Watch for five claims shortcomings that may hang up claims payment. If the results of an April 2018 Office of Inspector (OIG) audit are any indication, claims for telehealth services are about to receive much closer attention by payers. Physicians and staff can best prepare for a potential claims review through awareness and education. Rising ...
In CMS
Jul 16th, 2018
Virtual care—also known as telehealth or telemedicine—leverages technology (such as audio/video applications or patient-accessed health portals) to allow patients quick and convenient remote access to quality healthcare. Now, the Centers for Medicare & Medicaid Services (CMS) is proposing increased coverage for virtual care services. Per CMS: Provisions in the proposed CY 2019 Physician Fee Sc...
In CMS
Jun 12th, 2018
Fifty professional societies and healthcare providers wrote a letter to Seema Verma, the secretary of the Centers for Medicare & Medicaid Services (CMS) asking that the agency reimburse three new CPT codes for remote monitoring. Remote Monitoring More than 99091 While expressing their gratitude that the 2018 Medicare Physician Fee Schedule includes 99091 Physician/healthcare professional collec...
In CMS
Apr 20th, 2018
Quality reporting changes in 2018 for MIPS eligible clinicians who don’t see most of their patients face to face. Clinicians, clinician groups, and virtual groups eligible to participate in the Merit-based Incentive Payment System (MIPS) should know what percentage of their patient encounters are considered non-patient facing. Although self-identification is not required in 2018, the reporting ...
In CMS
Apr 13th, 2018
An Office of Inspector General (OIG) report found the Centers for Medicare & Medicaid Services (CMS) reimbursed some telehealth claims that didn’t meet Medicare requirements, according to a release from the oversight group. OIG Found Incomplete Claims The OIG analyzed 191,118 2014 and 2015 telehealth claims and discovered that more than half of the professional telehealth services report...