provide care at home for patients who would otherwise be hospitalized. Centers for Medicare...

Analysis: CMS Gives Telehealth a Boost, But More is Needed

by Eric Wicklund

The 2021 Physician Fee Schedule isn’t knocking anyone over with optimism for the future of telehealth adoption. Reactions to last week’s final draft from the Centers for Medicare &...

Medicare Extends COVID-19 Telehealth Coverage in Diabetes Prevention Programs

by Eric Wicklund

Healthcare providers who use telehealth in their Diabetes Prevention Programs will continue to be reimbursed through Medicare during the coronavirus pandemic, according to guidelines issued this week...

CMS Finalizes Telehealth, RPM Coverage in 2021 Physician Fee Schedule

by Eric Wicklund

Telehealth and remote patient monitoring will see significant improvements in Medicare coverage in 2021. The long-awaited 2021 Physician Fee Schedule, unveiled on Tuesday by the Centers for Medicare...

CMS Unveils New Telehealth Program to Treat Acute Care Patients at Home

by Eric Wicklund

Six health systems across the country are expanding their telehealth platform to treat patients at home under a new program launched by the Centers for Medicare & Medicaid Services. The Acute...

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