Category Archive
for: ‘CMS’

CMS’ New Second in Command: A Health IT Expert?

As health care consultant Seema Verma awaits final Senate confirmation in her bid to become director of the Centers for Medicare and Medicaid Services (CMS), and amid continued questions about what “repeal and replace” will mean for health IT, President Trump has reportedly selected a second in command for the agency. Washington-based attorney Demetrios Kouzoukas, […]

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Seema Verma Provides Some Answers on Telemedicine

The Senate Finance Committee today will likely help move President Trump’s nominee to head the Centers for Medicare and Medicaid Services (CMS) one step closer to confirmation. During a Wednesday morning session, the committee is set to vote on the nomination of Seema Verma, an Indiana-based health care consultant who is perhaps best known for […]

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Insurers Urge CBO to Consider Their Data in Telemedicine Evaluations

Eleven private insurers are urging the Congressional Budget Office (CBO) to take the experience of commercial health insurers into account when evaluating the potential impact of telemedicine coverage on Medicare. As reported last week in Healthcare Informatics, representatives of some of the nation’s largest private insurers sent a public letter in October to CBO director […]

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HHS Finalizes MACRA Rule, Some Telehealth Advocates Disappointed

The Department of Health & Human Services (HHS) has finalized its policies for how the Center for Medicare & Medicaid Services (CMS) will implement the new Medicare Quality Payment Program. This program, part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), replaces the former and flawed Medicare Part B Sustainable Growth Rate […]

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CMS Clarifies Telemedicine Reimbursement Under Medicaid

The Centers for Medicare and Medicaid Services (CMS) recently clarified their requirements for state amendments for telemedicine services. According to CMS, states need not submit plan amendments for telemedicine coverage under Medicaid if they intend to pay for services provided via telemedicine in the same way they reimburse in-person visits. CMS approval is only needed […]

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CMS Releases Proposed CY 2017 Physician Fee Schedule

The Center for Medicare and Medicaid Services (CMS) recently released proposed Medicare Physician Fee Schedule (PFS) for CY 2017. Comments on the proposed schedule are due by 5:00 PM EST on September 6, 2016. Included in the proposal, is the addition of several codes for reimbursement regarding end-state renal disease related services for dialysis; advance […]

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Telemedicine Use Increases Among Rural Medicare Beneficiaries

In a recent study, Harvard Medical School researchers discovered the number of telemedicine visits provided to Medicare beneficiaries increase by 28 percent each year from 2004 to 2013, with a total of 107,000 visits provided in 2013. This research is one of the first to measure the frequency of telemedicine over the years. In order […]

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Medicare’s Best Program: Chronic Care Management

The Politics of Health Care Medicare’s Best Program: Chronic Care Management These are the five most important numbers for a Medicare patient and their physician- 99490. In January 2015, the Chronic Care Management (CCM) program went into effect. Since then, the Center for Medicare and Medicaid Services (CMS) has been using Medicare CPT Code 99490 […]

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CTeL Executive Spring Summit on Telemedicine Legal & Regulatory Issues Announced!

The CTeL Executive Summit is back after a successful Fall Summit in November. Join us for two packed days of uncensored, substantive discussions, with YOU, the telehealth pioneer in mind. Trust us, you won’t want to miss out. Grab your seat at the table to hear directly from the source about the legal and regulatory […]

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CBO Actions Seen by Some to Impede the Adoption of Telemedicine

In an article on Politico.com, author David Pittman reports on actions by the Congressional Budget Office (CBO) that may be creating roadblocks to a swifter embrace of telehealth technologies by lawmakers. Established by Congress in 1975, the CBO produces independent analyses of budgetary and economic issues to support the Congressional budget process.  Any legislation considered […]

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