The Rybar Group, Inc.’s Post

🚨 CMS Releases CY2025 Medicare Physician Fee Schedule Proposed Rule! On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released the CY2025 Medicare Physician Fee Schedule (PFS) proposed rule, setting payment rates for healthcare services under Medicare. This follows the CMS’ Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) proposed rule from July 9, 2024. The comment period ends on September 9, 2024. Given the complexity of these rules, CTeL has summarized key telehealth provisions to help you understand the changes that may impact your practice. Note that these are proposed regulatory changes, with the final rule published after the comment period. CMS often makes changes based on public feedback. CTeL is preparing a comment letter in response to the proposed rule and seeks input from CTeL members. Please send your feedback to Lydia at [email protected] by August 12, 2024. We will compile your input into a comment letter to CMS and share it with you before submission. #Healthcare #Medicare #Telehealth #CMS #PolicyUpdate #CTeL

📣 Check out this informative blog post from our friends at Nixon Law Group on the new Advanced Primary Care Management (APCM) codes finalized in the 2025 Medicare Physician Fee Schedule! #APCM #MPFS

Have you heard about the #texting update from the Centers for Medicare & Medicaid Services? This new guidance allows providers at hospitals and critical access hospitals to use secure texting platforms to transmit patient orders. Read more on our blog and sign up for our March 7 roundtable discussion as we explore this topic further: https://bit.ly/48lzcjT

Have you heard about the recent #texting update from the Centers for Medicare & Medicaid Services? With their new guidance, providers at hospitals and critical access hospitals are now allowed to use secure texting platforms to transmit patient orders. Read more on our blog and sign up for our March 7 roundtable discussion as we explore this topic further: https://bit.ly/48lzcjT

The Centers for Medicare & Medicaid Services has posted #eCQM specifications for the 2025 performance/reporting period for #EH, #CAH, #OQR, and #EC quality reporting programs. Measures will not be eligible for 2025 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program. Other resources available on the eCQM Resource Center include the Guide for Reading eCQMs, eCQM Logic and Implementation Guidance, tables of eCQMs, and technical release notes on the Eligible Clinician, EH/CAH, and OQR pages. The Telehealth Guidance for eCQMs for Eligible Clinician 2025 Quality Reporting and the Eligible Clinician Table of eCQMs regarding the allowance of telehealth encounters for Eligible Clinician eCQMs are also posted. https://ow.ly/vSia50RvZPX

The Centers for Medicare & Medicaid Services has posted #eCQM specifications for the 2025 performance/reporting period for #EH, #CAH, #OQR, and #EC quality reporting programs. Measures will not be eligible for 2025 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program. Other resources available on the eCQM Resource Center include the Guide for Reading eCQMs, eCQM Logic and Implementation Guidance, tables of eCQMs, and technical release notes on the Eligible Clinician, EH/CAH, and OQR pages. The Telehealth Guidance for eCQMs for Eligible Clinician 2025 Quality Reporting and the Eligible Clinician Table of eCQMs regarding the allowance of telehealth encounters for Eligible Clinician eCQMs are also posted. https://ow.ly/vSia50RvZPX

The Centers for Medicare & Medicaid Services has posted #eCQM specifications for the 2025 performance/reporting period for #EH, #CAH, #OQR, and #EC quality reporting programs. Measures will not be eligible for 2025 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program. Other resources available on the eCQM Resource Center include the Guide for Reading eCQMs, eCQM Logic and Implementation Guidance, tables of eCQMs, and technical release notes on the Eligible Clinician, EH/CAH, and OQR pages. The Telehealth Guidance for eCQMs for Eligible Clinician 2025 Quality Reporting and the Eligible Clinician Table of eCQMs regarding the allowance of telehealth encounters for Eligible Clinician eCQMs are also posted. https://ow.ly/vSia50RvZPX

RPM usage is rapidly increasing. 2022 CMS data shows that RPM CPT 99454 billing increased by 41% relative to 2021. The code was billed over 1.2 M times across 4,300 providers to over 250K patients. That’s impressive growth for preventative services that can have such a positive influence on health outcomes. It’s exciting to see CMS, providers, and patients embrace the power of continuous care! #rpm #remotepatientmonitoring #cms #cptcodes #devices #healthcare #continuouscare

Physicians will see a 2.9% drop in their Medicare reimbursement rates next year, according to Healthcare Dive's coverage of the Centers for Medicare & Medicaid Services' final rule on 2025 physician fee schedules. "Doctors — especially those that operate their own practices — tend to be in a tougher spot, facing the same inflationary pressures as larger organizations without the scale to easily centralize administrative functions, diversify revenue or take similar actions to cut costs," writes senior reporter Rebecca Pifer. "Physician practices tend to operate on smaller margins, so rising costs make it more difficult to keep a practice going, according to experts." You can read the full article at: https://lnkd.in/g-282MTy #MedicareReimbursementRates #PrivatePractices #CMS

📢What’s Next for Accountable Care: New Primary Care Capitation Option for MSSP Tuesday, April 2, 2024 - 2-3 p.m. ET / 11 a.m.-12 p.m. PT The Centers for Medicare & Medicaid Services (CMS) recently announced a new exciting (and somewhat controversial) voluntary model – the #Accountable Care Organization (#ACO) Primary Care Flex Model – which will test primary care capitation in the Medicare Shared Savings Program (MSSP). The goal of this new model is to increase the predictability of primary care revenue and shift payments away from fee-for-service, while building on the success of the MSSP. Both new and renewing MSSP ACOs that meet certain requirements will be eligible to apply. Join us for a deep dive on this new model to learn if this opportunity is the right fit for your organization. Speakers: Seth Edwards, Vice President, Population Health and Value-based Care, PINC AI™ Melissa Medeiros, Senior Director, Policy, Premier Inc. Richard Doane, Director, Strategic Collaboratives, PINC AI™ Imani Mitchell, Senior Consultant, Strategic Collaboratives, PINC AI™   Register using the link below: https://lnkd.in/g_NdMACZ #ACO #AccountableCareOrganizations #Medicare #MedicareSharedSavingsProgram #ACOFlex #PrimaryCare #PrimaryCareFlex #Strategy #Capitation #MSSP #MSSPACO