Healthcare IT Today

FEBRUARY 16, 2024

The latest round of funding will fuel the company’s expansion to meet the increasing demand for Cohere’s intelligent prior authorization platform. Harnessing Cohere’s patented AI-powered technology, Cohere’s solutions assist health plans to meet and exceed these regulations.

Interoperability 90

Interoperability Leadership Medicare Digital Health 90

BHM Healthcare Solutions

JUNE 22, 2023

Medicare Advantage plans are a popular alternative to Original Medicare for many seniors who want more coverage and flexibility. But what exactly are Medicare Advantage plans and how do they work? What Are Medicare Advantage Plans? What Are Medicare Advantage Plans? How To Choose A Medicare Advantage Plan?

Medicare 52

Medicare Primary Care 52

Mobi Health News

DECEMBER 5, 2022

Medicare Advantage plans need to offer an array of choices to meet the overall health needs of members.

Medicare 295

Medicare 295

FierceHealthIT

JUNE 14, 2023

The country’s largest physician organization is taking a strong stance against noncompete contracts for physicians and is redoubling efforts to urge Congress to boost Medicare payments. |

Medicare 109

Medicare 109

BHM Healthcare Solutions

MAY 1, 2018

Payers are rapidly becoming educated in telehealth and are keen on closing telehealth gap, but need to be mindful of Medicare requirements. Almost a third of telemedicine claims sampled by HHS’ Office of Inspector General did not meet Medicare requirements, resulting in an estimated $3.7

Medicare 40

Medicare Telehealth Telemedicine 40

Digital Health Global

FEBRUARY 13, 2023

Centers for Medicare & Medicaid Services has approved coverage for Dexcom G7, the most accurate, 1 easy-to-use CGM system that helps people with diabetes gain greater control of their health. 2-6 The approval of Medicare coverage for Dexcom G7 further solidifies Dexcom as the most covered and reimbursed CGM brand on the market.

Medicare 88

Medicare Digital Health 88

DrKumo Remote Patient Monitoring

FEBRUARY 13, 2024

Disclaimer: This blog article, “Mastering Remote Patient Monitoring Reimbursement: A Guide to Medicare Billing Success,” offers general information and is not a substitute for professional advice. Medicare, as a crucial player in healthcare reimbursement, plays a pivotal role in facilitating the adoption of RPM.

Medicare 40

Medicare HIPAA Interoperability healthcare technology 40

Health Populi

JUNE 24, 2019

Cost is the major reason why Medicare Advantage plan beneficiaries switch plans, but people who switch also tend to have lower satisfaction scores based on non-cost factors. Power’s 2019 Medicare Advantage Plan Study. Power surveyed 3,233 members of Medicare Advantage plans in January through March 2019. For the research, J.D.

Medicare 140

Medicare 140

FierceHealthIT

SEPTEMBER 13, 2019

Medicare Advantage plans still have time to meet their year-end goals.

Medicare 70

Medicare 70

Healthcare IT News - Telehealth

NOVEMBER 10, 2020

Prepare Now for Anticipated Changes to Medicare and Private Payer Rules. The Centers for Medicare and Medicaid Services (CMS) is expected to issue new rules for telehealth in the release 2021 Physician Fee Schedule later this year. Today, Medicare reimburses for specific services when delivered via live video.

Public Health 141

Public Health Medicare Telehealth Health Policy 141

Health Populi

MARCH 7, 2018

I greatly appreciated the opportunity today to attend a luncheon at the HX360 meeting which convened as part of the 2018 HIMSS Conference. There’s an old saw that the US government is an insurance company with an army” quips @PaulKrugman @HIMSS #HIMSS18 #HX360 #Healthinsurance #Medicare #Healthcare #Healthcosts.

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Health IT Nursing Medicare 120

DrKumo Remote Patient Monitoring

NOVEMBER 2, 2023

Medicare program, the federally administered health insurance program catering to individuals 65 and above, not only recognizes this holistic approach but extends its coverage to encompass mental health services alongside the modern innovation of remote patient monitoring (RPM).

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Mental health Medicare Nursing HIPAA 40

DrKumo Remote Patient Monitoring

JANUARY 6, 2024

Beginning January 1, 2024, a significant change in Medicare billing practices greatly impacted Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). For the first time, these centers can bill Medicare separately for Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) services.

Medicare 40

Medicare Telehealth Digital Health Remote care 40

Mend

MARCH 27, 2023

In part 1 of our blog series, Mend reviews the permanent Medicare changes to the Telehealth policy. Permanent Medicare Changes Relating to Telehealth Policy At the start of COVID-19, the CMS used emergency waivers to streamline access to virtual care. The COVID-19 public health emergency (PHE) has been in place for three years.

Public Health 52

Public Health Medicare Mental health Telehealth 52

FierceHealthIT

APRIL 4, 2019

MedPAC plans to focus heavily on value-based payment in the coming months, and at its meeting Thursday the commissioners weighed what a Medicare without fee-for-service might look like.

Medicare 84

Medicare 84

DrKumo Remote Patient Monitoring

JANUARY 18, 2023

Medicare-approved Remote Patient Monitoring (RPM) has become an increasingly important aspect of healthcare delivery. Remote monitoring through telehealth services has enabled healthcare providers to provide more efficient and effective care to patients, especially those enrolled in Medicare and Medicaid Services.

Medicare 40

Medicare Telehealth 40

Health Populi

FEBRUARY 4, 2024

Retail health-meets-Medicare. This work started in 2023 involving Walmart Health clinics serving Medicare members and looking to partner with UnitedHealth plan members and others. Of particular note is the organization’s “promise of health assurance – care that is more proactive, accessible, and affordable to people everywhere.”

Primary Care 212

Primary Care Medicare Medical Billing Public Health 212

Healthcare IT Today

APRIL 11, 2024

In addition, it covers up to 60 million lives, representing 9 out of every 10 Medicare lives and partners with 5 of the Top 6 Medicare Advantage health plans. PQS covers 95% of all community pharmacies and 10 of the Top 10 Pharmacy chains by store count including national chains and independent pharmacy groups.

Medicare 91

Medicare Life Science EHR Health Technology 91

Insulin Nation

AUGUST 27, 2014

Unfortunately, Medicare policy hasn’t kept up with evolving diabetes technology, and policymakers have left out CGMs from the list of reimbursable diabetes devices. CGMs have fallen into the dreaded Medicare limbo of new devices, according to a recent blogpost from Senator Susan Collins (R-Maine). “I Collins writes. Collins writes.

Medicare 100

Medicare 100

Health Populi

APRIL 16, 2024

The four stories we generate are: Retail Health For All, starring “The Consumer” DIY Healthcare, starring “The CEO” Fragmentation Meets Bureaucracy, starring “The Castaway,” and, “One World, One Health,” starring “The Health Citizen.” Presidential elections to that point, and that the last retiring Baby Boomer enrolls in Medicare that year.

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HC Mental health Public Health Primary Care 182

FierceHealthIT

SEPTEMBER 6, 2018

Weeks after federal prosecutors asked a court to force Anthem to turn over testimony on retrospective chart reviews, the insurer told the court it tried nearly a dozen times to meet with the DOJ to resolve the issue.

Medicare 45

Medicare 45

FierceHealthIT

MARCH 21, 2018

To help meet that goal and support accountable care organizations, he should look to Medicare Advantage for inspiration, say Farzad Mostashari, M.D., HHS Secretary Alex Azar has made it clear that the transition to value-based care is one of his priorities. and Travis Broome.

Accountable Care 64

Accountable Care Medicare 64

Insulin Nation

MAY 10, 2016

Medicare doesn’t typically provide coverage for continuous glucose monitors (CGMs), as insurors who oversee Medicare coverage have long argued that CGMs are a “precautionary” device rather than a “medically necessary” one. Now, that argument’s premise is facing serious questions in federal court and in the Medicare appeals process.

Medicare 75

Medicare Nursing 75

Health Populi

JULY 11, 2019

This research organization will develop medicines targeting older adults — which makes sense because Clover Health’s target consumer market is Medicare Advantage beneficiaries. Department of Veterans Affairs is also collaborating with Civica Rx.

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Life Science BioTech Medicare Pharmaceuticals 220

Digital Health Global

MAY 4, 2023

A seasoned health care leader with a record of success in both the public and private sectors, Banach leverages his deep understanding of home-based, hospice and palliative care; Medicare and Medicaid law and policy; and health care delivery to increase access to care and create a more equitable health system for communities throughout the country.

Medicare 88

Medicare HIPAA 88

Healthcare IT News - Telehealth

DECEMBER 26, 2023

" Annual wellness visits And the third component of the program sees the virtual provider assisting PCPs by completing Medicare annual wellness visits for patients. The Virtual Provider program helped the health system achieve a 72% completion rate for Medicare annual wellness visits in 2022.

Primary Care 144

Primary Care Medicare Telemedicine EHR 144

Health Populi

FEBRUARY 27, 2024

NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. Health Populi’s Hot Points: Is there an American Civil Right for health care?

HIPAA 340

HIPAA Public Health Leadership Mental health 340

Digital Health Global

OCTOBER 5, 2023

Everly Health uses state-of-the-art technology and processes tests at CLIA-certified and CAP-accredited labs to ensure tests meet or exceed the accuracy of traditional laboratory tests. Early detection of kidney disease may reduce Medicare costs associated with CKD by 74% or $63.2 when compared to standard collection methods.

Remote care 88

Remote care Medicare Digital Health Patient Experience 88

South Central Telehealth Resource Center

MAY 24, 2018

Also, all telehealth services must meet the Medicare established set of criteria for reimbursement. Medicare defines a distant site as, “the site where the physician or practitioner, providing the professional service, is located at the time the service is provided via a telecommunications system.”. 8 AM – 4:30 PM CST).

Medicare 48

Medicare Nursing Telehealth Health Policy 48

Health Populi

SEPTEMBER 20, 2021

In April 2020, telemedicine morphed into mainstream medical care as hospitals and physicians risk-managed exposure to infection by meeting with patients, virtually, when possible. Hy-Vee also introduced a Medicare Aisle into its grocery stores in August 2021.

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Telehealth General practice Primary Care Medicare 322

Telebehavioral Health Institute

FEBRUARY 8, 2023

Executives invested in technology and infrastructure for telehealth to meet the unprecedented demand for telehealth services. Telehealth visits billed to Medicare are currently paid at the same fee-for-service rate as an in-person visit. Medicare added over 100 billing codes for the duration of the public health emergency.

Telehealth 98

Telehealth Medicare Telemedicine Psychiatry 98

Healthcare IT News - Telehealth

DECEMBER 7, 2021

Congress must act to expand patient choice in every American community, meet patients where they are, and bring health care into the 21st century. Department of Health and Human Services found a 63-fold jump in Medicare telehealth use during the pandemic. Data continues to emerge about telehealth utilization rates amidst COVID-19.

Telehealth 210

Telehealth Telemedicine Medicare Connected Care 210

Clear Arch Health

NOVEMBER 8, 2023

CMS released its 2024 Medicare Physician Fee Schedule in November 2023, signaling that FQHCs, RHCs and CHCs will be able to bill Medicare separately for RPM, thereby promoting greater access to remote patient monitoring for beneficiaries in underserved communities. The RPM services must meet all the coding requirements.

Remote care 59

Remote care Medicare Telehealth healthcare technology 59

Healthcare IT News - Telehealth

APRIL 3, 2024

THE LARGER TREND While the Centers for Medicare and Medicaid Services recently called its Acute Hospital Care at Home initiative successful in reducing hospital visits, it is likely unsustainable due to the costs and resources needed. RPM technologies could scale and sustain CMS' hospital at-home program she said in March.

Healthcare IT 147

Healthcare IT Patient Experience Medicare Telehealth 147

TheraNest

MARCH 12, 2024

4. Direct Medicare Billing for Mental Health Counselors and Marriage and Family Therapists Beginning this year, mental health counselors (MHCs) and marriage and family therapists (MFTs) can bill Medicare under Part B coverage for their services allowed by the PFS.

Medicare 52

Medicare Telehealth Mental health 52

Healthcare IT Today

JUNE 29, 2023

Medicare Certification ASCs must sign a contract with Medicare and meet its Conditions for Coverage (CFC) to be paid. ASCs must also meet Medicare’s Conditions for Coverage. Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008.

Medicare 52

Medicare Medical Billing HIPAA Medical Billing Services 52

care innovations

MAY 16, 2018

Congress and the Centers for Medicare & Medicaid Services (CMS) have generated hope among health plans, insurers, providers and patients that Medicare telehealth reimbursement is set to expand significantly in the year ahead. The Rural Health Strategy & Medicare Telehealth Reimbursement.

Medicare 41

Medicare Telehealth Primary Care Telemedicine 41