Posts tagged Remote Patient Monitoring
Top Six Takeaways from the Proposed 2023 Medicare Physician Fee Schedule: New Remote Monitoring, Behavioral Health, and Chronic Pain Care Management Codes and Telehealth Flexibility Extension
Top Six Takeaways from the Proposed 2023 Medicare Physician Fee Schedule: New Remote Monitoring, Behavioral Health, and Chronic Pain Care Management Codes and Telehealth Flexibility Extension

The much-anticipated 2023 Medicare Physician Fee Schedule Proposed Rule from CMS has arrived! More detailed analyses from the Nixon Gwilt Law team will follow, but in the meantime, here are our top takeaways from the 2023 Proposed Rule.

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Physician Fee Schedule, Virtual Care Management, Remote Monitoring, Digital Health, Provider, ReimbursementCarrie Nixon, Rebecca Gwilt, Kaitlyn O'Connor, and Casey Papp2023 MPFS, MPFS, medicare, reimbursement, rpm, rtm, ccm, telehealth, Remote Patient Monitoring, remote physiological monitoring, Chronic Care Management, telebehavioral health, telemental health, CMS
WEBINAR: New Remote Therapeutic Monitoring and Virtual Care Management Codes in the 2022 MPFS: Everything you need to know
WEBINAR: New Remote Therapeutic Monitoring and Virtual Care Management Codes in the 2022 MPFS: Everything you need to know

We're back with our most-anticipated webinar of the year! If you are interested in leveraging the new RTM codes or learning more about expanded CCM and PCM reimbursement opportunities in the 2022 MPFS, join us on January 19th!

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Digital Health, Physician Fee Schedule, Reimbursement, Remote Patient MonitoringCarrie Nixon and Kaitlyn O'ConnorRPM, RTM, Remote Therapeutic Monitoring, Remote Patient Monitoring, virtual care, Care Management Services, 2022 MPFS, 2022 Medicare Physician Fee Schedule
How RPM Companies Can Leverage the New Remote Therapeutic Monitoring CPT Codes Expected in 2022
How RPM Companies Can Leverage the New Remote Therapeutic Monitoring CPT Codes Expected in 2022

With these new RTM codes set to go into effect January 1, 2022, RPM vendors already in the remote monitoring arena should start preparing now for how they can take advantage of this new reimbursement opportunity.

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Digital Health, Remote Patient Monitoring, Reimbursement, Physician Fee Schedule, FDAKaitlyn O'ConnorRTM, 2022 MPFS, CPT, Remote Patient Monitoring, RPM, Remote Therapeutic Monitoring, SaMD, software as a medical device
New Reimbursement for Remote Therapeutic Monitoring in the Final 2022 Medicare Physician Fee Schedule
New Reimbursement for Remote Therapeutic Monitoring in the Final 2022 Medicare Physician Fee Schedule

This article examines the new CPT codes for Remote Therapeutic Monitoring as finalized for reimbursement in the 2022 Medicare Physician Fee Schedule, discussing key takeaways and implications for digital health and remote patient monitoring companies.

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Digital Health, Medicare, Physician Fee Schedule, Regulations, Reimbursement, Remote Patient Monitoring, TelehealthCarrie NixonRemote Therapeutic Monitoring, Remote Monitoring, Remote Patient Monitoring, Reimbursement, MPFS, 2022 Medicare Physician Fee Schedule, CPT Code 98975, CPT Code 98976, CPT code 98977, CPT code 98980, CPT code 98981, RPM, RTM, CPT
[video] Digital Health Innovators: Does your solution qualify as Software as a Medical Device (SaMD)?
[video] Digital Health Innovators: Does your solution qualify as Software as a Medical Device (SaMD)?

If you’re in the Remote Patient Monitoring (RPM) or Remote Therapeutic Monitoring (RTM) space, then you’ll want to understand the criteria and opportunities for qualifying as Software as a Medical Device (SaMD)

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Kaitlyn O'ConnorRPM, RTM, SaMD, FDA, Life Sciences and Biotech, Tommy Miller, Kaitlyn O'Connor, CMS, Remote Therapeutic Monitoring, Remote Monitoring, Remote Patient Monitoring, software as a medical device
Remote Patient Monitoring in the 2021 Medicare Physician Fee Schedule: The good, the bad, and the ugly
Remote Patient Monitoring in the 2021 Medicare Physician Fee Schedule: The good, the bad, and the ugly

On December 1, 2020, the Centers for Medicare and Medicaid Services (“CMS”) released its Final Medicare Physician Fee Schedule for 2021 (the “Final 2021 MPFS”), revising payment policies for services provided to Medicare beneficiaries by medical practitioners. These policies will take effect on January 1, 2021. Read on for insights from Team NGL.

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CMS Programs, Digital Health, Healthcare Reform, Physician Fee Schedule, Regulations, Reimbursement, Remote Patient Monitoring, Telehealth, TelemedicineCarrie Nixon and Kaitlyn O'Connor2021 MPFS, Digital Health, Telehealth, Telemedicine, Remote Patient Monitoring, RPM, CMS, Medicare, regulations, 2021 Medicare Physician Fee Schedule, Carrie Nixon, Kaitlyn O'Connor
Carrie Nixon in mHealth Intelligence Discussing the Recent Telehealth Changes
Carrie Nixon in mHealth Intelligence Discussing the Recent Telehealth Changes

Carrie Nixon, of the Nixon Law Group, said the order calls for “a strategy to improve rural health by improving the communications infrastructure in rural America,” though she notes such a strategy would have to be funded.

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CMS Programs, Digital Health, Healthcare Reform, Regulations, Remote Patient Monitoring, TelehealthCarrie NixonTelehealth, Telemedicine, Remote Patient Monitoring, CMS, Carrie Nixon
Remote Patient Monitoring in the 2021 Proposed Medicare Physician Fee Schedule
Remote Patient Monitoring in the 2021 Proposed Medicare Physician Fee Schedule

Last evening, the Centers for Medicare & Medicaid Services (“CMS”) issued its proposed Medicare Physician Fee Schedule for CY 2021 (the “MPFS”). In addition to a number of important changes relating to the provision and reimbursement of telehealth, the proposed MPFS includes long-awaited clarifications around use of the Remote Patient Monitoring (“RPM”) codes established over the past three years

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Digital Health, CMS Programs, COVID-19, Healthcare Reform, Physician Fee Schedule, Regulations, Remote Patient Monitoring, Reimbursement, TelehealthCarrie NixonRPM, Remote Patient Monitoring, regulations, CMS, MPFS, 2021 MPFS, Carrie Nixon
Op-ed by Carrie Nixon in The Hill: 5 Actions to Fuel the Digital Health Momentum
Op-ed by Carrie Nixon in The Hill: 5 Actions to Fuel the Digital Health Momentum

Nixon Law Group’s Managing Partner, Carrie Nixon, was quoted in an op-ed for The Hill discussing 5 actions to fuel the digital health momentum. "The COVID-19 public health emergency has forcefully opened the door for widespread adoption of telehealth, remote patient monitoring, and other digital health platforms by patients and providers alike."

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Digital Health, COVID-19, CMS Programs, Healthcare Reform, Legislation, Medicare, OIG, Press, Regulations, Remote Patient Monitoring, TelehealthCarrie NixonTelehealth, Telemedicine, Remote Patient Monitoring, COVID-19, Coronavirus, Digital Health, regulations, legislation, Carrie Nixon
CMS clarifies use of Remote Patient Monitoring during COVID-19 and further expands Telehealth for Physical Therapists, Occupational Therapists, Speech Pathologists, other practitioners
CMS clarifies use of Remote Patient Monitoring during COVID-19 and further expands Telehealth for Physical Therapists, Occupational Therapists, Speech Pathologists, other practitioners

The Center for Medicare and Medicaid Services (“CMS”) has issued a second Interim Final Rule (“IFR2”) that includes additional expansions and clarifications relating to the provision and reimbursement of telehealth, remote patient monitoring, and telephone services during the COVID-19 Public Health Emergency (“PHE”). While these expansions are another step forward for the adoption of digital technologies and services in healthcare, there are additional changes needed in the near-term, as detailed in the summary below.

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COVID-19, Remote Patient Monitoring, Telehealth, ReimbursementCarrie NixonTelehealth, Telemedicine, Remote Patient Monitoring, Remote Monitoring, COVID-19, Medicare, CMS, Reimbursement, Coronavirus, Carrie Nixon
FQHCs and RHCs now paid for Telehealth and Virtual Communications Services during COVID-19
FQHCs and RHCs now paid for Telehealth and Virtual Communications Services during COVID-19

The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) passed by Congress on March 27, 2020 opened the door for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to increase healthcare access to patients in rural and underserved areas by reimbursing for telehealth services to Medicare beneficiaries during the public health emergency (PHE). In addition, CMS has issued non-legislative policy changes and flexibility to address the increased need for remote services for Medicare beneficiaries in rural areas of the country.

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COVID-19, CMS Programs, Digital Health, Healthcare Reform, Remote Patient Monitoring, TelehealthRebecca GwiltCoronavirus, COVID-19, Telehealth, virtual care, communications, RPM, Remote Patient Monitoring, CMS, Rebecca Gwilt
Webinar and Discussion: Reimbursement and Implementation of Telehealth, Remote Patient Monitoring, and Virtual Check-Ins during COVID-19...and Beyond
Webinar and Discussion: Reimbursement and Implementation of Telehealth, Remote Patient Monitoring, and Virtual Check-Ins during COVID-19...and Beyond

Join us for a webinar to explain the most recent regulatory and reimbursement changes around the Remote Patient Monitoring, Telehealth, e-Visit, and Virtual Check-in CPT codes, during COVID-19, and what those changes mean from a practical perspective.

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Digital Health, Regulations, Reimbursement, Remote Patient Monitoring, Telehealth, COVID-19, EventsCarrie Nixon and Kaitlyn O'ConnorRemote Monitoring, Remote Patient Monitoring, Telehealth, Telemedicine, e-Visit, virtual check-in, virtual care, COVID-19, CMS, FDA, OIG, Coronavirus
CMS issues Interim Rule on use of Telehealth, Remote Patient Monitoring, e-visits, and Virtual Check-Ins during COVID-19
CMS issues Interim Rule on use of Telehealth, Remote Patient Monitoring, e-visits, and Virtual Check-Ins during COVID-19

In response to urgent requests from healthcare providers and digital health services companies, CMS released an Interim Final Rule with comment period (the “Rule”) on March 30, 2020 that eases restrictions around the use of telehealth and other virtual communications technologies to aide response to the COVID-19 public health crisis. The Rule adds reimbursement for over 80 additional services that can now be furnished by telehealth, removes the requirement that Medicare patients have a previously established relationship with the provider billing for telehealth or remote communications services, and allows the “face-to-face” encounters required to initiate some services to be conducted via telehealth.

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Reimbursement, Remote Patient Monitoring, TelehealthCarrie NixonCOVID-19, RPM, tel, Remote Patient Monitoring, virtual check-in, e-Visit, Coronavirus
Proposed Anti-Kickback Statute “Patient Engagement and Support” Safe Harbor: Implications for Remote Patient Monitoring and other Care Management Services Vendors
Proposed Anti-Kickback Statute “Patient Engagement and Support” Safe Harbor: Implications for Remote Patient Monitoring and other Care Management Services Vendors

In this article on the proposed changes to the fraud and abuse regulations, we focus on OIG’s proposed Patient Engagement and Support safe harbor to AKS and CMP and discuss how this new safe harbor may affect care management services vendors such as Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Transitional Care Management (TCM), and Behavioral Health Integration (BHI) services vendors.

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Fraud and Abuse, Medicare, OIG, Regulations, Remote Patient MonitoringCarrie Nixon and Kaitlyn O'ConnorRPM, CCM, Care Management Services, Remote Patient Monitoring, AKS, AKS Safe Harbor, OIG, Patient Engagement, Chronic Care Management
How to Get Paid for Patient "e-Visits" under the 2020 Medicare Physician Fee Schedule
How to Get Paid for Patient "e-Visits" under the 2020 Medicare Physician Fee Schedule

The Centers for Medicare and Medicaid Services (CMS) released the Final Medicare Physician Fee Schedule for CY 2020 (the “2020 MPFS”) on November 1, 2019. The 2020 MPFS finalizes six new CPT codes for e-Visits, providing new opportunities for physician practices to be reimbursed for conducting digital health assessments and evaluations for their patients and for remote patient monitoring companies to add these capabilities to their platforms.

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CMS Programs, Healthcare Law Firm, Medical Practice, Medicare, Physician Fee Schedule, Physicians, Regulations, Remote Patient Monitoring, ReimbursementKaitlyn O'ConnorRemote Patient Monitoring, Remote Monitoring, RPM, Digital Health, virtual care, 2020 MPFS, 2020 Medicare Physician Fee Schedule, Coronavirus
CMS Finalizes Changes to Remote Patient Monitoring in the 2020 Medicare Physician Fee Schedule
CMS Finalizes Changes to Remote Patient Monitoring in the 2020 Medicare Physician Fee Schedule

The Centers for Medicare and Medicaid Services (CMS) released the Final Medicare Physician Fee Schedule for CY 2020 (the “2020 MPFS”) on November 1, 2019, finalizing some important changes relating to Remote Patient Monitoring (RPM) services, but leaving many questions unanswered as of yet.

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Medicare, Physician Fee Schedule, Reimbursement, Remote Patient MonitoringCarrie NixonMPFS, 2020 MPFS, Remote Patient Monitoring, 2020 Medicare Physician Fee Schedule, Interprofessional Internet Consultations, Communication Technology Based Services, Reimbursement, Coronavirus
The Most Exciting Technologies Being Used in Patient Recovery
The Most Exciting Technologies Being Used in Patient Recovery

Seemingly every industry is being shaken up by a wide variety of emerging technologies, and physical therapy is no different. The field is seeing a number of important developments that change how practitioners approach both diagnosing and treating patients. 

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Integrative Medicine, PhysiciansRae Steinbachphysical therapy, patient recovery, apps, integrative medicine, digital medicine, digital health, Remote Patient Monitoring, mobile medical applications, health tech
Proposed 2020 Medicare Physician Fee Schedule offers new reimbursement for Remote Patient Monitoring
Proposed 2020 Medicare Physician Fee Schedule offers new reimbursement for Remote Patient Monitoring

On July 29, 2019, the Center for Medicare and Medicaid Services (“CMS”) released its proposed rule for the 2020 Medicare Physician Fee Schedule (the “2020 MPFS”).

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Health IT, Medical Practice, Physician Fee Schedule, Medicare, Physicians, Remote Patient MonitoringCarrie NixonRemote Monitoring, Remote Patient Monitoring, Medicare, 2020 Medicare Physician Fee Schedule, physician practice, Physicians, Reimbursement, Coronavirus