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.
CMS
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
Empower Yourself...Welcome to your future and beyond.... Working together we will build upon our "collective wisdom" to create, for tomorrow, what we can only imagine today...J. Perl, Editor
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Ethics and HIT
Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
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.