2019 CMS Fee Schedule Expands Reimbursement for Remote Care

care innovations

It’s official: The Centers for Medicare & Medicaid Services (CMS) 2019 fee schedule is in effect as of January 1, 2019, bringing with it three new CPT codes that allow for expanded reimbursement for remote care services.

The Centers for Medicare and Medicaid Approved Separate Reimbursements for Non-Traditional Patient Visits


November 1, 2018 the Centers for Medicare and Medicaid (CMS) made a significant step in overcoming this obstacle. It announced its finalization of “ Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2019 ”.

2018 Year in Review: The Year’s Biggest Remote Care News & Developments

care innovations

2018 was a historic year for telehealth and remote patient monitoring (RPM), as a series of developments played out that helped extend these important care delivery services to more patients than ever before. As government agencies like the CMS and VA expanded access to telehealth towards the goal of extending care into rural areas, industry leaders like Care Innovations® announced a series of breakthroughs with exciting implications for the years to come.

Why It's Time to Embrace Telemedicine


I t’s more than 40 years old and was developed as a way to use improvements in communication technology to bring quality medical diagnoses and care to individuals in remote parts of the world. What’s this new thing called Telemedicine? For starters, it’s not new!

2019 Medicare Physician Fee Schedule Could Expand RPM Reimbursement

care innovations

Just as it did for the 2018 calendar year , the Centers for Medicare & Medicaid Services (CMS) is seeking to further expand reimbursement for remote patient monitoring, virtual visits and other telehealth services as part of its proposed 2019 Medicare physician fee schedule.

Rethinking approaches to remote health and telehealth in Australia

Healthcare IT News - Telehealth

Speaking during a panel session at the recent AFR Healthcare Summit , Royal Australian College of General Practitioners (RACGP) President Dr Harry Nespolon said the way remote healthcare and telehealth is offered has changed little since the 1960s.

Telehealth Research Used to Support New Policy Initiatives for Expansion

care innovations

In Fierce Healthcare’s report of the first telehealth study , which author Matt Kuhrt describes as a letter published in the latest Journal of the American Medical Association , researchers found a “ notable uptick in the use of telemedicine among primary care physicians between 2015 and 2017.”.

Ohio Living achieves low readmission rates with telehealth

Healthcare IT News - Telehealth

percent, nearly half of the state’s Medicare average, by introducing telehealth services. In addition, Ohio Living said more than three-quarters of enrolled patients said they agree the telehealth program has given them the opportunity to be more involved in their own care.

What Are the Factors Driving Telehealth Growth in 2019?

care innovations

There are a number of good reasons why experts are predicting that 2019 will be a “tipping point” for telehealth — in other words, the year to see virtual and remote care services gain even more widespread acceptance in health plan networks, practices and facilities throughout the United States.

Podcast: Telehealth for Parkinson’s care

Meaningful HIT News

He had a lot of interesting things to say and, unlike so many other physicians, was aware of multiple system atrophy, the disease that killed my dad in 2012, so I decided to have him on for a podcast to describe how he is using off-the-shelf telehealth technology to expand access to care, improve patient satisfaction and reduce costs. We, of course, discussed cross-state licensure holding back wider use of remote care, a subject that is very much in the news right now.

Why the RPM Codes for 2019 are Different, and – Most Importantly – SPOT ON!

care innovations

Ultimately, when new procedures or services are made available for reimbursement from the Center for Medicare and Medicaid Services (CMS), those procedures are assigned a Current Procedural Terminology (CPT) code, which is used when submitting the claim for payment.

Patient monitoring is evolving with artificial intelligence, sensors, smart technology, more

Healthcare IT News - Telehealth

"Longer term, the biggest thing of all is remote monitoring and getting rid of hospital rooms ," said Topol.

CMS Proposes Major Expansion of Reimbursement for Telehealth Services

care innovations

Reimbursement for telehealth services by the Centers for Medicare and Medicaid Services (CMS) has long been a point of contention. Delivery of care must be via “one of 8 eligible professionals”. Senators: Medicare Reimbursement Restrictions Are ‘Outdated’.

Smart Meter’s iGlucose® Enables Reimbursable Remote Patient Monitoring

Insulin Nation

April 24, 2018 – Smart Meter , an innovative diabetes management data, technology and solutions company, today announced that its iGlucose® Diabetes Care Solution meets the requirements for the newly created Remote Monitoring CPT Code, as defined by Centers of Medicare and Medicaid Services (CMS).

Report: Telemedicine Reimbursement Limitations Cost Millions, ‘Impede Expansion’

care innovations

Of a representative sample of 100 claims, the OIG found that 31 claims did not meet Medicare requirements. Most of those 31 did not qualify because the patients received care in locations not considered rural.”. The need for delivery of care by “ one of 8 eligible professionals ”.

Addressing the Most Common Concerns about Remote Health Management

care innovations

Expanding the capacity to provide “ complex and appropriate specialty care ” to higher-acuity patients, again per Dr. Licurse. Addressing Common Concerns of Remote Health Management. Cognitive Behavioral : Addressing persistent excuses to avoid care or self-management.

The Two Canoes: Fee-for-Service Reimbursement for Remote Patient Monitoring

care innovations

As with any team, you're constantly working to balance — in this case: care delivery, quality, financial sustainability, staffing and stature in your market, among other items. Add to this the idea that it’s not right to give different people different care based on their insurer.

Report: RPM ‘Growing in Popularity’ for Chronic Disease Management

care innovations

That’s the conclusion reached in a new joint report from AHIP , the national association of America's Health Insurance Plans, and C-TAC, the Coalition to Transform Advanced Care. As a result, RPM can help ensure that health care resources are deployed to those patients most in need.”.

With the Silver Tsunami on its way, telehealth is ready for its moment

Healthcare IT News - Telehealth

Browse the education sessions scheduled for the American Telemedicine Association's annual conference and expo in New Orleans next month, and you'll notice that many of them are geared toward elderly patients, home-based care and aging in place.

eCare 169

How To Become A Telemedicine Provider


In our mobile world, students earn degrees online and professionals work from home; now receiving data-driven medical care from a remote provider is becoming a valued standard in healthcare. Talk to them and ask if they’d be comfortable receiving virtual care.

USDA Telehealth Report Sees ‘Lag’ in Rural Access

care innovations

USDA Telehealth Report: ‘Little Is Known’ about Use in Remote Communities. online health monitoring “via devices that exchange data remotely with medical personnel”. A CMS proposal would also expand coverage telehealth services for Medicare Advantage plans.”. A new U.S.

Mississippi Telehealth Network Could Be FCC’s Model for RPM Expansion

care innovations

Back in 2014 , the University of Mississippi Medical Center (UMMC) collaborated with a network of local and national health technology leaders to build the Mississippi Diabetes Telehealth Network, an effort to extend quality care into rural and underserved regions with high rates of chronic illness.

Global RPM Report: Remote Patient Monitoring Expands in U.S. & Internationally

care innovations

There are still a few months to go in 2018, yet this year is already shaping up to be arguably the most eventful and important for the proliferation of remote patient management (RPM). the year kicked off with a modification of CPT code 99091 by the Centers for Medicare and Medicaid Services (CMS), which “ immediately increased the amount of billable Medicare hours available for doctors and clinicians who utilize remote care services ,” as we reported in January.

Government Agencies & Industry Groups Push for Telehealth Policy Reform

care innovations

Echoing initiatives already taken by many state governments to expand access to digital healthcare services ( particularly in rural areas ), a growing number of federal agencies are also looking to reform existing telehealth policy in an effort to expand access to quality care while also attempting to rein in the costs of the American healthcare system. Contact Care Innovations today to schedule a complimentary, one-on-one consultation with a telehealth expert.

A hospital without patients

Henry Kotula

Louis, nestled among locust, elm and sweetgum trees, the Mercy Virtual Care Center has a lot in common with other hospitals. The virtual care center started as an office in Mercy’s flagship St. In addition to the touchless warmth, regular interactions enable more individualized care.

Reimbursements red herring, trust, and key infrastructure needs for Telemedicine success

The Healthcare Guys

Virtual, video-based doctor’s appointments can help alleviate the general practitioner shortage, and encourage preventative care. Medicare for instance covers face-to-face interactions, but only when the originating site (point of care, not the patient’s home) is in a Health Professional Shortage Area (HPSA). An equally important factor is likely Americans general comfort with video-based platforms, and their trust in remote appointments.