Remote therapeutic monitoring is reimbursable – here's what you need to know

Remote therapeutic monitoring is reimbursable – here’s what you need to know

Ever since CMS released the new CPT codes for remote therapeutic monitoring last year, health systems have been eager to use them, but unsure of the criteria. Providers are acknowledged for the time they spend connecting with patients outside of the office.With the new CPT codes, providers can get reimbursed for:

Educating patients on how to use a remote care-management platform.

Monitoring a platform’s alerts and patients’ use of remote education.

Direct patient/provider messaging within the platform.

Data collection via the platform, i.e., collecting patient feedback on pain levels, activity and motion.

To qualify for reimbursable RTM, providers need to use software deemed a medical device…

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Transforming Medical Coding and Billing Processes with Artificial Intelligence

Transforming Medical Coding and Billing Processes with Artificial Intelligence

Providers and Payers would be familiar with a situation where their medical coders struggle to proceed when there is more than one way to code a particular medical diagnosis and treatment.
The latest revision of WHO’s International Classification of Diseases ICD-11 contains 17,000 unique codes and more than 120,0000 codable terms yielding +1.6 million clinical situations! Searching for the most appropriate ICD code and mapping the available medical data accurately is one of the biggest challenges the healthcare system faces today.
Unstructured medical data is another perennial challenge. About 80% of medical data remains unstructured according to an NCBI journal. Extracting…

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STAR HIE Program Helps Unlock Powerful Public Health Data in West Virginia

STAR HIE Program Helps Unlock Powerful Public Health Data in West Virginia

ONC launched the Strengthening the Technical Advancement and Readiness of Public Health Agencies via Health Information Exchange (STAR HIE) Program in 2020 using funding from the Coronavirus Aid, Relief, and Economic Security Act (CARES Act). The program was expanded in 2021 to increase support for efforts to improve vaccination data sharing between jurisdictional Immunization Information Systems (IIS) and HIEs. The West Virginia Health Information Network (WVHIN) was among the 22 recipients that received a combined $20 million in funds from ONC via the CARES Act.We sat down with WVHIN’s Executive Director, Sonia Chambers, to learn how the STAR HIE Program helped…

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