Patient Reported Outcome-Based Performance measure, with voluntary reporting beginning with CY 2025 and mandatory reporting beginning with CY 2026 and impacting the CY 2028 payment determination. The goal of this measure is to provide insight into the communication...
2024. CMS finalized the payment and program requirements for the new IOP benefit. The Final Rule includes the scope of benefits, physician certification requirements, coding and billing guidelines, and payment rates under the IOP benefit. CMS finalized its proposal that...
Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Medicare Physician Fee Schedule (MPFS), Public Health Emergency (PHE), Remote Patient Monitoring, Remote Therapeutic Monitoring (RTM), Rural Health Clinics (RHCs), Telehealth 0 comments CMS Finalizes Rules Impacting RHCs Effective Ja...
Remote patient monitoring may be catching on with health systems across the country, but its path to Medicare reimbursement is still a work in progress. The Centers for Medicare & Medicaid Services has included a new category of CPT codes in its proposed 2022 Physician Fee...
New patient or IPPE: No rate adjustment provided. 1.33 rate adjustment for new FQHC patients and IPPE visits Ability to bill for additional visits on the same day: Permitted when an illness or injury occurs subsequent to the initial visit, and when mental health, diabetes, self management/medic...
Remote patient monitoring may be catching on with health systems across the country, but its path to Medicare reimbursement is still a work in progress. The Centers for Medicare & Medicaid Services has included a new category of CPT codes in its proposed 2022 Physician Fee Schedule...
for split (or shared) evaluation and management visits would be based on the amount of time spent by the billing practitioner. The agency has also proposed the extension of several telehealth provisions, such as reimbursement at nonfacility rates for certain telehealth services in a pa...