New CMS Reimbursement Guidelines: Support for Provider-to-Provider Consults

Here's a link to a high quality webinar fromAmericanWell about telehealth (see:A Guide to Integrating Cross-Continuum Telehealth into your Health System). Starting at about 11:00 minutes in the recording, the discussion turns to new CMS telehealth reimbursement guidelines for FY2019 that include new services such as remote patient monitoring (see:CMS to Reimburse Providers for Remote Patient Monitoring Services). Another new type of service that will be reimbursed isprovider-to-provider consultations (see:CMS wants to expand telehealth coverage. Here's what that means for you). Here's the key passage from this latter article relating to provider-to-provider consults:Internet-based inter-professional consultations: New reimbursement for provider-to-provider consultations via online messaging applications or portals.Both the initiating physician and the consulting physician would be eligible for reimbursement.I have previously covered diagnostic management teams (DMTs) inLast Soft News (see, for example:Deploying a DMT at the Front-End of Lab Orders for a Complex Patient). One of the challenges for DMT's in the past has been the lack of reimbursement.There is now a ray of light with CMS-approved reimbursement for provider-to-provider consultations which accurately describes the DMT process. A team of expert diagnosticians provides advice to a clinician caring for a patient about the ordering and interpretation of complex laboratory tests. There are, of course, a...

Source: Lab Soft News - December 20, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Electronic Health Record (EHR) Healthcare Information Technology Healthcare Innovations Lab Industry Trends Lab Information LIS Definitions and Strategy Pathology Informatics Quality of Car Source Type: blogs