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Telehealth Leads to Better Care and Revenue with Chronically Ill Patients

By | Blog, healthcare management consulting, MIPS consulting, Telehealth

Telehealth offers critically ill patients and their healthcare providers opportunities to raise income and improve quality of treatment. Telehealth appointments frequently represent a more convenient approach versus an in-person visit, and the costs are often markedly less than an emergency room visit. Instead of making an unnecessary trip or incurring a hefty emergency room charge, patients using a telehealth platform are able to virtually talk with a physician or a nurse via computer, phone, or tablet.

For healthcare practices, telehealth appointments with chronically ill patients create several revenue opportunities. Regulations have relaxed, and Medicare offers even more leniency when it comes to reimbursing telehealth services. Physicians can now receive the same amount reimbursed for a telehealth appointment as they would for an in-person visit, leading to a more stable revenue stream. Telehealth and remote monitoring for patients with chronic conditions in value-based contracts also enables physicians to reach quality care targets and reduce unneeded readmissions, leading to greater incentive payments.

Regular communication with chronically ill patients solves multiple problems. It’s challenging to keep a consistent chronic care management program going when patients might be afraid to come into the office. Those who need a physical, follow-up visit, or have regularly scheduled appointments, can now keep up with those via virtual visits. As a bonus, providers can also more easily evaluate the home environment with the virtual visit “show and tell” opportunity.

Telehealth has emerged as a good way to provide revenue opportunities, offer more convenience, and avoid interrupting care management programs. Many providers are seeing the benefits.

This update is provided by CareOptimize. We provide healthcare management consulting services and products, managed care solutions, value-based expertise, Nextgen EHR utilities, MIPS consulting, and more. CareOptimize has helped numerous healthcare organizations succeed for more than a decade. For more information, please call 855.937.8475.

CMS Unveils Greater Medicare Payment Flexibility

By | Blog, healthcare management consulting, Telehealth

As a way to improve the healthcare system’s COVID-19 response, Centers for Medicare & Medicaid (CMS) has revealed more Medicare payment flexibilities to deliver telehealth, value-based care, and care beyond the traditional hospital during the pandemic.

Hospitals will earn secure, consistent Medicare payments by upping the number of beds for COVID-19 patients. This latest rule guarantees that facilities such as teaching hospitals, outpatient recovery centers, and community health service healthcare programs will not have to deal with decreased Medicare subsidies to raise the number of beds or patient admissions to minimize the pressure on the acute care system.

In turn, more companies will have the ability to supply and charge telehealth facilities, according to the rule. To broaden telehealth during the pandemic, CMS is forgoing limits on the kinds of providers that will deliver telehealth and is permitting hospitals to charge for remote care provided to hospital outpatients.

Long-awaited improvements to the Medicare Joint Savings Plan (MSSP) were among the flexibilities also announced. Furthermore, CMS revealed that the financial framework will be changed in assessing spending for accountable care organizations (ACOs). ACOs who accept increased financial risk under system rules in their next agreement cycle will also have the option of keeping the current financial risk standard for another year.

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This update is provided by CareOptimize. We provide healthcare management consulting services and products and we’ve helped numerous healthcare organizations succeed for more than a decade. We provide managed care solutions as well as products like coding modules, Nextgen EHR utilities, and more. For more information, please call 855.937.8475.