This post is from a release sent out by our partners, VitalTech Affiliates, LLC
The Centers for Medicare and Medicaid Services (CMS) released its proposed rule for the 2020 Medicare Physician Fee Schedule. These proposals allow for fully outsourced business models for Remote Patient Monitoring (RPM) and creates additional reimbursement opportunities.
2020 Medicare Physician Fee Schedule updates include:
• CPT Code 994X0 which allows reimbursement for an additional 20 minutes of clinical staff, physician, or QHCP time spent above and beyond the initial 20 minutes provided for by CPT Code 99457.
• 6 new reimbursement codes for Online Digital Evaluation Services “e-Visits” described as a telehealth session which would have constituted an in-office visit. Maximum of 7 days per month for: • 5-10 minute session • 11-20 minute session • 21+ minute session • 3 codes apply to non-physician professionals, and 3 codes apply to physicians who bill independently.
• Technical correction issued regarding “Incident To” billing for RPM. “These services may be furnished by auxiliary personnel incident to a practitioner’s professional service.”
• Distance requirements have been removed for telehealth visits with chronic care patients.
• Private payors are covering RPM in many states.
These CMS updates result in better accessibility, quality, affordability, and personal empowerment for your patients to manage their chronic conditions. VitalCare offers the tools for patients to stay connected to your care remotely.
Below are related articles discussing the new updates. https://www.cms.gov/newsroom/fact-sheets/proposed-policy-payment-and-quality-provisionschanges-medicare-physician-fee-schedule-calendar-year-2
These changes when approved take away some of the systems limitations on remote patient monitoring. No longer will the physician must the physician have the QHCP in their office to provide the monitoring phone contact. There is an additional 20 minutes allowed for longer conversations or multiple conversations in the same month.
Removing the distance requirements for telehealth visits will open up this efficient service to urban and suburban patients. Given the home delivery of basic services that are growing, its only natural that people will flock to contacting their physician's office remotely.
In a recent survey in Florida, people were asked "If you had the option to switch to a doctor who provides remote telehealth services via text, email, or video, what would be the main reason why?
42% Ease of access to healthcare provider
21% Time saver
12% Reduced costs
11% Faster service
11% Rx renewals