COVID-19 Telehealth Waiver - Implications for Medicare

Health Recovery Solutions

billion, $500 million is allocated towards telehealth services for Medicare beneficiaries. This means that under the now passed legislation, providers can bill for Medicare covered telehealth services nationwide without the originating site requirement.

Telemedicine CEO pleads guilty in $424 million Medicare fraud scheme

Henry Kotula

The owner of telemedicine company Video Doctor Network on Friday pleaded guilty for his role in what the Justice Department is calling one of the largest healthcare fraud schemes prosecuted to date in the U.S. Bribes Dept of Justice (DOJ) Fraud Kickbacks Medicare Medicare Fraud Telemedicine

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Medicare Reimbursement for Remote Monitoring Should Drive Adoption (What a long, strange trip it’s been….)

The cHealth Blog

The Centers for Medicare & Medicaid Services (CMS) released the 2018 Physician Fee Schedule about two weeks ago and there is at least one nugget in there that should speed the adoption of remote patient monitoring.

Why It's Time to Embrace Telemedicine

eVisit

What’s this new thing called Telemedicine? For starters, it’s not new! 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.

Medicare Opens the Door to Reimbursement for Remote Patient Monitoring

Digital Health Today

When CMS unveiled the first standalone reimbursement for Remote Patient Monitoring (“RPM”) by “unbundling” CPT Code 99091 in the 2018 Medicare Physician Fee Schedule , it opened the door to the widespread use of RPM services for patients and promised there was more to come.

Utilizing Telehealth to Improve Home Dialysis

Health Recovery Solutions

i] In a recent speech to kidney disease patients and advocates, Health and Human Services (HHS) Secretary, Alex Azar, stated that Medicare was making a concerted effort to expand the utilization of At-Home Dialysis, including expanding telehealth services.

Do Medicare providers located at a Distant Site have to be hospital-based to provide services?

South Central Telehealth Resource Center

Q: Per Medicare regulations, do the providers at a distant site have to be hospital-based or can they be in a private setting – for example, a group of pulmonologists who want to create a telehealth system on their own? Also, all telehealth services must meet the Medicare established set of criteria for reimbursement. Click here to visit the Medicare Eligibility Analyzer site. To review CCHP information on Medicare, go to: [link]. Medicare

What’s Next for Telehealth?

South Central Telehealth Resource Center

See BCBS statement below: “In March, the mission-driven insurer began covering telephone and video visits with in-network providers. coronavirus COVID19 Future of Telehealth General Medicare Mississippi Physician Fee Schedule Real World Examples Telehealth Telehealth Policy

Heart Health at #CES2019 – Food and Tech as Medicine

Health Populi

An important example of this self-care approach is the evidence-based Ornish food regimen which is reimbursed by Medicare (as a form of cardiac rehabilitation). Self-care is the new health care as patients, now consumers at greater financial risk for medical spending, are learning.

How The Rapid Shift To Telehealth Leaves Many Community Health Centers Behind During The COVID-19 Pandemic

Henry Kotula

For Medicare, the Centers for Medicare and Medicaid Services (CMS) expanded access to telehealth beyond designated rural areas, loosened HIPAA requirements around telehealth platforms, and instituted parity in reimbursement with in-person visits. [link].

CMS rolls back more Medicare, telehealth regs for providers working through pandemic

Henry Kotula

Other major changes are related to COVID-19 testing for Medicare and Medicaid beneficiaries. A written practitioner’s order is no longer needed for diagnostic testing for Medicare payment purposes. [link].

Op-Ed: As a doctor, I use telemedicine. With the coronavirus threat, it could revolutionize healthcare

Henry Kotula

On Tuesday, Medicare announced that it will greatly expand coverage for telemedicine visits, previously sharply restricted. Some were over the phone, others were over video, often with a family member present as well. [link].

Confronting the Diabetes Epidemic – with Tom Daschle

Insulin Nation

By his estimates, 1 in 8 health-care dollars and 1 in 3 Medicare dollars in the U.S. Centers for Medicare and Medicaid Services recently slashed the federal government’s reimbursement rate for most diabetes test supplies by 72 percent. Living Video

OCR will ease restrictions on telehealth tech during COVID-19

Healthcare IT News - Telehealth

" Covered entities seeking to use audio or video communication tech to reach patients where they live "can use any non-public facing remote communication product that is available to communicate with patients," said the agency.

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Healthcare and the F-Word: Health Politics Rank High on November 6, 2018

Health Populi

Here is C-SPAN’s video covering the 2017 House vote to repeal the Affordable Care Act. This video is nearly six hours long, so broadcasts the entire event for which the GOP, as Congressman Ryan noted, was seven-years-in-the-making.

Australia’s PrimaryClinic and HealthEngine introduce measures to tackle COVID-19

Healthcare IT News - Telehealth

Australian GPs using the PrimaryClinic practice management software by software provider Global Health can conduct remote video conference consultations with patients showing symptoms for COVID-19, the company recently announced.

How one health system harnessed AI, telehealth to combat coronavirus

Healthcare IT News - Telehealth

The team noted that the asynchronous capability provided by the Zipnosis platform proved crucial "due to very high patient volumes during which it would have been impossible to accommodate through video or chat functions."

What’s Next?

South Central Telehealth Resource Center

“In March, the mission-driven insurer began covering telephone and video visits with in-network providers. Here’s a question we’re getting a lot right now: When are the policy changes that went into effect at the onset of the coronavirus pandemic expiring?

Telehealth, HIPAA compliance and innovation tracking

Aging in Place Technology Watch

But the interest and use of telehealth in senior living has been accelerating since April 2019, when Medicare Advantage plans began covering it. And further, when senior living companies were enabled to provide their own Medicare advantage plans , that piqued more interest in telehealth.

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Telehealth holds appeal for seniors, survey shows

Healthcare IT News - Telehealth

Of the seniors who are willing to use telehealth, 84% said they would use it for prescription renewals, while more than two-thirds said they would consider using video chats to manage chronic conditions.

Why Therapists Should Use HIPAA-Compliant Telehealth Platforms During COVID-19

TheraNest

The lifting of penalties for non-HIPAA compliant telehealth platforms currently only apply to telehealth sessions covered by Medicare and other federal healthcare programs overseen by the Centers for Medicare and Medicaid Services.

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Psychiatrists 'pleasantly surprised' with transition to telemedicine

Healthcare IT News - Telehealth

Although research supported the efficacy of video telepsychiatry, the National Institute of Mental Health-funded study notes, only 5% of psychiatrists in the Medicare program had ever provided a telemedicine visit.

How athenahealth’s EHR FaceTime feature is helping a solo practice during COVID-19

Healthcare IT News - Telehealth

Athenahealth had created an integration between it and Apple’s Facetime, a video chat app for iOS devices many are familiar with, and this was a very timely solution to address the issues Riad’s practice was facing.

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Master Guide to Telehealth Statistics for 2019

Enzyme Health

Medicare currently covers many telehealth services depending on coverage level and geography, but still faces some restrictions, with Medicare Advantage plan beneficiaries (about 14 million patients) receiving the broadest access ( ATA Telehealth Basics ).

How one physician practice was transformed by EHR-embedded telehealth

Healthcare IT News - Telehealth

The practice needed a reliable system that would enable seamless patient scheduling, HIPAA-compliant video conferencing and billing, Miller said.

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Essential Telemedicine Terms Clinicians Should Know

Enzyme Health

CMS : Stands for the Centers for Medicaid and Medicare Services. CMS is the federal agency that administers HIPAA standards and develops Medicaid and Medicare reimbursement policies for telemedicine. HD video requires faster internet connection speeds for proper image transmission.

The successes – and pitfalls – of using telehealth for home-based primary care

KatJercich

For its first program, a direct-to-patient model, Northwell social worker care managers used Amwell telehealth technology to connect with patients via video. " The results, panelists said, were subpar : Due to technical difficulties, the overall video success rate was 49%.

Senators call for CMS to provide plan for telehealth changes

Healthcare IT News - Telehealth

Secretary of Health and Human Services Alex Azar and Centers for Medicare and Medicaid Services Administrator Seema Verma to provide a written plan for permanent changes to Medicare, Medicaid and Children’s Health Insurance Program rules around telehealth.

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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. The face-to-face video conferencing allows our nurses to build relationships with patients and continually engage with them and educate them."

Telehealth has staying power, should benefit from lasting regulatory changes

Healthcare IT News - Telehealth

Led by researchers from the NYU Grossman School of Medicine, the study found that 2,656 unique providers conducted 144,940 video visits with 115,789 unique patients over the course of six weeks. As COVID-19 continues to hammer the U.S.,

Avoid Coronavirus-Related Cancellations and No Shows with Telehealth

TheraNest

Telehealth is an online, video-based option that allows clients and therapists to meet without having to be in the same physical location. TheraNest provides a top-notch telehealth video platform that is easy to use and HIPAA-compliant.

Dispatches from the Frontlines: Connected Health and COVID-19

ConnectedHealth

In just a few short months, we made more progress in opening up Medicare and Medicaid to telehealth visits, remote patient monitoring (RPM) tools, and other connected health solutions than in the previous decade.

After Covid-19, When the Care Recipient is Elsewhere, What?s Next for Technology?

Aging in Place Technology Watch

The spike has been attributed to a) the declaration of a state of emergency in March; b) introduction of Medicare/Medicaid coverage matching in-person visits; and c) encouragement from hospitals and medical practitioners. . Technology usage has climbed sharply during Covid-19.

Consider tech adoption trends to contemplate what might be next

Aging in Place Technology Watch

In addition, telehealth visits scaled 175 times the pre-COVID volume, no doubt due to the obvious – people could not go to the doctors’ office and for older adults, Medicare began to reimburse telehealth at the same rate as in-person.

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. Senators: Medicare Reimbursement Restrictions Are ‘Outdated’.

Senator Tina Smith: 'We have to learn from our experiences' on telehealth

Healthcare IT News - Telehealth

"It's important to think about expanding reimbursement, not just for video telehealth, but for phone telehealth – that's the most important thing I think we could do for this," she said.

Bringing Telehealth to the Rehabilitation Industry

Advanced Medical Reviews

As the Center for Connected Health Policy (CCHP) notes, different telehealth modalities include: Live video: referred to as “synchronous” format and uses live interaction between two parties over video.

How the Coronavirus Pandemic Is Driving Demand for Telehealth Services

InTouch Health

Doctors can then use live video and audio to determine whether in-person care is necessary. Under 1135 Waiver, Medicare will now pay for telehealth office, hospital, and other types of visits across the country, including in a patient’s places of residence.

Can you identify 7 qualities of a successful telehealth program?

South Central Telehealth Resource Center

New legislation at state and federal levels is making it possible for telehealth services to be reimbursed by Medicare, Medicaid and private insurance carriers. In addition to self-pay patients, reimbursement can be sought through Medicaid, Medicare and commercial/private payers.

Reimbursement Update: It’s raining new codes!

The cHealth Blog

In that post, I had referenced the Lemony Snicket movie, “A Series of Unfortunate Events,” noting that Medicare reimbursement for remote monitoring was just the opposite: it was the culmination of a series of fortunate events.