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The Facilities for Medicare & Medicaid Providers (CMS) has issued its 2024 Medicare Doctor Price Schedule (PFS) remaining rule. Coming in at practically 3,000 pages, the rule finalizes many vital additions and modifications in areas together with distant companies, care administration companies, and preventive companies. Beneath we spotlight a number of the most notable developments. Prevounce CEO Daniel Tashnek, JD, will discover these and different takeaways from the ultimate rule throughout a webinar on Thursday, November 16, at 2:00 PM EST, which you’ll register for here.
Listed here are highlights from the PFS remaining rule.
1. Distant affected person monitoring and distant therapeutic monitoring companies for FQHCs and RHCs
CMS finalized its coverage to reimburse distant affected person monitoring (RPM) and distant therapeutic monitoring (RTM) companies when furnished by Federally Certified Well being Facilities (FQHCs) and Rural Well being Clinics (RHCs). The modifications provide FQHCs and RHCs an thrilling alternative to present extra complete distant care administration companies to sufferers, whereas producing significant income. Tashnek will cowl the potential earnings and affected person advantages in additional element throughout the webinar.
2. Clarification of RPM and RTM insurance policies
CMS addressed widespread questions on and clarified a number of RPM and RTM insurance policies, together with these regarding RTM companies furnished by bodily and occupational therapists in non-public practices.
3. Definition of direct supervision
CMS indicated it’ll proceed to outline “direct supervision” to allow presence and fast availability of the supervising practitioner via real-time audio and video interactive telecommunications via a minimum of the top of 2024.
4. Group well being integration and principal sickness navigation
CMS finalized codes and fee strategies for brand new lined care administration companies: group well being integration (CHI) and principal sickness navigation (PIN). CHI companies are meant to handle unmet social determinants of well being (SDOH) wants affecting the prognosis and remedy of a affected person’s medical points, whereas PIN companies are meant to assist Medicare sufferers recognized with high-risk situations establish and join with medical and help sources.
5. New preventive companies
CMS finalized codes and fee strategies for social determinants of well being (SDOH) danger assessments and caregiver coaching companies. Beginning in 2024, the SDOH danger evaluation could be administered with a Medicare annual wellness go to (AWV) for extra fee or furnished with an analysis and administration or a behavioral well being go to.
A Deeper Dive Into the 2024 Doctor Price Schedule Last Rule
Need to study extra about these and the opposite vital developments from this 12 months’s PFS remaining rule? Register for “Understanding Medicare’s 2024 Final Additions and Changes to Remote Care Management,” on November 16, 2023 at 2:00 PM EST, for an in depth breakdown of the modifications and their short- and long-term implications on your group.
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