NEW REIMBURSEMENT FOR CPT CODE 99091 UNDER THE 2018 MEDICARE PHYSICIAN FEE SCHEDULE
The Centers for Medicare & Medicaid Services gave physicians and other healthcare providers ringing in the New Year another reason to celebrate. Two final rules issued by CMS in November 2017 opened up entirely new avenues for reimbursement of Remote Patient Monitoring services in 2018, creating the potential for better patient outcomes and a boost to a practice's bottom line.
CPT Code 99091 was created in 2002 to describe "Remote Patient Monitoring" -- an interaction whereby a patient purchased a home monitoring device to collect her health information and transmit that information to her doctor. Since that time, CMS has considered the work of the physician in reviewing and interpreting that data to be covered by the management services codes already billed by the practice - meaning, CPT Code 99091 was "bundled" in with other management services codes and was not separately reimbursable. In 2018, the rei...
Below is an example of how Chalant Health Inc. can be a solution to saving hospitals money.
Patients who receive home health care after a hospital discharge are saving the health care system some serious dough, on average, according to a recent study published in the American Journal of Medicine (AJM).
With $40 billion spent on hospitalizations annually, the study furthers the value proposition of home health care as a major driver of health care savings and improved clinical benefits.
The study, which was conducted by authors at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, looked at 65,541 patients who were discharged from the hospital with self-care and 6,560 home health care patients over a 365-day-post-discharge period. The retrospective cohort study was conducted between Jan. 1, 2013, and June 30, 2015.
Over the discharge period, home health care was associated with an average unadjusted savings of $15,233 per patient, or $6,433 when adjusted fo...
The Wall Street Journal recently published an interesting article highlighting the need and opportunity for home diagnostic devices in extending patient care efficiently and cost-effectively.
Telemedicine proponents say the new wave of home diagnostic devices could well provide the “missing link” in telemedicine, reassuring both doctors and patients that a virtual visit can still be thorough.
A recent Washington Post article highlights the ongoing demand being placed on medical research organizations to release clinical trial data more quickly.
The Chalant CT-250 is designed specifically to support clinical drug trials. The device efficiently aggregates vital monitoring information for inclusion with FDA applications. The integrity of the data captured during drug trials is securely managed by Chalant, providing medical research organizations with an effective response to the new government mandate.
Telehealth is gaining traction as seniors accept virtual healthcare options as an effective alternative to emergency care visits.
The Mercy Virtual Care Program is cutting health care costs by getting hundreds of senior citizens to use iPads as an alternative to doctors' visits. The following video shares the compelling reasons why the Mercy Hospitals Virtual Care Program is realizing success.
There are many reasons patients don’t take their medications and some of them include: fear, cost, misunderstanding, too many, lack of symptoms, worry, depression; and, mistrust (of clinicians). Many companies have invested millions in developing apps, monitoring devices and websites to dissect and proactively try to monitor the patient in hopes that they can determine when and why patients don’t take their medications.
Medication only works when taken
For certain medication therapies, one on one observation may be the only way to verify compliance. A utopian solution would allow for the clinician to physically observe the patient taking their medications; however, this is neither logistically feasible nor cost effective.
The industry is looking at several options to address this last mile. There are companies investing in technologies that allow for a tracking device in an ingested medication but most critics and supporters agree, given our lengthy FDA review, that t...
Back in 2004, I began work to promote the use of electronic prescribing in an effort to ultimately promote patient safety and ensure the transparency of prescription medication therapy. At that time, all prescriptions were hand-written and once given to the patient, were left to that patient’s care to deliver to the pharmacy for eventual fill. This obviously left many opportunities for loss, theft, and counterfeit reproductions. In addition, the prescriber had no knowledge of whether or not a patient actually delivered the prescription to the pharmacy for fill. With the eventual mainstream adoption of electronic prescribing by 2009, we were able to witness better transparency of prescription delivery to the pharmacy, a decrease in the points of failure where nefarious individuals could attempt to counterfeit hand-written prescriptions; and, systemic data capture of a patient’s medication history. This was a significant paradigm shift yet many of us in the healthcare delivery and s...