Nixon Law Group

Stay up to date on the latest in Telehealth and Virtual Care Law! Don’t miss Managing Partner Carrie Nixon insights on telehealth and virtual care law in her LinkedIn newsletter https://lnkd.in/eTY5r95N. Each edition covers recent law and policy changes and explains what they mean for your business. It’s a great read for anyone navigating the evolving landscape of digital healthcare. ??Subscribe to get notified of her next update!

Earlier this month, Centers for Medicare and Medicaid Services (CMS)?finalized the 2025 Medicare Physician Fee Schedule?(https://lnkd.in/emTP-kNS; see pages 583-601), which includes the groundbreaking decision to cover “Digital Mental Health Treatment” (DMHT) devices. This milestone means that Medicare will now reimburse for certain DTx products , making these life-changing technologies more accessible to millions of patients. CMS has created 3 new HCPCS codes for DMHT devices: 1?? G0552:?For supply of digital mental health treatment device and initial education and onboarding, per course of treatment that augments a behavioral therapy plan for furnishing a DMHT device. 2?? G0553:?First 20 minutes of monthly treatment management services directly related to the patient’s therapeutic use of the digital mental health treatment (DMHT) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing data generated from the DMHT device from patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month. 3?? G0554:?Each additional 20 minutes of monthly treatment management services directly related to the patient’s therapeutic use of the digital mental health treatment (DMHT) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing data generated from the DMHT device from patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month. This is a huge win for digital therapeutics and for providers focused on mental health, ensuring Medicare beneficiaries will benefit from the latest advancements in care. Today we hosted a DTA members-only webinar where we discussed the newly finalized DMHT codes and how they will impact digital therapeutics companies. To learn more, join us at the DTA Reimbursement Intensive in January, where there will be time carved out to talk specifically about implementing this reimbursement opportunity. ?? Register now:?https://lnkd.in/giNv4UP6 Thank you to DTA members for supporting the critical advocacy work to reach this milestone. Special thank you to DTA's US Policy Task Group for their consistent input into crafting DTA’s positions and outreach. Interested in joining DTA's advocacy work? Reach out to Hazel Nugent ([email protected]) to learn more about membership! Carrie Nixon Nixon Law Group Andy Molnar

The CMS 2025 Final Rule marks a milestone in healthcare by introducing the first-ever reimbursement codes for Digital Mental Health Treatment (DMHT) devices and services!? These codes help fill gaps in healthcare access and support diverse patient needs. Though certain FDA requirements still apply, these new codes unlock reimbursement pathways for DMHT.? Check out our latest blog for a more complete look at what these changes mean for the future of digital therapeutics and mental health care: https://lnkd.in/eTnJtVEb

Big news for primary care and digital health! CMS has finalized Advanced Primary Care Management (APCM) codes in the 2025 Medicare Physician Fee Schedule.? These new codes support a transition to value-based care and enhance reimbursement for practices tackling chronic care management. The Final Rule includes:? - Expanded APCM code designations and valuation adjustments - Simplified requirements for service delivery - New opportunities for digital health integration and virtual care Check out our latest blog to learn what these changes mean for primary care providers and digital health innovators: https://lnkd.in/eepv5W6x

We have a point solution fatigue problem in healthcare today. Can strategic M&A be the answer? As more and more digital health companies develop single-function tools, the sheer volume of available solutions creates administrative burdens for healthcare systems, providers, and payers. Strategic mergers and acquisitions may be an answer to this problem, reducing fragmentation, streamlining operations, and improving care coordination. At Nixon Law Group, we guide healthcare innovators through the complexities of M&A transactions, helping them navigate some of the industry’s most complex legal and regulatory challenges. Interested in how M&A can transform your digital health strategy? Please contact us today: https://lnkd.in/eQJgPQ6i

?? "This is like a tease to a really cool trailer where you just can't wait to watch the whole movie right away." — Future Client We couldn’t have said it better ourselves! Sometimes the legal process feels like waiting for that epic release date. But don’t worry, we're here to keep things moving, so you can start seeing the impact of our work on your business from day 1. And spoiler alert: working with us will lead to a great ending! If you’re ready for the full feature, get in touch now at https://lnkd.in/esCBzMv3

Exciting news! Kaitlyn O'Connor will be attending CFC’s Digital Healthcare Retreat 2024! On November 20-21, Kaitlyn will be in Austin, TX, connecting with leaders and innovators in digital health. Interested in meeting to learn more about how we can support your growth journey? Connect with Kaitlyn on LinkedIn!

Live Now at #HealthAnywhere: Navigating the Future – Reimbursement, Policy, and Regulatory Implications on Care at Home Innovation Industry experts are diving into the evolving landscape of home care reimbursement, tackling complexities in reimbursement structures, policy changes, and regulatory impacts on care at home. Moderated by Julie Viola, MHA of Cody Health Ventures, LLC, the conversation is covering critical updates on state and federal telehealth and teleprescribing policies, payer perspectives on value-based models, and strategies for overcoming reimbursement barriers. Speakers include Timothy L. of Highmark Inc., Carrie Nixon of Nixon Law Group, and Brendan O'Leary. Paul Samargedlis Melissa Park DeAnna Grosbaum Elissa Baker

Interested in learning about best practices for health information privacy and security? Join us to learn how to adhere to appropriate regulations and laws which will generally reduce the risk of security breaches, clinician and patient mistrust, and compromised electronic health data. In the rapidly evolving field of digital therapeutics (DTx), ensuring patient privacy, governance, and consent is essential for building trust and maintaining the safety of these products. Compliance with regional and local regulations governing electronic Protected Health Information (PHI) and sensitive data is crucial for DTx manufacturers. Register for free: https://lnkd.in/gnDhKuWU Kroll Kroll Cyber and Data Resilience Ronald S. Moser DirectTrust Carrie Nixon Nixon Gwilt Law Lani Reilly, OTR/L #DTx #DigitalTherapeutics #DataPrivacy #DataSecurity #MedTech #HealthTech #DTA #DTAEvents

So you know your organization needs an AI governance plan, but where do you start? In this clip from a recent webinar, Sam Pinson walks through our 8-step process for developing an effective AI governance plan. Step one? Clearly articulate the purpose of your AI system and the specific problem it's designed to solve, such as clinician burnout or boosting administrative efficiency. Want to learn more about the remaining 7 steps and how to tailor them to your organization? Watch the full webinar here! https://lnkd.in/e8i8cVSG