Posts for CMS Updates

Below you will find a list of the most recent posts made on the Accuhealth Blog tagged with the term: CMS Updates. 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).

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  • The Future of CMS and Remote Patient Monitoring

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    6 minute read

    One major change outlined in the 2024 Proposed Rule pertains to the reimbursement for remote monitoring services provided to new versus established patients. Currently, CMS provides a higher reimbursement rate for remote monitoring services delivered to new patients as compared to established patients. However, in the 2024 Proposed Rule, CMS is opting to eliminate this distinction and provide equal reimbursement rates for both new and established patients. This change aims to encourage providers to continue offering remote monitoring services to all patients, regardless of their status as new or established.

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  • 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.

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  • Understanding the New Remote Therapeutic Monitoring CPT Codes

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    6 minute read

    The Centers for Medicare and Medicaid Services released their proposed 2022 Medicare Physician Fees Schedule on July 13th. The release was in accordance with five new CPT Remote Therapeutic Monitoring (RTM) codes that deal with non-physiologic patient data, including respiratory system status, musculoskeletal system status, therapy/medication response, therapy/medication adherence, and pain. Although the proposed set of codes is accepted by advocates for virtual care, the proposed MPFS that deals with RTM is likely to bring as many questions as it answers.

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  • UPDATE: TMHP 2021 Billing Code Changes – Everything You Need to Know

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    2 minute read

    What the recent TMHP 2021 billing code changes really mean, and how to keep providing telemonitoring services for your TMHP-eligible patients. TMHP has clarified that Telemonitoring CPT Code 99091 will only be paid at the Medicare allowed rate ($55) for dual eligible patients that have Medicare as Primary Insurance.

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  • 2021 CMS Remote Patient Monitoring Changes

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    4 minute read

    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:

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  • 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.

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  • Remote Patient Monitoring & the Proposed Medicare Physician Fee Schedule

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    9 minute read

    How Accuhealth navigates RPM services through the proposed changes to the 2021 MPFS. The Centers for Medicare and Medicaid Services proposed a new Medicare Physician Fee Schedule for 2021, which has several implications that may affect Remote Patient Monitoring Programs throughout the United States.

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