Mobile healthcare, telemedicine, telehealth, BYOD

mHealth Reimbursement

CMS Code Gives Docs a Chance to Use Store-and-Forward Telehealth

November 12, 2018 - Healthcare providers looking for new ways to implement telehealth and telemedicine are getting a Christmas present from the Centers for Medicare & Medicaid Services: a new code for asynchronous (store-and-forward) telehealth services. Tucked neatly into the 2019 Physicians Fee Schedule and Quality Payment Program unveiled last month, HCPCS Code G2010 covers “Remote Evaluation...


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CMS Gives Telehealth a Nudge With Coverage for Virtual Check-Ins

by Eric Wicklund

Last week’s release of The Centers for Medicare & Medicaid Services’ 2019 Physician Fee Schedule and Quality Payment Program offered good news for providers looking to implement telemedicine for virtual check-ins. While...

CMS to Reimburse Providers for Remote Patient Monitoring Services

by Eric Wicklund

The Centers for Medicare & Medicaid Services has finalized plans to reimburse healthcare providers for certain remote patient monitoring and telehealth services. CMS this week issued its final 2019 Physician Fee Schedule and Quality...

CMS Proposes Telehealth Expansion for Medicare Advantage Plans

by Eric Wicklund

The Centers for Medicare & Medicaid Services is looking to expand telehealth access for members enrolled in Medicare Advantage plans. As part of a 362-page proposal issued on October 26, the Centers for Medicare & Medicaid...

CCHP Report Shows States Are Still Looking For Value in Telehealth

by Eric Wicklund

Anyone looking for that fabled tipping point in telehealth reimbursement and adoption will have to wait a bit longer. The latest edition of the Center for Connected Health Policy’s State Telehealth Laws and Reimbursement Policies...

Pennsylvania Legislature Fails to Pass Telehealth Parity Bill

by Eric Wicklund

Pennsylvania lawmakers have balked on proposed legislation to establish payment parity for telehealth, following strong lobbying from the payer industry. Senate Bill 780, introduced earlier this year by State Sen. Elder Vogel, would have...

MGMA, AMIA Weigh In on CMS’ RPM, Digital Health Reimbursement Plans

by Eric Wicklund

The Centers for Medicare & Medicaid Services may be taking a step forward with proposed improved reimbursements for remote patient monitoring and other digital health services, but some worry that those changes will negatively affect...

Telemedicine Gives SNFs a Tool to Improve Care, Cut Medicare Costs

by Eric Wicklund

An after-hours telemedicine platform helped a Brooklyn-based skilled nursing facility eliminate almost 100 hospitalizations and save roughly $1.5 million in Medicare costs in one year. Those outcomes are included in a case study published...

CMS Overhaul of ACO Rules Includes a Nod to Telehealth’s Value

by Eric Wicklund

A federal effort to revamp the rules around Accountable Care Organizations includes a few nods to telehealth and telemedicine, giving healthcare providers hope that connected care platforms will become more prominent in an overhauled...

Groups Sue Anthem Over Telehealth-Friendly ER Review Policy

by Eric Wicklund

A national payer’s policy of screening ER visits to promote telehealth and mHealth options is being challenged in court. The American College of Emergency Physicians (ACEP) and Medical Association of Georgia (MAG) have...

CMS Makes a ‘Landmark Change’ in RPM, Telehealth Reimbursement

by Eric Wicklund

Earlier this month, the Centers for Medicare & Medicaid Services unveiled its proposed 2019 Medicare Physician Fee Schedule and Quality Payment Program, with several amendments designed to boost remote patient monitoring and telehealth...

CMS Proposes More Medicare Reimbursement For Telehealth, RPM

by Eric Wicklund

The federal government is once again moving toward acceptance of telehealth and remote patient monitoring with new rules on how Medicare reimburses providers for their use of connected health technology. The Centers for Medicare &...

Are State Medicaid Programs Doing Enough to Support Telemedicine?

by Eric Wicklund

Roughly 40 percent of the nation’s Medicaid programs are taking a progressive approach to telehealth and telemedicine reimbursement, according to a new analysis. At the same time, about 20 percent of state programs are classified as...

CMS Embraces mHealth With Reimbursement for Smartphone CGM Links

by Eric Wicklund

Healthcare providers who collaborate with diabetic patients through smartphone-enabled continuous glucose monitors (CGMs) will soon be reimbursed under Medicare. The Centers for Medicare & Medicaid Services announced the change in...

OIG: HIV Telemedicine Program Doesn’t Violate Anti-Kickback Laws

by Eric Wicklund

A healthcare provider offering free telemedicine equipment to a county health clinic for use in HIV treatment and support services won’t be sanctioned under federal anti-kickback laws, according to the Health and Human Services...

mHealth, Telehealth Groups Lobby CMS for Better RPM Reimbursement

by Eric Wicklund

Close to 50 healthcare organizations and vendors are lobbying the Centers for Medicare & Medicaid Services to improve reimbursement opportunities for remote patient monitoring. In a letter delivered this morning to CMS Administrator...

Will a Payer’s New ER Policy Give Telehealth a Boost in Texas?

by Eric Wicklund

A move by Texas’ largest health insurer to reduce unnecessary ER visits could provide a welcome boost to direct-to-consumer telehealth programs in the state. Beginning in June, Blue Cross and Blue Shield of Texas will begin...

State Medicaid Programs Are Seeing the Value of Telehealth at Home

by Eric Wicklund

State lawmakers are coming around to the concept of allowing Medicaid members to access telehealth and telemedicine services from their own homes. In its spring 2018 update of the State Telehealth Laws and Reimbursement Policies Report,...

Feds Take CMS to Task Over Improper Telehealth Reimbursements

by Eric Wicklund

About three of every 10 Medicare reimbursements for telehealth in 2014-15 were made in error, according to a recent audit by federal regulators. The U.S. Health and Human Services Department of the Inspector General announced last week...

Utah Lawmakers, Payers Grapple Over Telemental Health Legislation

by Eric Wicklund

Utah lawmakers are grappling with proposed legislation that would require insurers to cover telemental health consults. HB 139, sponsored by Rep. Steve Eliason (R.-Sandy), would mandate that the state’s Medicaid program and private...

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