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New codes from the AMA could mean more RPM reimbursement by 2025

Healthcare IT News - Telehealth

These codes can be split into two categories to help understand their uses. Medicare was the first to cover RPM. It is also worth noting that Medicare is not necessarily required to update its coding rules to reflect AMA's CPT code rules. These have been the four most common general RPM codes for a few years now.

Medicare 160
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DOJ charges dozens in $1.1B telehealth fraud crackdown

Healthcare IT News - Telehealth

"We have seen all too often criminals who engage in health care fraud – stealing from taxpayers while jeopardizing the health of Medicare and Medicaid beneficiaries," said Deputy Inspector General for Investigations Gary L. Email: kjercich@himss.org. More than $1.1 Cantrell of HHS-OIG in a statement. Twitter: @kjercich.

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Covid-19 – Technology changes accelerate – some a work-in-progress

Aging in Place Technology Watch

If your firm is in the remote care/caregiving space (health, telehealth, engagement), please comment or email and I will add to this list. But since doctors are now being reimbursed as though the visit was in person, that has been clarified to enable Medicare reimbursement for telehealth during the ’30 day’ plan of care.

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Billing Telehealth Updates for the South Central Region – December 2020

South Central Telehealth Resource Center

Cigna and Medicare have both rolled out significant permanent telehealth changes, with Cigna implementing a new Virtual Care Policy and Medicare implementing several additional permanent flexibilities. Medicare: No Changes. Medicare created two new HCPCS codes, G2250 & G2251, for virtual check-ins for these provider types.

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MedPAC members weigh future of telehealth coverage

Healthcare IT News - Telehealth

In a virtual public meeting this past Friday, members of the Medicare Payment Advisory Commission discussed how – and whether – to permanently expand telehealth in Medicare. Before the pandemic, Medicare's physician fee schedule covered a limited set of telehealth services in rural locations.

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How CMS is boosting telehealth and RPM with new CPT codes

Healthcare IT News - Telehealth

In the latest Medicare Physician Fee Schedule, the U.S. Centers for Medicare and Medicaid Services proposed for the first time a set of CPT codes for remote therapeutic monitoring. Nevertheless, new categories of digital health reimbursement have become increasingly clear. Email the writer: bsiwicki@himss.org.

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Here's what primary care clinicians say they need to effectively implement telehealth

Healthcare IT News - Telehealth

Overall, the respondents' recommendations for policymakers fell into five general categories: Harmonize the reimbursement criteria. Centers for Medicare and Medicaid Policy were to address these policy issues in a consistent way, she predicted, commercial insurers would likely follow suit. Email: kjercich@himss.org.