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Telehealth in the 2023 Medicare Physician Fee Schedule: New Telehealth Codes, Post-PHE Transition Period, and the Future of Remote Direct Supervision
[Video] Roe v. Wade for Healthcare Businesses: Privacy and Security
CMS’ Behavioral Health Strategy: Expanded Incident-to Billing and new BHI code in the proposed 2023 Medicare Physician Fee Schedule
Implementation of CMS’ Behavioral Health Strategy in 2023: Behavioral Health Integration G-code for Clinical Psychologists and Clinical Social Workers, and Opportunity for Clinical Staff to Provide Behavioral Health Services under General Supervision of Physicians and Non-Physician Practitioners
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.
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.
Femtech Data Privacy and the Changing Abortion Landscape: What Femtech Companies and Founders Need to Know
Digital Health Companies: How to choose a business model to bring your consumer-centric care to the market
How to Build Your Multi-Jurisdictional Telemedicine Company in the US
This article outlines the basics of the model and considerations for those contemplating building a virtual care network. It also contains a simple graphic of the model, which can be helpful for visual learners
[Video] Rapid-Fire Questions about Remote Monitoring and Virtual Care Management
Tips on a Successful 510(K) Submission for Smaller Companies
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.
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.
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.
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.
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.