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CMS Releases Final 2024 Medicare Physician Fee Schedule: Key Changes for RTM and RPM

Nixon Gwilt Law

On November 2, the Centers for Medicare and Medicaid Services (“CMS”) released the 2024 Medicare Physician Fee Schedule (“2024 MPFS”) final rule. CMS received over 20,000 comments on the proposed rule , which was published in July. RTM and RPM, from Proposed to Final Rule: What Changed?

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CMS Proposes New Services for Vulnerable Patients: Reimbursement for Community Health Integration, Social Determinants Risk Assessment, and Principal Illness Navigation

Nixon Gwilt Law

In the proposed 2024 Medicare Physician Fee Schedule (MPFS), the Centers for Medicare and Medicaid Services (CMS) proposes new CPT codes to facilitate reimbursement for healthcare providers who help patients overcome social and environmental health barriers.

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Top Telehealth Takeaways from the 2024 Proposed Medicare Physician Fee Schedule

Nixon Gwilt Law

Now, in the first proposed Medicare Physician Fee Schedule (“MPFS”) since the PHE ended, CMS is clearing up some lingering unanswered questions, with a particular focus on flexibilities established in the 2023 Consolidated Appropriations Act (“2023 CAA”). The 2023 CAA further extended these flexibilities through the end of 2024.

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Changes for Remote Monitoring in the 2024 Proposed Medicare Physician Fee Schedule: What Providers RTM and RPM companies need to know

Nixon Gwilt Law

The Centers for Medicare & Medicaid Services (“CMS”) released its much-anticipated Proposed Medicare Physician Fee Schedule for CY 2024 (the “Proposed Rule”) on July 13, 2023. RPM and RTM may NOT be billed for the same patient – or can they??

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Proposed Changes to Remote Therapeutic Monitoring Reimbursement in the Proposed 2023 Medicare Physician Fee Schedule

Nixon Gwilt Law

Every summer when the Centers for Medicare and Medicaid Services (“CMS”) releases the Medicare Physician Fee Schedule Proposed Rule (the “Proposed Rule”), the Nixon Gwilt Law (“NGL”) team excitedly opens the two-thousand-something-page PDF and immediately keys “ctrl+F” (or command+F for us Mac users) to jump to our most anticipated section(s).

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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

Nixon Gwilt Law

Specifically, the Proposed Rule would add several services to the Medicare Telehealth List (most on a temporary basis through the end of 2023) and adjust the use of modifiers when submitting telehealth claims following the end of the PHE. CMS proposed to add the following 53 services to the List on a Category 3 basis.

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Key Takeaways for Remote Therapeutic Monitoring in the Final 2023 Medicare Physician Fee Schedule: “General Supervision for all RTM”

Nixon Gwilt Law

But first, a brief reminder of how we got where we are today: In early July, CMS released its Proposed 2023 MPFS, which included changes to payment policy for RTM services aimed at addressing some of the concerns posed by the existing CPT Code set as established by the American Medical Association’s CPT Committee. ” — CMS.