Archive for July 2016

CY 2017 Medicare Physician Fee Schedule Proposed Rule Released

On July 7, 2016, the Centers for Medicare and Medicaid Services released their proposed Medicare Physican Fee Schedule for CY 2017. This year, CMS proposed expanding eligible telehealth services by adding the following 6 new telehealth codes for reimbursement:
  • End-Stage Renal Disease Codes 90967, 90968, 90969, and 90970
  • Advance Care Planning Codes 99497 and 99498

CMS also proposed to create two new G-codes to reflect the resource costs of providing critical care consultation services remotely to critically ill patients. The codes, GTTT1 and GTTT2, would be used for initial and subsequent services to describe critical care consultations delivered via telehealth.

For more information, read the CCHP July Newsletter, HERE.

To read the full Proposed Rule in its entirety, please click HERE.

Bill Signing: Senate Bill 2395 (Relating to Telehealth) – July 7, 2016

Bill Signing: Senate Bill 2395 (Relating to Telehealth) – July 7, 2016

Photo (L-R): Senator Rosalyn Baker, Hawai‘i State Legislature; Christina Higa, Co-Program Director, PBTRC; Governor David Ige, State of Hawai‘i; Deborah Birkmire-Peters, Co-Program Director, PBTRC

On July 7, 2016, Governor David Ige of the State of Hawaii signed into law Senate Bill 2395: Relating to Telehealth as Act 226 (16). This Act:

  • Requires the State’s Medicaid Managed Care and Fee-for-Service programs to cover services provided through telehealth;
  • Specifies that any telehealth services provided shall be consistent with all federal and state privacy, security, and confidentiality laws;
  • Specifies medical professional liability insurance policy requirements with regard to telehealth coverage;
  • Clarifies that reimbursement for services provided through telehealth shall be equivalent to reimbursement for the same services provided via face-to-face contact between a health care provider and a patient;
  • Requires written disclosure of coverages and benefits associated with telehealth services;
  • Ensures that telehealth encompasses store and forward technologies, remote monitoring, live consultation, and mobile health;
  • Ensures that telehealth is covered when originating in a patient’s home and other non-medical environments;
  • Clarifies requirements for physicians and out-of-state physicians to establish a physician-patient relationship via telehealth;
  • Ensures that reimbursement requirements for telehealth services apply to all health benefits plans under chapter 87A, Hawaii Revised Statutes; and
  • Makes other conforming amendments related to telehealth for clarity.

To view the Act in its entirety:

To watch the signing ceremony: