More telehealth makes the cut for Medicare coverage next year

The Centers for Medicare and Medicaid Services (CMS) released its final rule that will lead to changes in coverage under Medicare Part B. The rule, proposed in July, will expand the range of telehealth services that can be reimbursed under Medicare starting in 2015.
A state-side example of video comms with MDs: Verizon Wireless Virtual VisitsCMS added telemedicine codes for an “annual wellness visit” including a personalized prevention plan of service — one code for the initial visit and another for subsequent visits.

In the area of mental healthcare, CMS has added codes for psychoanalysis and family psychotherapy (which has two codes, one for family therapy with the patient present and one for family therapy with the patient absent). The next two codes are ones that therapists use to report sessions that go overtime or require additional time over the scheduled hour-long visit — these will now be eligible for reimbursement via telehealth. Read More

 

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Ethics and HIT

Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

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Benefit from new technologies... enable people to have remote access to CBT

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