Posts tagged RTM
The 2023 Medicare Physician Fee Schedule Proposed Rule: Everything You Need to Know Now [video]
The 2023 Medicare Physician Fee Schedule Proposed Rule: Everything You Need to Know Now [video]

Whether you are building a business aimed at facilitating RTM for healthcare providers or growing a direct-to-consumer RTM practice, you know that reimbursement requirements significantly impact several of your most important business decisions.

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Behavioral Health, Digital Health, Medical Practice, Medicare, Physician Fee Schedule, Physicians, Provider, Reimbursement, Remote Monitoring, Remote Patient Monitoring, Regulations, Telehealth, Telemedicine, Virtual Care Management, WebinarNixon Gwilt Law2023 MPFS, reimbursement, behavioral health, chronic pain management, RTM, telehealth
Proposed Changes to Remote Therapeutic Monitoring Reimbursement in the Proposed 2023 Medicare Physician Fee Schedule
Proposed Changes to Remote Therapeutic Monitoring Reimbursement in the Proposed 2023 Medicare Physician Fee Schedule

Stakeholders will be glad to know that CMS continued the RTM conversation with stakeholders beyond last year’s 2022 Medicare Physician Fee Schedule Final Rule (the “2022 Rule”) and directly addressed many of our questions and concerns, including NGL’s recommendations to re-visit the overall code structure to better align RTM with Remote Physiologic Monitoring (“RPM”) and other care management services.

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Digital Health, Physician Fee Schedule, Reimbursement, Remote MonitoringKaitlyn O’Connor, Carrie Nixon, and Casey PappRTM, Remote Therapeutic Monitoring, MPFS, 2023 MPFS, CMS, reimbursement, CPT codes
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
2022 Trends and Opportunities for Healthcare and Life Sciences Businesses and Investors
2022 Trends and Opportunities for Healthcare and Life Sciences Businesses and Investors

Find out what Healthcare and Life Sciences businesses and investors anticipate for the healthcare industry in 2022.

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Digital Health, FDA, Legislation, Life Sciences, Medicare, OIG, Pharmacy, Remote Patient Monitoring, Telehealth, TelemedicineNixon Gwilt Lawtelepharmacy, contracts, RTM, SaMD, FDA, wearables, FTC, hospital at home, tele-phlebotomy, tele-radiology, data analytics, femtech, hipaa, DEA
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 Therapeutic Monitoring in the 2022 MPFS: How CMS Can (and Should) Get it Right
Remote Therapeutic Monitoring in the 2022 MPFS: How CMS Can (and Should) Get it Right

This is our take on the approach CMS should follow in improving and finalizing the RTM codes and associated reimbursement that improve patient outcomes and lower the overall cost of care. It is based on our extensive work with remote patient monitoring and care management digital health companies along with the physician practices who use the existing care management codes – including Remote Patient Monitoring (“RPM”), Chronic Care Management, Principal Care Management, and Behavioral Health Integration.

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Digital Health, Healthcare Reform, Medicare, Physician Fee Schedule, Reimbursement, Remote Patient Monitoring, Regulations, Telehealth, TelemedicineCarrie Nixon2022 Medicare Physician Fee Schedule, Remote Therapeutic Monitoring, remote patient monitoring, Remote Monitoring, virtual care, RPM, RTM, MPFS, 2022, proposed rule, proposed medicare physician fee schedule, medicare physician fee schedule, CMS
New Remote Therapeutic Monitoring CPT codes introduced in Proposed 2022 Medicare Physician Fee Schedule
New Remote Therapeutic Monitoring CPT codes introduced in Proposed 2022 Medicare Physician Fee Schedule

On July 13th, the Centers for Medicare and Medicaid Services (“CMS”) released its proposed Medicare Physician Fee Schedule for Calendar Year 2022 (the “2022 Proposed MPFS” or the “Proposed Rule”). In doing so, it recognized five new CPT codes for Remote Therapeutic Monitoring (“RTM”) of “non-physiologic” patient data such as “musculoskeletal system status, respiratory system status, therapy (medication) adherence, and therapy (medication) response” as well as pain. While this new code set is welcomed by advocates for virtual care, the 2022 Proposed MPFS that discusses RTM may raise just as many questions as it answers.

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Digital Health, Physician Fee Schedule, Medicare, Reimbursement, Remote Patient MonitoringCarrie Nixon and Kaitlyn O'Connorremote patient monitoring, RPM, Remote Therapeutic Monitoring, RTM, 2022 Medicare Physician Fee Schedule