BakerHostetler attorneys Vimala Devassy and Justin Chavez analyze how the extension of the Covid-19 public health emergency impacts telehealth practices. They say it’s important to have permanent rules in place when the PHE ends. The pandemic has brought about a seismic shift to telehealth. The renewed federal declaration of the public health emergency through April […]
Potential pay cut relief that addresses some physician and therapist concerns is tucked into a 4,000-page proposed 2023 spending bill announced Monday by members of Congress. The draft bill would offset more than half of a key cut the Centers of Medicare & Medicaid Services planned to enact with the Medicare Physician Fee Schedule’s physician […]
As the COVID-19 pandemic continues across the United States, states, payers, and providers are looking for ways to expand access to telehealth services. Telehealth is an essential tool in ensuring patients are able to access the healthcare services they need in as safe a manner as possible. In order to provide our clients with quick […]
On November 2, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the CY 2023 Medicare Physician Fee Schedule Final Rule (Final Rule), which will take effect January 1, 2023. The Final Rule includes noteworthy updates regarding billing and reimbursement for services provided via telehealth, providing practitioners with some guidance on navigating the transition away from […]
On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final 2023 Medicare Physician Fee Schedule (PFS) rule. As finalized, some of the most significant telehealth policy changes include: According to the September 2021 Medicare Telemedicine Snapshot, telehealth services have increased more than 30-fold since the start of the PHE and have been utilized […]
The Centers for Medicare and Medicaid Services (CMS) published the calendar year (CY) 2023 Medicare Physician Fee Schedule (MPFS) in the Federal Register for November 18, 2022. Some of the key provisions contained in the final rule include (and are effective on January 1, 2023): Medicare Telehealth Services Evaluation & Management (E&M) Visits Behavioral Health Chronic Pain […]
On November 1, 2022, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2023 Medicare Physician Fee Schedule (PFS) Final Rule. This article highlights noteworthy provisions of the Final Rule related to telehealth and other remote services. Of particular note, the Final Rule contains provisions extending Medicare coverage to additional telehealth services, […]
Highlights The Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2023 Medicare Physician Fee Schedule (PFS) Final Rule on Nov. 1, 2022, which impacts Medicare Part B payments starting on Jan. 1, 2023. CMS finalized several significant payment policy changes, including revaluing remaining evaluation and management codes, continuing its four-year phase-in of clinical […]
On November 1, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule for the 2023 Calendar Year (CY 2023) Medicare Physician Fee Schedule (MPFS) (the Final Rule). The Final Rule, issued on November 1, includes updates and policy changes related to Medicare payments under the MPFS. While the Final Rule is […]
It’s that time of year again! Medicare has released the calendar year 2023 final rule related to Medicare Part B, which is impacted by the physician fee schedule and determines rates and coding updates for your rehab providers. So what should your therapist know regarding the conversion factor, telehealth provisions, audiology services and remote therapeutic monitoring codes? […]
As it does every Fall around this time, the Centers for Medicare and Medicaid Services (“CMS”) released its final version of Medicare Physician Fee Schedule for 2023 (the “Final 2023 MPFS”), the regulatory Rule governing payment and coverage policies for physician services, including reimbursement for Remote Therapeutic Monitoring (“RTM”) services under the new CPT code […]
This week, the Centers for Medicare & Medicaid Services (CMS) announced the Calendar Year 2023 Physician Fee Schedule (PFS) final rule. The final rule includes several National Council and RCPA recommended priorities. These are wins for mental health and substance use care organizations that will help expand access to care by strengthening the workforce. RCPA recommends […]
The Centers for Medicare & Medicaid Services released on Tuesday the final physician fee schedule rule that sets out payment rates for 2022. The rule also includes several provisions that aim to expand flexibility for telehealth reimbursement for mental health. CMS had expanded flexibility for providers to get Medicare reimbursement for telehealth at the onset […]
As the nation’s largest health care payer, responsible for more than one in five dollars spent on health care within the United States, Medicare plays a key role in transitioning the health care system away from fee-for-service, which incentivizes quantity of care, and towards value-based care, which incentivizes high-quality care and smarter spending. The passage […]
Today, the U.S. Department of Health and Human Services (HHS), through its Centers for Medicare & Medicaid Services (CMS), is expanding access to behavioral health care, cancer screening coverage, and dental care. The Calendar Year 2023 Physician Fee Schedule (PFS) final rule announced today also promotes innovation and coordinated care in the Medicare program through Accountable […]