Digital Health Companies: How to choose a business model to bring your consumer-centric care to the market
Digital Health Companies: How to choose a business model to bring your consumer-centric care to the market
Digital Health, Life Sciences, Medical Practice, MSO, Physicians, Regulations, Reimbursement, Remote Monitoring, Remote Patient Monitoring, Telehealth, Telemedicine, Virtual Care ManagementRebecca GwiltDigital Health, regulation, Virtual care, business, market, Telehealth, Virtual care management, virtual care compliance, direct to consumer, friendly PC, friendly physician MSO, provider, healthcare provider, telehealth network, MSO, pharmacy, telepharmacy, mobile medical applications
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!

Read More
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.

Read More
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
Pharmacy Innovation Series: the DEA Steps into Telepharmacy Regulation
Pharmacy Innovation Series: the DEA Steps into Telepharmacy Regulation

For the first time, the Drug Enforcement Agency (“DEA”) is becoming directly involved in the telepharmacy space, an industry that the DEA has not previously regulated aside from the loose application of its existing regulations governing online pharmacies. Find out what this means for your business and how you can submit comments to the DEA directly in this post.

Read More
Life Sciences, Pharmacy, Telehealth, TelemedicineReema Tanejatelepharmacy, DEA, ANPRM, csa, controlled substances act, pharmacist, pharmacy, regulation
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.

Read More
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
3 Practical Steps to Better Protect Your Healthcare Business (and Reputation) from Data Breaches
3 Practical Steps to Better Protect Your Healthcare Business (and Reputation) from Data Breaches

Data is rapidly becoming one of the most valuable assets in the healthcare market, putting digital health companies that collect and process large amounts of personal data at higher risk than many other types of businesses. If you have a healthcare business, then you’ll want to keep reading…

Read More
Digital Health, Electronic Records, Health IT, HIPAA, Privacy, Regulations, Remote Patient Monitoring, Startups, Telehealth, TelemedicineKathrin (Kat) Lozahprivacy and security, data privacy, HIPAA, data breach, GDPR, compliance
3 Key Challenges Facing Tele-dentistry Companies and How to Approach Them
3 Key Challenges Facing Tele-dentistry Companies and How to Approach Them

Dentistry is one of a number of clinical specialties that is taking a creative and innovative approach to delivering care using digital health tools. Most of us are now familiar with Byte, SmileDirectClub, and Candid—these companies are pioneers in the space. However, tele-dentistry has far more potential applications than retail clear aligner services. Tele-dentistry entrepreneurs are building solutions for remote examination of sore or swollen teeth and gums, screening for certain oral diseases and cancers, mobile dental hygiene, dental hygiene education, and more.

Read More
Telehealth, Tele-dentistry, Provider, Digital Health, ReimbursementKathrin (Kat) Lozahdentistry, teledentistry, CPOD, Corporate practice of Dentistry
Telehealth in the 2022 Medicare Physician Fee Schedule: Audio-Only Telehealth for Mental Health Made Permanent, and CMS Punts on Remote Direct Supervision
Telehealth in the 2022 Medicare Physician Fee Schedule: Audio-Only Telehealth for Mental Health Made Permanent, and CMS Punts on Remote Direct Supervision

On November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) finalized the Medicare Physician Fee Schedule for Calendar Year 2022 (the “Final 2022 MPFS” or the “Final Rule”). As we noted in our July article discussing the Proposed 2022 MPFS, CMS made some significant proposed changes to allow for audio-only telehealth in some limited circumstances. In addition, the agency also proposed to enable remote “direct supervision,” which would allow practitioners to supervise clinical staff billing incident to their services as long as they could be available by audio/video communication as necessary.

Read More
Behavioral Health, CMS Programs, Healthcare Reform, Medicare, OIG, Physician Fee Schedule, Regulations, Reimbursement, Telehealth, TelemedicineRebecca GwiltTelemedicine, telementalhealth, 2022 Medicare Physician Fee Schedule, 2022, MPFS, Medicare, telemedicine, CMS, 99441, 99442, 99443, CPT, 93797, 93798, G0422, G0423, G2252
Biden Administration Requires Vaccination for Medicare and Medicaid Certified Providers/Suppliers by January 2022: CMS Issues its Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule
Biden Administration Requires Vaccination for Medicare and Medicaid Certified Providers/Suppliers by January 2022: CMS Issues its Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule

The Centers for Medicare and Medicaid Services (CMS) issued its Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule (IFR) on November 4, 2021, the same day the Department of Labor’s Occupational Safety and Health Administration (OSHA) issued its COVID-19 Vaccination and Testing Emergency Temporary Standard (ETS). The IFR and ETS complement each other, with both aimed at furthering the Biden Administration’s goal of vaccinating the entire United States healthcare workforce to ensure capacity to serve local and national healthcare needs, the safety of the workforce and patients, and to reduce the risk of continued COVID-19 transmission. Both rules are effective November 5, 2021.

Read More
COVID-19, Employment, Medicare, RegulationsFaisal KhanCOVID-19, vaccine, medicaid, Medicare
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.

Read More
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
Under 2022 Medicare Physician Fee Schedule, Physician Assistants Will Be Paid Directly for Services
Under 2022 Medicare Physician Fee Schedule, Physician Assistants Will Be Paid Directly for Services

On November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) released its Final Medicare Physician Fee Schedule for 2022 (the “Final 2022 MPFS”), revising certain payment policies for services provided to Medicare beneficiaries by healthcare practitioners. These policies take effect on January 1, 2022.

Read More
Healthcare Reform, Legislation, Medicare, OIG, Physician Fee Schedule, Physicians, Reimbursement, Telehealth, TelemedicineCarrie Nixon and Casey Pappphysician coverage, MPFS, 2022, medicare physician fee schedule
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.

Read More
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