Telehealth Reimbursement

Home Health Providers Find Telehealth Reimbursement in Palliative Care | Home Health Care News | 10/21/2020

Telehealth adoption has dramatically increased across health care during the COVID-19 crisis, including in the home-based care space. On their end, home health providers have built out their telehealth programs to make more comprehensive and safer care plans for their patients. Unlike other health care practitioners, however, it is much more difficult for a home health provider to get paid for virtual visits. That has forced them to …

Current telehealth reimbursement still a “band-aid”, says Amwell’s CEO - MedCity News | 9/27/2020

The future of telehealth has never been discussed with more fervor; between numerous IPOs, Teladoc’s proposed merger with Livongo , and rising patient awareness, it’s difficult not to get swept up in the excitement. And yet, several crucial questions still loom. The biggest: who pays? Since the start of the Covid-19 pandemic, both federal programs and commercial insurers have temporarily stepped up coverage for telehealth visits. The idea of permanently …

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ATA weighs in on proposed CMS Physician Fee Schedule rule | Healthcare IT News | 9/25/2020

The American Telemedicine Association’s comments focused on expanding telehealth access, changes to remote monitoring services, and the provision of telehealth in federally qualified health centers and rural health clinics. September 25, 2020 02:02 PM The American Telemedicine Association was among several groups this week that submitted comments to the Centers for Medicare and Medicaid Services regarding the 2021 Physician Fee Schedule proposed rule. The comments focused on three areas: expanding …

The legal ramifications of rapidly scaling telehealth (Q&A) - MedCity News | 9/24/2020

… allowing telehealth technology to fulfill many requirements for clinicians to see their patients face-to-face in different healthcare settings, including inpatient rehabilitation facilities, hospice, and home health. How do you anticipate this impacting telehealth reimbursement in a post-pandemic U.S.? Ryan Johnson The CARES Act temporarily removed the geographic and site-of-service originating site restrictions for Medicare telehealth services. In its proposed rule for 2021, Medicare did not …

Providence’s Aaron Martin: 3 digital health trends that should be on hospital leaders’ radars | Becker’s Hospital Review | 9/22/2020

… a study that showed that just to maintain their current fee-for-service revenue, they’d have to go from kind of on average three visits an hour to five. That’s unsustainable under telehealth, because telehealth reimbursement rates will start to drop.” Click here to view Providence’s digital insight report series. More articles on digital transformation …

Health Recovery Solutions Announces Lineup of Telehealth Experts for October Vision to Virtual Conference | PR Newswire | 9/17/2020

… and the use of virtual care to extend care during this unprecedented time. Additional presentations will feature HRS customers outline best practices for improving patient care and outcomes via telehealth. Featured topics include: Navigating Telehealth Reimbursement Optimizing Virtual Care: Virtual Visit Best Practices Leveraging Data to Improve Patient Care Deploying Mobile Solutions to Expand Access to Care “Remote Patient Monitoring (RPM) is a valuable tool in Population Health, Home Care …

Telehealth in Vermont | 9/16/2020

… 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 …

Here’s what primary care clinicians say they need to effectively implement telehealth | Healthcare IT News | 9/16/2020

… of the issues has been for the providers who have low-income, or non-English-speaking patients who are really preferring telephone to video,” said Shelley – and the future with regard to audio-only telehealth reimbursement is still unclear. “Some of these questions have ramifications for health disparities,” she continued, noting the continued lack of nationwide broadband access and a potential digital divide among race, age and income lines. “The …

5 ways to fuse telehealth into primary care beyond the pandemic | Becker’s Hospital Review | 9/11/2020

… permanent expansion. Here are five recommendations, based on the survey findings, for policy makers and insurers to support telehealth use by primary care providers. 1. Coordinate reimbursement criteria. While CMS and commercial insurers increased telehealth reimbursement rates, there has been confusion among providers and payers over variables such as HIPAA compliance of platforms and payment parity for phone versus video versus in-office visits. Policy makers and insurers must decrease …

Telehealth Reimbursement Just for Value-Based Providers Post-COVID? | RevCycle Intelligence | 9/11/2020

Reimbursement News Telehealth Reimbursement Just for Value-Based Providers Post-COVID? Telehealth reimbursement expansions granted during the PHE may be limited to providers in Advanced APMs moving forward to prevent program integrity issues, MedPAC said at a recent meeting. Source: Getty Images By September 11, 2020 - The Medicare Payment Advisory Commission (MedPAC) is the latest group to weigh telehealth reimbursement expansions after the COVID-19 pandemic. In a meeting held …

DC Council Votes to Extend Telehealth Coverage for Postpartum Care | mHealth Intelligence | 9/9/2020

… a string of initiatives that show DC’s dedication to expanding the use of virtual care.” Dig Deeper New Bills, Research Shine the Spotlight on Telehealth for Moms The new law, which amends the city’s Telehealth Reimbursement Act of 2013, had support from several groups, including the March of Dimes, Preeclampsia Foundation and American College of Obstetricians and Gynecologists. It also got a strong push from Babyscripts, a DC-based developer …

DC Council Passes Postpartum Coverage Expansion Amendment Act of 2020, Includes Digital Health Reimbursement Mandate | PRWeb | 9/8/2020

… uptake, utilization and efficacy of digital health will continue to be a top priority in DC. WASHINGTON (PRWEB) September 08, 2020 On July 21, 2020, the DC Council unanimously passed an amendment to the Telehealth Reimbursement Act of 2013 including a digital health reimbursement mandate with language proposed by Juan Pablo Segura, co-founder and President of Babyscripts , the leading virtual care platform for managing obstetrics. Segura brought the need …

Study: Black patients more likely than white patients to use telehealth because of pandemic | Healthcare IT News | 9/8/2020

… coronavirus began to spread around the country this spring, with mid-March acting as an inflection point of sorts for major change. This was aided, in part, by federal moves to ease regulations around telehealth reimbursement and use throughout the United States. Still, despite the advancements in access, many stakeholders have raised concerns about the reliance on telehealth deepening the healthcare divide that puts people of color at heightened risk …

Telehealth Needs Payer Support for Continued Growth | mHealth Intelligence | 9/8/2020

… types of providers to remain. Another 78 percent hoped expanded telehealth modalities continued and 77 percent promoted improved reimbursement moving forward. These restrictions previously limited telehealth’s range of impact. But recently, CMS proposed expanding telehealth reimbursement permanently. The specific types of visits included in this proposal are not outlined yet but CMS is asking for public input to determinant this. The proposal is particularly promising given nearly one-quarter (24 …

UPDATED Coronavirus tracker: Senate to vote as early as this week on ‘targeted’ COVID-19 relief | FierceHealthcare | 9/8/2020

… 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 …

Provider Compensation Rose 3.79% But Is Low Productivity a Problem? | RevCycle Intelligence | 9/4/2020

… or e-visits. Furthermore, 59 percent of respondents were not reimbursed for telehealth or e-visits by payers, the survey found. Public and private payers have granted relief for providers during the pandemic, including telehealth reimbursement and even payment parity for the services. However, the relief is temporary and whether telehealth reimbursement will continue beyond the pandemic is still up in the air. Regardless, virtual care services do not seem …

Study: In-home healthcare expansion requires overcoming market and technical barriers | Healthcare IT News | 9/3/2020

… unified in what these changes should look like. Many legislators, for instance, have advocated for the removal of originating and geographic site restrictions on the use of telehealth in Medicare. But the details of telehealth reimbursement are still unknown. And licensure remains a thorny issue, with the American Medical Association and other groups calling on CMS this summer to sunset pandemic-era waivers related to scope of practice. ON THE …

3 tips for telehealth billing to ensure you get paid | 9/3/2020

How can you ensure your practice receives telehealth reimbursement when you’re still learning to navigate the changing guidelines? Start with these three tips for telehealth billing. Understand telehealth services types Different types of services and interactions fall under the telehealth billing umbrella. The Centers for Medicare & Medicaid Services (CMS) has outlined three types of virtual care services — the classic telehealth visit, virtual check-ins, and e-visits. Telehealth visits: These …

8 orthopedics and ASCs trends in 2020 | Becker’s ASC Review | 9/2/2020

… inefficiencies with the technology, COVID-19 has pushed them to get comfortable with the platforms. Many surgeons are likely to continue using the technology in some capacity once the pandemic subsides. 6. Changes to telehealth reimbursement rules helped fuel widespread adoption of the technology among orthopedic practices. How embedded this technology continues to be in orthopedic care largely depends on whether the rules around telehealth reimbursement remain flexible after the …

How Blockchain Capabilities Advance Data Sharing and Benefit Virtual Care | 9/1/2020

… for non-COVID-19 patients. In response, new telehealth services were rapidly deployed to provide clinical health services to patients remotely. In the U.S., federal and state rules and regulations around Medicare and Medicaid telehealth reimbursement relaxed to expand telemedicine visits , which contributed to an enormous uptick in telehealth visits . While reports may already show its usage declining from earlier in the pandemic, there is little question that this form …

Telehealth expansion and where it stands now | 8/25/2020

… delivery continues to shift to telehealth with the ongoing COVID-19 pandemic, the lingering question is: How long will government organizations, like the Centers for Medicare & Medicaid Services (CMS) and commercial insurance payers support telehealth reimbursement ? Will rates remain, or will they be modified over time? How about patient payment obligations? As with in-person visits, reimbursements and requirements for telehealth can vary depending on your insurance payer, the services …

4 States Band Together for Telehealth Effort | HealthLeaders Media | 8/20/2020

A joint statement from the states’ governors only vaguely addressed telehealth reimbursement , saying that it “will be considered in the context of individual state’s methods of reimbursement.” Four states—Colorado, Nevada, Oregon, and Washington—are working together to identify best practices that support telehealth services. In a joint statement , the states’ governors said that the COVID-19 pandemic has not only increased telehealth demand but also “highlighted some of the …

COVID-19 Pushed Older Adults to Telehealth, Quality Concerns Persist | Patient Engagement HIT | 8/19/2020

… Deeper What Makes a Patient Choose Telehealth Care Access? From individual fears about accessing healthcare in person to temporary moratoria on in-person care for non-urgent or elective procedures to increased flexibilities for telehealth reimbursement , this type of technology has seen a boom as a result of the COVID-19 pandemic. And what has come of that is an older adult population that quickly became keen on remote patient …

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 …

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 …