Telehealth Reimbursement

Nurse Practitioners Say Expanded Scope of Practice Key for COVID-19 | Patient Engagement HIT | 8/18/2020

… the survey revealed. But as much as testing is throwing a wrench in capping COVID-19 spread, NPs said telehealth has been a boon. More specifically, the federal and state policies that supported better telehealth reimbursement made it possible for organizations to continue to treat their patients remotely. Introduction of new reimbursement models, like those that reimbursed for telehealth, helped NPs fulfill patient access to care needs. Seventy-six percent …

Telehealth in Vermont | 8/15/2020

… both medical and dental telemedicine services. Telehealth is a broader term encompassing telemedicine and other services such as store-and-forward (asynchronous communications, for example eConsults) or remote patient monitoring. At a state level telehealth reimbursement was quite limited prior to COVID-19, while Medicare had relatively more permissive rules in this category - often to encourage more active management of chronic conditions. Brief Telecommunications (sometimes called triage communications) often mean …

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Health Care in the Age of Coronavirus | 8/15/2020

… electronic and telecommunications technologies and services used to provide care and service at a distance.” It’s important to note that during the coronavirus pandemic, the Centers for Medicare & Medicaid Services lifted some limitations on telehealth reimbursement s. Simon Katumu, a primary care provider with Pacific Medical Centers (PacMed), notes a definite rise in this model of care. “During the pandemic, we’ve used telehealth much more, utilizing tools such as telephone consultations …

CMS Takes a Preliminary Step to Make Certain COVID-19 Waivers Permanent | 8/14/2020

… system that results in better accessibility, quality, affordability, empowerment, and innovation.” IN DEPTH In response to the coronavirus (COVID-19) public health emergency (PHE), CMS has issued several temporary waivers and flexibilities that expand telehealth reimbursement under Medicare, Medicaid and the Children’s Health Insurance Program for the duration of the COVID-19 PHE. CMS issued these waivers under authorities granted pursuant to HHS’s public health declaration , as well as legislation …

CMS Final Rule Aims to Advance Interoperability, Exchange of Clinical and Plan Information - OF DIGITAL INTEREST | 8/14/2020

… health care system that results in better accessibility, quality, affordability, empowerment, and innovation.” In response to the coronavirus (COVID-19) public health emergency (PHE), CMS has issued several temporary waivers and flexibilities that expand telehealth reimbursement under Medicare, Medicaid and the Children’s Health Insurance Program for the duration of the COVID-19 PHE. CMS issued these waivers under authorities granted pursuant to HHS’s public health declaration , as well as legislation …

August 2020 Updated: CMS Final Rule Aims to Advance Interoperability, Exchange of Clinical and Plan Information | 8/14/2020

… health care system that results in better accessibility, quality, affordability, empowerment, and innovation.” In response to the coronavirus (COVID-19) public health emergency (PHE), CMS has issued several temporary waivers and flexibilities that expand telehealth reimbursement under Medicare, Medicaid and the Children’s Health Insurance Program for the duration of the COVID-19 PHE. CMS issued these waivers under authorities granted pursuant to HHS’s public health declaration , as well as legislation …

In Healthcare, All Signs Point to Digital Transformation and Monetization - Industry analysis by Loyale Healthcare | PRWeb | 8/12/2020

… Fierce Healthcare report , CMS announced its intentions for the 2021 PFS back in June, noting that because of its temporary rule changes in response to the public health emergency “most of the barriers to telehealth reimbursement fell away, enabling many of the changes that provider groups have wanted for years: payment parity for virtual visits, the ability to provide telehealth to patients at home and allowing more provider to offer …

Future Returns: Investing in Health Care Systems - Barron’s | 8/11/2020

… had existing telehealth programs as of January 2020. Goldwasser says this shift, and Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) quickly removing regulatory hurdles like expanding telehealth reimbursement , have impacted the “3 Ps” of health care: providers, patients, and payments. “We’ve seen changes to all 3 Ps that are catalysts for change,” Goldwasser says, which makes for attractive opportunities investing in the …

Prisma Health CDO: Payment changes key to sustaining telehealth gains | Modern Healthcare | 8/10/2020

… It’s hard to put it back. (Editor’s note: President Donald Trump issued an executive order after this interview took place instructing HHS to look for ways to make permanent many of the changes to telehealth reimbursement ). I think you’re going to find a balancing act because you’re not going to go 100% virtual at this time. But if I see a diabetic, say every three months, I could start doing …

Telehealth seems here to stay – so how can it be improved? | Healthcare IT News | 8/5/2020

… providers and researchers say, with education, platform improvement and legislation to help telehealth live up to its full potential. The future of reimbursement The healthcare professionals we interviewed spoke to the ongoing uncertainty surrounding telehealth reimbursement as a major contributor to dissatisfaction. “The primary hurdle is the impermanence,” said Dr. Diane Rittenhouse, a senior fellow at Mathematica, whose research expertise includes primary care and innovative models. “The insecurity of the …

Telehealth seems here to stay – so how can it be improved? | Daily 2 Daily News | Healthcare IT News | 8/5/2020

… providers and researchers say, with education, platform improvement and legislation to help telehealth live up to its full potential. The future of reimbursement The healthcare professionals we interviewed spoke to the ongoing uncertainty surrounding telehealth reimbursement as a major contributor to dissatisfaction. “The primary hurdle is the impermanence,” said Dr. Diane Rittenhouse, a senior fellow at Mathematica, whose research expertise includes primary care and innovative models. “The insecurity of the …

CMS Proposes to Boost Office Visit Pay, Expand Telehealth Coverage | RevCycle Intelligence | 8/4/2020

… and certain types of visits for patients with cognitive impairments. The agency is also seeking public input on other services to permanently add to Medicare’s telehealth coverage. Additionally, CMS is proposing to temporarily extend telehealth reimbursement for other services such as emergency department visits, for a specific time period, through the calendar year in which the public health emergency ends. “The Trump Administration’s unprecedented expansion of telemedicine during the pandemic …

UPDATED Coronavirus tracker: CMS to allow temporary premium reductions in individual market | FierceHealthcare | 8/4/2020

… severe lockdown. UPDATED: Thursday, June 18 at 10:23 a.m. Blue Cross NC keeps expanded telehealth polices in place through end of year Blue Cross and Blue Shield of North Carolina is keeping its expanded telehealth reimbursement options in place through the end of the year. The insurer said that it will continue covering video and telephonic visits at the same rate as in-person visits for the rest of 2020 …

Dombi: Regulatory Flexibilities Mean More Competition for Home Health Providers | Home Health Care News | 7/29/2020

… the coronavirus. “Patients are saying, ‘I’ll take some care, but not all of the care that you might otherwise give in person,’ thereby reducing the full episode payments that agencies would otherwise receive.” Securing telehealth reimbursement for agencies remains NAHC’s top priority. The Washington, D.C.-based advocacy organization is hopeful legislation will fix the issue in the near future. Additionally, NAHC is optimistic newfound perceived competitors could be a good …

August to Usher in Onslaught of Home Health Audits | Home Health Care News | 7/28/2020

For months now, home health providers have had to worry about an onslaught of new issues, from volume disruptions and personal protective equipment (PPE) shortages, to cash flow problems and lack of telehealth reimbursement . One long-time stressor they haven’t had to fret about, though, is being audited by the Centers for Medicare & Medicaid Services (CMS). But that’s about to change. While CMS temporarily paused audit activity back in March …

Industry Voices—After COVID-19 subsides, ‘the telehealth revolution must march on’ | FierceHealthcare | 7/28/2020

… waived the arcane and counterproductive rule that required patients to receive telehealth in a medical facility. Privacy waivers let doctors conduct virtual visits over commercial platforms like Zoom and Skype. In addition to setting telehealth reimbursement s at the same level as in-person visits, CMS scrapped a rule that barred doctors from using telehealth to treat patients they hadn’t already seen in person. The agency also expanded the list of …

Republican version of stimulus bill likely to include liability reform | 7/27/2020

Print Although the Republicans’ version of the latest stimulus bill is still in the works, it likely will include liability reform measures and an extension of telehealth reimbursement policies. Political wrangling has stalled the bill, which was expected to have been unveiled last week. The legislation is expected to include the creation of an “exclusive federal cause of action that applies to litigation against any medical provider because of COVID …

Three steps to improve preventive service utilization during the COVID-19 pandemic | 7/24/2020

… Many clinics are addressing the needs of their patients with chronic disease by performing routine outpatient office visits (codes 99201 – 99215) via video or telephone visits, because most payers are now covering these at telehealth reimbursement rates. With Medicare reimbursing for annual wellness visits (G0438 and G04349) via video or telephone, Medicare and Medicare Advantage patients are receiving the care they need. But what about preventive visits for patients on …

A Look at the Future of Telehealth from a Medicare Reimbursement Perspective | 7/23/2020

A Look at the Future of Telehealth from a Medicare Reimbursement Perspective July 23, 2020 Facebook We’ve all been watching the explosion of telehealth thanks to COVID-19 and a number of the reimbursement changes that have come as part of the pandemic. While we’re all waiting to see if these telehealth reimbursement changes are permanent (Looks like Telehealth reimbursement may even be included in the Heroes Act and extended …

New Physician Compensation, Recruitment Take a Hit During Pandemic | RevCycle Intelligence | 7/23/2020

… care spectrum should expect compensation to remain flat for new positions, the report stated. READ MORE: Layoffs Continue as Primary Care Braces for Return to Pre-COVID Pay Telehealth utilization and possible changes in telehealth reimbursement rates may impact new physician compensation as organizations pivot to more virtual care, Merritt Hawkins explained. The move to telehealth will also likely change how physician productivity and quality are measured, which was factored …

Telemedicine Market to Reach USD 121.17 Billion By 2027 | CAGR:14.9% | Reports And Data | PR Newswire | 7/22/2020

… of critically ill patients leading to rising growth of telemedicine market. Additionally, favorable reimbursement policies for telehealth is one of the major factors driving the market growth. Insurance companies such as Medicare, Medicaid cover telehealth reimbursement . Medicare part B reimburses clinicians for E-visits, communication, or virtual check-ins. Recently, the center for Medicare & Medicaid Services published coverage for COVID-19 telehealth resulting growing adoption of telemedicine. To approach the …

CMS to Assess Telehealth Reimbursement Rates Post-Pandemic | RevCycle Intelligence | 7/21/2020

Reimbursement News CMS to Assess Telehealth Reimbursement Rates Post-Pandemic In a blog post, CMS Administrator Seema Verma said the agency needs to assess telehealth reimbursement rates considering such significant uptake of virtual care during the COVID-19 pandemic. Source: Centers for Medicare & Medicaid Services By July 21, 2020 - Telehealth reimbursement rates is one area CMS is assessing in order to make Medicare telehealth expansions permanent after the COVID-19 …

With Telehealth on OIG Work Plan, Beware Pitfalls; CMS Proposes HHA Telehealth Past PHE | 7/20/2020

… health emergency, must be based on time,” said Terry Fletcher, a consultant in Laguna Beach, California. “Without time documented, this encounter has no value to bill to a payer.” That’s a potential “downfall” of telehealth reimbursement , Fletcher said. Providers also will “tap out” at 21 minutes with the telephone codes, she noted. These are things to keep an eye on, especially now that the HHS Office of Inspector General has …

New bill asks Congress to make telehealth coverage permanent - Business Insider | 6/30/2020

… connectivity divide is more severe, like in the rural US. Muddy reimbursement policies could be holding providers back from taking the virtual leap — so, we think state governments will need to push for elevated telehealth reimbursement s to keep virtual care on its upward trajectory. For example, there is no set standard for telehealth reimbursement across the board in the US, as this is state-dependent — and only 10 states have …

AHA urges CMS to keep relaxed regulations beyond crisis | Healthcare Dive | 6/29/2020

… only connection. AHA isn’t alone in its quest to continue the use of these waivers and relaxed rules. Earlier this month, the American College of Physicians urged CMS to extend its current waivers for telehealth reimbursement . And Premier, a major group purchasing organization, wants to see federal laws revised so patients can be screened remotely before entering the ER for care. “There’s no reason to revert back to the status …

Centers for Medicare and Medicaid Services

In Healthcare, All Signs Point to Digital Transformation and Monetization - Industry analysis by Loyale Healthcare | PRWeb | 8/12/2020

… of this “new vision” for healthcare. The first is the announcement of the proposed payment rules for 2021 by the Centers for Medicare and Medicaid Services (CMS). The second is the news that Teledoc Health … to the public health emergency “most of the barriers to telehealth reimbursement fell away, enabling many of the changes that provider groups have wanted for years: payment parity for virtual visits, the ability to provide …

COVID-19

Telehealth seems here to stay – so how can it be improved? | Healthcare IT News | 8/5/2020

… There’s no doubt, in many practitioners’ minds, that telehealth has filled an existing need both spotlighted and exacerbated by the COVID-19 pandemic. It’s also clear, despite a dip in the initial numbers, that it’s … healthcare professionals we interviewed spoke to the ongoing uncertainty surrounding telehealth reimbursement as a major contributor to dissatisfaction. “The primary hurdle is the impermanence,” said Dr. Diane Rittenhouse, a senior fellow at Mathematica, whose research …

Medicare Advantage

Industry Voices—After COVID-19 subsides, ‘the telehealth revolution must march on’ | FierceHealthcare | 7/28/2020

… telehealth care in their own homes. Congress took a small step forward last year by loosening some telehealth rules in Medicare Advantage plans. But the expansive regulations that burden other Medicare enrollees remained in place … commercial platforms like Zoom and Skype. In addition to setting telehealth reimbursements at the same level as in-person visits, CMS scrapped a rule that barred doctors from using telehealth to treat patients they hadn’t …

Rural Health

New bill asks Congress to make telehealth coverage permanent - Business Insider | 6/30/2020

… geographical limitations for Medicare beneficiaries using telehealth or remote patient monitoring services, as well as establish permanent telehealth coverage at Rural Health Clinics (RHC). Business Insider Intelligence Despite a recent decline in telehealth utility, usage … we think state governments will need to push for elevated telehealth reimbursements to keep virtual care on its upward trajectory. For example, there is no set standard for telehealth reimbursement across the board in the …

American Hospital Association

AHA urges CMS to keep relaxed regulations beyond crisis | Healthcare Dive | 6/29/2020

AHA urges CMS to keep relaxed regulations beyond crisis Getty Images share Dive Brief: The American Hospital Association is urging CMS to retain the relaxed regulations or waivers it has extended to the industry beyond … of Physicians urged CMS to extend its current waivers for telehealth reimbursement. And Premier, a major group purchasing organization, wants to see federal laws revised so patients can be screened remotely before entering the ER …

Medicare

CMS: Upcoming Medicare payment rule to include proposals to expand telehealth | FierceHealthcare | 6/26/2020

An upcoming Medicare payment rule will include proposals outlining how the Trump administration plans to permanently expand reimbursement for telehealth services. Providers have cheered the Trump administration’s actions to open up access to telehealth with … In a matter of weeks, most of the barriers to telehealth reimbursement fell away, enabling many of the changes that provider groups have wanted for years: payment parity for virtual visits, the ability to provide …

Medicaid

CMS: Upcoming Medicare payment rule to include proposals to expand telehealth | FierceHealthcare | 6/26/2020

… typically publishes in July, said Emily Yoder, an analyst in the division of practitioner services at the Centers for Medicare & Medicaid Services (CMS). Research Learn What 1,000 People Said About Their Virtual Care Experiences During … In a matter of weeks, most of the barriers to telehealth reimbursement fell away, enabling many of the changes that provider groups have wanted for years: payment parity for virtual visits, the ability to provide …

Home Care

Coronavirus Pushed Home Health Employment Down 7%, Spending Down 12% | Home Health Care News | 6/17/2020

… at the height of COVID-19, home health admissions hit a low point of 6,169. Rochester, New York-based HCR Home Care saw a similar decline play out. The home health provider experienced a census … the National Association for Home Care & Hospice (NAHC). Lack of telehealth reimbursement under fee-for-service Medicare has also contributed to the problem. Because providers can’t be paid to provide remote services, many agencies have …

CDC

InteliChart and eVisit Partnership to Deliver Telehealth Services to Users at No Additional Cost During COVID-19 Crisis | Business Wire | 3/21/2020

… services during the current public health emergency is crucial to managing the outbreak. The Centers for Disease Control and Prevention (CDC) recommends that healthcare organizations use telehealth tools to address COVID-19 preparedness and direct … Medicaid, and commercial payors have recently taken steps to reduce telehealth reimbursement barriers to encourage more widespread telehealth usage. These reimbursement initiatives are crucial to increasing access to telehealth during this growing pandemic. With Patient …

Behavioral Health

How the coronavirus pandemic is impacting mental telehealth services | Becker’s Hospital Review | 3/20/2020

As the novel coronavirus continues to spread across the country, federal and state health partners, behavioral health organizations and payers are all working to expand their approaches to mental health treatments, according to Roll Call … of states respond by proposing pretty radical changes to their telehealth reimbursement policies both by increasing types of services that can be delivered by telehealth, the types of professionals that can deliver those services, as …

Mental Health Services

Evers signs bill expanding telehealth reimbursement | Star Tribune | 11/25/2019

Gov. Tony Evers has signed a bipartisan bill expanding Medicaid reimbursement for telehealth services. The governor signed the bill Monday afternoon at Richland Hospital in Richland Center. Current state law requires Medicaid reimbursement for mental health services provided through telecommunications. The bill expands reimbursement to all Medicaid-allowed benefits for provider-to-provider consultations and transmitting patients’ medical data in both real time and not in real time. The bill …

Telehealth Technology

2 new definitive healthcare surveys show use of inpatient telehealth is outpacing outpatient telehealth services | 11/11/2019

… physicians and outpatient facilities administrators. DH’s research was aimed at learning the status of telehealth adoption, identifying the type of telehealth technology used, and predicting possible further investments in telehealth technologies. Most Popular Inpatient Telehealth … way video between physicians (25%); SMS population management tools (20%). Telehealth Reimbursement and Interoperability Uncertain Why do outpatient providers appear slower to adopt telehealth, even though they generally have more patient encounters than inpatient facilities …

Telehealth Adoption

Docs Recommend Reforming Licensure Rules to Boost Telehealth Adoption - mHealthIntelligence.com | mHealth Intelligence | 10/18/2019

Policy News Docs Recommend Reforming Licensure Rules to Boost Telehealth Adoption Noting that the current state-based medical licensure process hinders telehealth expansion, two doctors are recommending that the US adopt a ‘mutual recognition’ policy … reduce state revenues due to lost licensing fees, and complicate telehealth reimbursement. There have been efforts to alleviate the program. The Federation of State Medical Boards, a non-profit representing some 70 state medical and …

Virtual Care

Patients Open to Telehealth Access to Care, Unsure of Payment | Patient Engagement HIT | 8/29/2019

telehealth reimbursement options into their plans, there will likely be more opportunities for senior patients to test out telehealth. But barriers still apply, especially as they relate to telehealth payments. Seventeen percent of patients said they are willing to try virtual care but are not sure if their insurance provider would cover the care. Patients may need more guidance about how to access telehealth and how the care would be …

Patient Satisfaction

Patients Open to Telehealth Access to Care, Unsure of Payment | Patient Engagement HIT | 8/29/2019

… nearly three-quarters said it was because they wanted to access their care faster. As Medicare continues to integrate more telehealth reimbursement options into their plans, there will likely be more opportunities for senior patients … care for a healthcare issue in the past. READ MORE: Patient Satisfaction of Telehealth Hinges on Convenience, Quality And while the leading reason for doing so is because the patient thought the problem may mitigate …

MACRA

Parks Associates Welcomes Sarah Jones, VP of Commercial Product, Great Call, as Keynote Speaker at Sixth-Annual Connected Health Summit: Independent Living And Wellness | PR Newswire | 5/6/2019

MACRA and Telehealth Reimbursement for Connected Health Enabling Independence: Addressing Seniors’ Health and Social Needs Expanding Reach: Making Remote Patient Monitoring Work The Role of Technology: Serving Social and Medical Needs Innovation and Partnerships IoT Integration: Effective Connected Health Partnerships Senior Tech Channels: Home Service Providers, Builders, and In-home Care Agencies Wearables: Crossing the Line from Consumer to Health Tech Consumer Technology in Healthcare: Preparing for the Tech Giants …

Digital Health

Telehealth industry defined: the services, systems, benefits & trends of a growing digital health segment | Business Insider | 5/2/2019

… providers with mental health consultations and expertise. There are a number of telepsychiatry apps available including LARKR, Talkspace, and Pacifica. Telehealth reimbursement for Medicare and private insurance Virta is an online specialty medical clinic that … per the CDC. What is the future of telehealth? The Digital Health Ecosystem report from Business Insider Intelligence discusses how providers are turning to digital tech — including telehealth — to combat health systems’ labor shortages and …

Amwell

Telehealth Reimbursement Trends and Opportunities: What Physicians Need to Know | 10/2/2019

Telemedicine , Healthcare Careers , Healthcare Policy , Medical Billing & Collections For years, telehealth reimbursement fears dogged physician practices. In fact, according to the American Well Telehealth Index: 2019 Physician Survey , uncertainty over reimbursement was flagged by 77 percent of providers as a key barrier to telehealth adoption. But for physician practices who currently use a telehealth platform – and especially those who are eager to implement telehealth – the surge in legislation expanding telemedicine …

Patients Open to Telehealth Access to Care, Unsure of Payment | Patient Engagement HIT | 8/29/2019

… access care, but barriers to use still remain, according to a new survey conducted by Harris Poll on behalf of American Well. The survey, which included responses from nearly 2,000 adult patients, revealed that patients … access their care faster. As Medicare continues to integrate more telehealth reimbursement options into their plans, there will likely be more opportunities for senior patients to test out telehealth. But barriers still apply, especially as …

Seema Verma

CMS Proposes to Boost Office Visit Pay, Expand Telehealth Coverage | RevCycle Intelligence | 8/4/2020

… in-person care by furnishing one more powerful clinical tool to increase access and choices for America’s seniors,” CMS Administrator Seema Verma said when announcing the proposed rule. The proposed rule comes on the heels … Medicare’s telehealth coverage. Additionally, CMS is proposing to temporarily extend telehealth reimbursement for other services such as emergency department visits, for a specific time period, through the calendar year in which the public health emergency …

CMS to Assess Telehealth Reimbursement Rates Post-Pandemic | RevCycle Intelligence | 7/21/2020

Reimbursement News CMS to Assess Telehealth Reimbursement Rates Post-Pandemic In a blog post, CMS Administrator Seema Verma said the agency needs to assess telehealth reimbursement rates considering such significant uptake of virtual care during the COVID-19 pandemic. Source: Centers for Medicare & Medicaid Services By July 21, 2020 - Telehealth reimbursement rates is one area CMS is assessing in order to make Medicare telehealth expansions permanent after the COVID-19 …

Tony Evers

Evers signs bill expanding telehealth reimbursement - The Hour | 11/26/2019

RICHLAND CENTER, Wis. (AP) — Gov. Tony Evers has signed a bipartisan bill expanding Medicaid reimbursement for telehealth services. The governor signed the bill Monday afternoon at Richland Hospital in Richland Center. Current state law requires Medicaid reimbursement for mental health services provided through telecommunications. The bill expands reimbursement to all Medicaid-allowed benefits for provider-to-provider consultations and transmitting patients’ medical data in both real time and not in …

Evers signs bill expanding telehealth reimbursement | Star Tribune | 11/25/2019

Gov. Tony Evers has signed a bipartisan bill expanding Medicaid reimbursement for telehealth services. The governor signed the bill Monday afternoon at Richland Hospital in Richland Center. Current state law requires Medicaid reimbursement for mental health services provided through telecommunications. The bill expands reimbursement to all Medicaid-allowed benefits for provider-to-provider consultations and transmitting patients’ medical data in both real time and not in real time. The bill …