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rpm Archives - National Consortium of Telehealth Research Centers

Telemedicine Partnership Envisions an RPM Program Without Devices

By | Recent Telehealth News

Article Author: Eric Wicklund

Source: mHealth Intelligence

A new telemedicine partnership aims to improve remote patient monitoring programs by capturing vital signs without the need for medical devices.

VSee, the California-based developer of video visit platforms used by Ascension, Intermountain Healthcare, Trinity Health, MDLive and NASA, among others, is joining forces with a telemedicine company whose latest technology captures vital signs through an mHealth app.

Developed by InteloMed, the mCVInsight app uses facial detection and tracking software to capture physiologic data through smartphone sensors. The technology is currently involved in pilot projects aimed at achieving U.S. Food and Drug Administration approval.

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Stanford Researchers Use an mHealth Patch to Measure Teenager Stress

By | Recent Telehealth News

Article Author: Eric Wicklund

Source: mHealth Intelligence

Stanford University is using an mHealth wearable in a new study looking for a connection between stress and depression in teenagers.

Researchers in Stanford’s Department of Psychiatry and Behavioral Science are using the Vital Scout, a Band-Aid-sized digital health patch that uses sensors – including electrocardiogram (ECG) measurement – to continuously monitor heart and respiratory rate, sleep, activity and other functions.

The patch was unveiled by California-based VivaLNK at the CES show in Las Vegas in early 2016 as a consumer product, enabling users to monitor their own stress levels for up to 72 hours at a time through a patch affixed to one’s chest.

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FCC Eyes Support for Telehealth, RPM Projects Serving Rural America

By | Recent Telehealth News

Article Author: Erick Wicklund

Source: mHealth Intelligence

 – Federal authorities are proposing to launch a $100 million program to support telehealth and telemedicine programs for underserved populations, including remote patient monitoring programs that have shown past success in treating rural patients with diabetes and veterans.

The Connected Care Pilot Program, announced by Federal Communications Commission member Brendan Carr and Mississippi Sen. Roger Wicker in a July 11 op-ed piece in the Clarion Ledger, would focus on projects for low-income Americans, particularly veterans and those in rural areas. It would also support certain projects over the next two to three years that measure and verify the value of connected care programs in reducing costs, increasing savings and improving clinical outcomes.

The FCC will vote on a Notice of Inquiry at its August meeting to support the program.

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CMS Proposes Amending Billing Regulations to Medicare Remote Patient Monitoring

By | Center for Connected Health Policy

The Centers for Medicare & Medicaid Services (CMS) has released a proposal rule which would provide a definition to remote patient monitoring (RPM) and amend regulations to allow home health associations (HHAs) to report RPM in administrative costs.  CMS’ logic in interpreting its various statutory obligations for payment that allows them to make this change are detailed in the rule.   They acknowledge from the outset that Medicare is prohibited from making payment for services furnished via a telecommunications system if the services could substitute for an in-person home health service.  However, no prohibition exists for furnishing payment if the service merely augments care, rather than substitutes for an in-person visit.  Furthermore, CMS explains that while a telecommunications system is defined under provisions of the Social Security Act that pertains to telehealth reimbursement as “two-way, real-time interactive communication”, no definition is provided as it relates to the provision of home health care.  Additionally, remote patient monitoring is not considered a Medicare telehealth service as currently defined by Medicare, as CMS has begun reimbursing for RPM code 99091 without applying the limitations and restrictions telehealth services are subject to in Medicare.  Therefore, CMS utilizes a similar definition of RPM as the one included for CPT code 99091 “the collection of physiologic data digitally stored and/or transmitted by the patient and/or caregiver to the HHA”.  Under this definition, RPM is not replacing but instead augmenting in-person care nor do the limitations to reimbursement for telehealth apply.  This interpretation allows CMS to accept RPM services as an administrative cost for HHAs, which can be factored into the costs per visit.

CMS is seeking comments on this and other proposed regulation as well as additional utilization of telecommunication technologies for future rulemaking by August 31, 2018.

For further details, the full document can be accessed in the Federal Register.

CMS Takes Action to Modernize Medicare Home Health

By | Recent Telehealth News

From the Centers of Medicare & Medicaid Services (CMS):

Press Release

WASHINGTON DC – Today, the Centers for Medicare & Medicaid Services (CMS) proposed significant changes to the Home Health Prospective Payment System to strengthen and modernize Medicare, drive value, and focus on individual patient needs rather than volume of care. Specifically, CMS is proposing changes to improve access to solutions via remote patient monitoring technology, and to update the payment model for home health care.

“Today’s proposals would give doctors more time to spend with their patients, allow home health agencies to leverage innovation and drive better results for patients,” said CMS Administrator Seema Verma. “The redesign of the home health payment system encourages value over volume and removes incentives to provide unnecessary care.”

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