“This is contrary to what CMS acknowledges as a primary stated intent for the RTM codes, and would seem to indicate that therapists would have to bill RTM ‘incident to’ a physician, nurse practitioner, or physician assistant,” Nixon says. “Further, unlike the codes descri...
Eligibility for all of the patient assistance programs was based on the following criteria: annual household income measured by the federal poverty level (FPL) guidelines, insurance status, physician endorsement, prescription information, and proof of receiving treatment in the United States. Of the pa...
And then, thank God, our CEO is also a nurse and she’s like no, this is basic to taking care of patients and keeping them from falling.” Participants also listed other structural and cultural characteristics including union status, staffing strategies, and budgets as impacting patient care ...
We’re well into the new year, and the final 2025 physician fee schedule from the Centers for Medicare & Medicaid Services (CMS) is officially in effect, with some key changes to remote patient monitoring reimbursement. What’s that mean for providers, practitioners and organizations offering rem...
the RTM professional codes could not be used to manage the treatment of a condition if the monitoring services did not include at least 16 days of data. Furthermore, by specifically referencing only the RTM codes, CMS potentially introduces uncertainty with respect whether it also intends these ...
lab work and diagnosis codes via a doctor’s EHR system instead of sharing it via fax. In addition, it will give patients the option of receiving real-time status updates via email or text so they can stay informed on the status of their prescriptions and any ...
For regressions of functional status, we adjusted for the level of functional status on admission to postacute care and the number of days in the episode of postacute care. Instrumental Variable In instrumental variables analyses, the instrument approximates random assignment of patients to treatment...
In chronic respiratory care, medication monitoring provides enhanced visibility into adherence, which is critical for improving patient outcomes.1 Objective insights can help clinicians identify patients who may be at risk for an exacerbation and prompt timely interventions, reducing unnecessary hospitalization...
Characteristics of the study hospitals and the patient-to-nurse staffing ratios and performance on the CMS sepsis bundle (SEP-1) are described in Table 2. The majority of hospitals in our sample had greater than 250 beds (58.6%) and did not have a high technology status (53.5%). Hospitals...
Procedures were identified using International Classification of Diseases–9th Revision–Clinical Modification (ICD-9-CM) procedure and Current Procedure Terminology (CPT) codes: local surgery (ICD-9-CM 32.09 or 32.1x; CPT 32520); wedge resection (ICD-9-CM 32.29 or 32.3x; CPT 32500); ...