Posts tagged Chronic Care Management
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
Additional Reimbursement for Chronic Care Management and Principal Care Management Finalized in the 2022 MPFS
Additional Reimbursement for Chronic Care Management and Principal Care Management Finalized in the 2022 MPFS

In the Final Medicare Physician Fee Schedule (“MPFS”) for 2022 (the “Final Rule”) issued on November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) added five new CPT codes in the categories of Chronic Care Management (“CCM”) and Principal Care Management (“PCM”) and increased reimbursement for already existing codes in the same categories. Despite stakeholder feedback, CMS refrained from making any changes to the existing rules for obtaining beneficiary consent for CCM and PCM.

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CMS Programs, Digital Health, Healthcare Reform, OIG, Medicare, Physician Fee Schedule, Reimbursement, Telemedicine, TelehealthKaitlyn O'Connor and Reema TanejaCCM, PCM, Chronic Care Management, Principal Care Management, MPFS, 2022, 2022 Medicare Physician Fee Schedule, medicare physician fee schedule, 99437
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
Proposed Anti-Kickback Statute "Care Coordination Arrangements" Safe Harbor: Implications for Remote Patient Monitoring and Care Management Services
Proposed Anti-Kickback Statute "Care Coordination Arrangements" Safe Harbor: Implications for Remote Patient Monitoring and Care Management Services

In this article, we focus on the proposed Care Coordination Arrangements safe harbor to the Anti-Kickback Statute and discuss how this new safe harbor may affect vendors of care management services such as Remote Patient Monitoring, Chronic Care Management services, Transitional Care Management services, and Behavioral Health Integration services.

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OIG, Remote Patient Monitoring, Regulations, Fraud and Abuse, Healthcare ReformCarrie Nixon, Rebecca Gwilt, and Kaitlyn O'ConnorAKS, Anti-Kickback, OIG, RPM, Chronic Care Management, Care Coordination, Safe Harbor, Anti-Kickback Statue, CCM, AKS Safe Harbor
CMS introduces CPT Codes 99453, 99454, and 99457 to reimburse for Chronic Care Remote Patient Monitoring
CMS introduces CPT Codes 99453, 99454, and 99457 to reimburse for Chronic Care Remote Patient Monitoring

The final 2019 Medicare Physician Fee Schedule (the “Rule”), released on November 1st, creates three new codes in the category of Chronic Care Remote Physiologic Monitoring (“CCRPM”) for (1) initial set-up and patient education, (2) initial device supply, and (3) monitoring data and interacting with patients or caregivers.

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Medical Practice, Medicare, Physician Fee Schedule, Physicians, Regulations, Reimbursement, Remote Patient MonitoringKaitlyn O'ConnorRemote Monitoring, Remote Patient Monitoring, chronic condition, Chronic Care Management, medicare, 2019 Medicare Physician Fee Schedule, Healthcare innovation, Coronavirus
Join Nixon Law Group at MATRC 2018
Join Nixon Law Group at MATRC 2018

Join NLG Partner Rebecca E. Gwilt and telemedicine vendors, practitioners, and academicians from Virginia, Maryland, Delaware, Washington, D.C., Pennsylvania, New Jersey, West Virginia, North Carolina, and Kentucky at the Mid-Atlantic Telehealth Resource Center's (MATRC) 2018 Summit in Hershey, PA this April. Rebecca will be speaking alongside Brian Scarpelli with the Connected Health Initiative during the session: “Deconstructing Reimbursement for Chronic Disease Management”. (Monday April 16 from 2:30 PM - 3:45 PM)

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Speaking EngagementsRebecca Gwilttelemedicine, MATRC, Remote Patient Monitoring, RPM, CCM, Chronic Care Management