article thumbnail

CMS's 2019 proposal makes broad strides in telehealth, interoperability, documentation

Mobi Health News

The Centers for Medicare and Medicaid Services released its new proposed Physician Fee Schedule and Qualified Payment Program updates for 2019, and the announcement includes some big strides forward in promoting digital health technology, including widened telemedicine coverage, an overhaul of documentation requirements, and a new focus on interoperability. (..)

article thumbnail

Florida woman to pay $20.3M after using telemedicine to shield alleged fraud

Healthcare IT News - Telehealth

Among the allegations are that Wolfe and her conspirators submitted well over $400 million in illegal durable medical equipment claims to Medicare and the Civilian Health and Medical Program of the Department of Veterans, relying on the guise of "telemedicine" to explain the unusually high volume of claims. THE LARGER TREND.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Psychiatrists 'pleasantly surprised' with transition to telemedicine

Healthcare IT News - Telehealth

A qualitative RAND Corporation study finds that psychiatrists offering telemedicine for the first time during the COVID-19 pandemic have had largely positive perceptions of the transition. Many, however, say they plan to return to in-person care when possible, due to the challenges psychiatric telemedicine entail. WHY IT MATTERS.

article thumbnail

Telemedicine Billing: GT, 95 & GQ Modifier Differences

Mend

The world of telemedicine has become increasingly important in recent years and telemedicine services are growing at a rapid pace, especially in the wake of a global pandemic. Specifically, for those practicing telemedicine, knowing how to use appropriate modifiers and CPT codes is essential for proper reimbursement.

article thumbnail

FBI, DOJ bust 24 people in $1.2 billion telemedicine fraud scheme

Healthcare IT News - Telehealth

Hundreds of thousands patients were lured into worldwide criminal healthcare fraud schemes involving telemedicine and durable medical equipment (DME) executives, according to the FBI and Department of Justice. WHY IT MATTERS. billion in losses. ON THE RECORD. WHAT ELSE TO KNOW. billion in claims and were paid over $900 million.

article thumbnail

Medicare Rolls Out Telehealth Indicator for Patients to Easily Find Telehealth Providers

Telebehavioral Health Institute

In January 2023, the Centers for Medicare & Medicaid Services (CMS) rolled out a new telehealth “indicator” to make information about Medicare telehealth providers on publically-available clinician profile pages more readily available. Medicare Telemedicine Snapshot Data File. 2021 (2021). 2021 (2021).

article thumbnail

AccessHealth uses telemedicine to boost mental health visits by 10% during COVID-19

Healthcare IT News - Telehealth

COVID-19 spurred Houston-based AccessHealth to quickly scale up its telemedicine offerings, just as it did with most other health systems nationwide. "Then we had to ensure the correct coding and documentation was satisfactory for insurance billing purposes." THE PROBLEM. Decisions were not made yet on the level of payment.