Below you will find a list of the most recent posts made on the Accuhealth Blog tagged with the term: Billing and Coding. You may filter the posts using the right-hand sidebar to limit the visible content.
Telehealth and the 2024 Physician Fee Schedule
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8 minute read
Extended Telehealth Services and Locations At the close of 2021, Congress passed the 2022 Consolidated Appropriations Act, extending specific telehealth provisions introduced during the COVID-19 Public Health Emergency (PHE) for an additional 151 days after the PHE concluded. Subsequently, in December 2022, the 2023 Consolidated Appropriations Act (2023 CAA) further prolonged these measures until the end of 2024. As Congress considers the possibility of making these telehealth policies permanent, industry stakeholders have eagerly awaited updates from the Centers for Medicare and Medicaid Services (CMS).
A Comprehensive Checklist for Physicians Considering Chronic Care Management in Their Practice
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9 minute read
As healthcare continues to evolve, the focus on chronic care management (CCM) has become increasingly important. With the rising prevalence of chronic diseases, physicians are exploring ways to provide comprehensive care to their patients beyond the confines of the traditional office visit. The imperative for physicians to consider the integration of CCM services is underscored not only by the demographic realities of an aging population with a higher prevalence of chronic conditions but also by a growing awareness of the benefits associated with proactive, continuous care. Incorporating CCM services into practice can help enhance patient outcomes, improve satisfaction, and increase practice revenue. However, before diving into this endeavor, physicians must assess whether CCM aligns with their practice. In this article, we present an in-depth checklist designed to guide physicians through the intricate process of assessing, planning, and implementing CCM services within their practice. Assess Patient Population Begin by evaluating your patient population to identify those who will benefit the most from CCM – patients with chronic conditions requiring regular follow-up, complex medical histories, and a high risk of hospitalization. Ensure that there is a sufficient number of eligible patients to make the program financially viable. Understand Reimbursement Policies Familiarize yourself with reimbursement policies and guidelines outlined by Medicare or private insurers for CCM. Gauge the potential financial impact and ensure that the program's reimbursement structure aligns with your practice's goals and available resources. Evaluate Practice Infrastructure Thoroughly review your practice's infrastructure, including electronic health record (EHR) capabilities, patient communication tools, and staff resources. Assess whether your existing systems can support the additional requirements of CCM, such as remote patient monitoring and secure patient messaging. Engage and Educate Staff Involve your staff in the decision-making process and provide comprehensive training on implementing CCM services. Ensure that everyone understands the program's objectives, workflows, and documentation requirements. Assign dedicated staff to manage the program efficiently. Develop Care Plans and Protocols Create standardized care plans and protocols for common chronic conditions in your patient population. Ensure that these plans are evidence-based, regularly updated, and accessible to all healthcare providers involved in the patient's care. Incorporate patient-specific goals and preferences into the care plans. Establish Patient Engagement Strategies Devise strategies to engage patients in their own care. Implement tools for remote patient monitoring, patient portals, and secure messaging systems to facilitate ongoing communication and education. Ensure patients understand the benefits of CCM and actively participate in the program. Coordinate with Specialists and Community Resources Collaborate with specialists and community resources to ensure comprehensive and coordinated care for your patients. Establish communication channels and referral networks to facilitate seamless transitions and information exchange between providers. Implement Outcome Measurement Mechanisms Define key performance indicators (KPIs) to measure the success of your CCM program. Track metrics like hospitalization rates, emergency room visits, medication adherence, and patient satisfaction. Regularly assess these metrics to identify areas for improvement and validate the program's effectiveness. Maintain Regulatory Compliance Stay updated on regulatory requirements and compliance guidelines related to CCM. Familiarize yourself with HIPAA regulations, billing and coding requirements, and documentation standards. Ensure strict adherence to these guidelines to avoid legal or financial repercussions. Monitor Financial Viability Evaluate the financial implications of implementing CCM services in your practice. Assess the costs associated with staff training, additional technology, and ongoing program management. Determine the potential return on investment and ensure the program aligns with your practice's financial goals. Moving Forward The journey toward adopting CCM is not merely a procedural shift but a transformative leap that demands meticulous planning, engagement of stakeholders, and a commitment to redefining the patient-provider relationship. Integrating CCM services into your practice can significantly improve patient outcomes and enhance the overall quality of care. However, success hinges on careful consideration and planning. As the healthcare paradigm continues to evolve, the successful integration of CCM services stands as a testament to a practice's adaptability, foresight, and commitment to patient-centric care. By leveraging the insights presented in this comprehensive checklist, physicians can embark on the CCM journey with confidence, knowing that each facet of their practice has been meticulously aligned with the principles and requirements of CCM.
The world of healthcare has witnessed a rapid transformation in recent years, and one area that has seen significant growth is remote patient monitoring (RPM). With advancements in technology and an increasing focus on patient-centric care, RPM has become an integral part of modern healthcare practices. However, as with any medical service, proper documentation is crucial to ensure compliance, accurate billing, and quality patient care. In this blog post, we will discuss the documentation requirements for remote patient monitoring in 2023.
The End of the Public Health Emergency for Physicians: What You Need to Know
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3 minute read
First, it's important to understand what the PHE period is and how it affects RPM. The PHE was declared in response to the COVID-19 pandemic, and it allowed for a number of changes to the way healthcare is delivered in the United States. One of these changes was the expansion of Medicare coverage for RPM services, allowing physicians to provide remote monitoring for patients with chronic conditions and other health issues.
2021 Physician Fee Schedule CMS (Centers for Medicare & Medicaid Services) just announced the 2021 Physician Fee Schedule with important updates to Remote Patient Monitoring (RPM) and it has some important changes that all RPM providers should know:
Telehealth & Remote Patient Monitoring: The Complete, Everything You Need to Know Guide
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40 minute read
The all-in-one overview that answers all of your questions about remote patient monitoring, telehealth and how to implement it at your clinic or practice.
Proposed Billing and Coding Changes for Remote Patient Monitoring in 2020 and 2021
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8 minute read
Proposed Billing and Coding Changes for 2020 and 2021 Remote Patient Monitoring (RPM) has proven to be a game-changer in the medical and psychiatry fields. While this innovation has helped many providers find new ways to connect with their patients, it has also led to the big question of, “Who’s going to pay for all this?”. While the Center for Medicare and Medicaid Services or CMS is often offering to pay for RPM, the question often puts a somber mood on the subject. But fear not, since there is a more than adequate answer.
Remain Compliant with Your RPM Billing Requirements
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6 minute read
How to remain in compliance with medical billing codes with remote monitoring of clinical patients. While deploying a remote patient monitoring program can be an exciting opportunity for clinics to expand their offerings, many providers experience anxiety in regards to the seeming complexities of billing for RPM.
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