"TeleMedicine" & "Quality Payment Program" Articles
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December 8th, 2020
Final Rule on Communications Technology and 2021 Physicians Fee Schedule
Published December 8th, 2020
|To create a healthcare system that will benefit providers as well as Medicare beneficiaries there have been several new rules issued that begin on or after January 01, 2021. CMS released the final policy and payment provisions on December 01, 2020, which includes the physician fee schedule (PFS) for 2021. ...
October 20th, 2020
CMS Expands Telehealth Again
Published October 20th, 2020
|On October 14, 2020, CMS announced further changes to expand telehealth coverage. Eleven (11) new codes have been added to their list of covered services bringing the current total to 144 services. The new services include some neurostimulator analysis and programming services as well as some cardiac and pulmonary rehabilitation services.
August 7th, 2020
Impact of 2021 Proposed Medicare Fee Schedule on Chiropractic Offices
Published August 7th, 2020
|On August 3, 2020, the proposed Medicare Physician Fee Schedule for 2021 was released. This 1,355 page document includes some sweeping changes to the Medicare program. There are a few items in particular which should be noted by chiropractic offices.
June 3rd, 2020
Watch for Payer Telehealth Coverage Changes
Published June 3rd, 2020
|As our country moves forward with a phased approach to reopening, be sure to pay close attention to individual payer policies regarding how long these changes will remain in effect. Keep in mind that private payer, federal programs (Medicare, Medicaid), and Medicare Advantage plans can all have different timelines as well as different coverage.
May 13th, 2020
Are Diagnoses from Telehealth Services Eligible for Risk Adjustment?
Published May 13th, 2020
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On April 10th, CMS released a memo with the subject line, “Applicability of diagnoses from telehealth services for risk adjustment,” suggesting there may be some telehealth services that might not qualify for risk adjustment. However, in the memo CMS states:
“Diagnoses resulting from telehealth services can meet the risk adjustment face-to-face ...
May 4th, 2020
Additional Telehealth Changes Announced by CMS
Published May 4th, 2020
|On April 30, 2020, CMS announced additional sweeping changes to meet the challenges of providing adequate healthcare during this pandemic. These changes expand the March 31st changes. The article covers some of the key changes. See the official announcement in the references below.
April 22nd, 2020
COVID-19 Clinical Trial Participation Helps Providers Earn MIPS Credit
Published April 22nd, 2020
|All healthcare providers who are currently participating in the MIPS portion of Medicare’s Quality Payment Program may want to participate in the new COVID-19 Clinical Trials improvement activity. Read more about it here.
April 20th, 2020
Dismal OIG Report on Telemedicine
Published April 20th, 2020
|Providers need to understand the rules for reporting telemedicine services. A recent OIG report shows that this is not the case. What problems are being found in documentation claims? As providers are expanding their telehealth offerings, now is the time to understand the potential pitfalls since disallowed amounts will be taken back.
April 13th, 2020
COVID-19 Chiropractic Resources
Published April 13th, 2020
|COVID-19 Chiropractic Resources contains current, updated information regarding COVID-19. Included are lists of webinars, articles, websites and links pertaining to the ongoing changes.
April 7th, 2020
More Telehealth Changes Announced by CMS Chiropractic Offices Should Know About
Published April 7th, 2020
|On March 31, 2020, CMS announced further changes to their telehealth program in response to this unprecedented public health emergency (PHE). The announcement included far more information than is presented in this article which only summarizes the changes to telehealth. In fact, it does change a little of the information included in our March 31st webinar.
April 2nd, 2020
More Telehealth Changes Announced by CMS
Published April 2nd, 2020
|On March 31, 2020, CMS announced further changes to their telehealth program in response to this unprecedented public health emergency (PHE). See this article for further information as well as references & links to CMS information
March 25th, 2020
COVID-19: Cybercrime, Telehealth, and Coding
Published March 25th, 2020
|Your inbox is probably like mine with all sorts of announcements about COVID-19. Here are just a few reminders of things we felt should be passed along.
We have heard of several cases of cybercrime related to this outbreak. For example, there was a coronavirus map which loads malware onto your ...
January 14th, 2020
Billing for Telemedicine in Chiropractic
Published January 14th, 2020
|Many large private payers recognize the potential cost savings and improved health outcomes that telemedicine can help achieve, therefore they are often willing to cover it. While there are several considerations, there could be certain circumstances where telemedicine might apply to chiropractic care.
January 6th, 2020
CMS Report on QPP Shows Increasing Involvement
Published January 6th, 2020
|MIPS 2018 participation increased according to the final report issued by CMS on January 6, 2020.
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