COVID-19: CMS Changes for COVID-19 Response

Centers for Medicare & Medicaid (CMS) have recently released its 2020 guidelines for Chronic Care Management (CCM) and related services (ex: TPM, RPM, etc.) with some exciting changes including a new code.

CMS is offering a new code called Principle Care Management (PCM) and is built for a patient with a single chronic condition diagnosis expected to last between three months and a year, or until the death of the patient.

Beginning January 1, 2020, we see a valued impact from additional CMS support for CCM that allows for more paid non-face-to-face time for your sickest patients.

CMS have finalized significant changes related to RPM which is great news for the providers who need more time monitoring and managing their patient's condition outside of the practice.

TCM services reduced readmission rates, lowered mortality, and decreased health care costs. With the added value of this program, the reimbursement rates will be increasing. …

The new study found that patients who received drug therapy alone did not experience more heart attacks or die more often than those who also received bypass surgery or stents, tiny wire cages used to open narrowed arteries.

Via Christi Hospital in Wichita, Kan., is out nearly $600,000 for the cost of treating a patient after the state's supreme court held Nov. 1 that a typo in Kansas' workers' compensation medical fee schedule is to be considered the "plain language" of the regulation.

More than 46 million Americans live in rural areas, and the system often works against them in nearly every dimension of care.

Medicare will cut payments to 2,583 hospitals by anywhere from 0.01 percent to the maximum of 3 percent for excessive readmissions.