Category: Medicare Advantage (MA)

New CMS Medicare Advantage Rule Creates Incentives for Providers to Invest in Telehealth

The Centers for Medicare & Medicaid Services (CMS) announced Friday it has finalized changes to Medicare Advantage (MA) and Medicare Part D. The changes — detailed in a final rule for 2021 — partly seek to strengthen access to telehealth services, an increasingly important component of the health care system amid...

CMS expands telehealth options for Medicare Advantage plans

A final rule published by the Centers for Medicare and Medicaid Services on Friday would allows Medicare Advantage plans to cover more specialties through telehealth. By ELISE REUTER Post a comment / May 22, 2020 at 4:41 PM The Centers for Medicare and Medicaid Services (CMS) will allow Medicare Advantage plans to...

CMS Finalizes Telehealth Reimbursement for MA Plans, ESRD Patients

The Centers for Medicare & Medicaid Services has issued a final rule on expanded telehealth coverage for members in Medicare Advantage plans and those living with end-stage renal disease. By Eric Wicklund May 22, 2020 – The Centers for Medicare & Medicaid Services is finalizing plans to expand telehealth coverage in Medicaid...

CMS Flexibilities to Fight COVID-19 – Medicare Advantage and Part D Plans

 Medicare Advantage and Part D Plans: CMS Flexibilities to Fight COVID-19 Since the beginning of the COVID-19 Public Health Emergency, the Trump Administration has issued an unprecedented array of temporary regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the 2019...

Telehealth Resources to Address COVID-19

What is COVID-19? Coronavirus disease 2019 (COVID-19) is a novel coronavirus that has not been previously identified. Symptoms include cough, difficulty breathing, fever, and mild to severe respiratory illness. According to the Centers for Disease Control and Prevention (CDC) the virus currently seems to be easily spreading throughout communities in the...

The Center for Medicaid and Medicare Services (CMS) – 2020 Medicare Learning Network Telehealth Services Booklet

MLN Booklet TELEHEALTH SERVICES ICN MLN901705 March 2020 Target Audience: Medicare Fee-For-Service Providers The Hyperlink Table, at the end of this document, provides the complete URL for each hyperlink. TABLE OF CONTENTS Originating Sites…………………………………………………………………………………………………………………. 3 Distant Site Practitioners…………………………………………………………………………………………………….. 4 Telehealth Services …………………………………………………………………………………………………………….. 4 Telehealth Services Billing and Payment……………………………………………………………………………… 7...

Telehealth Coverage Policies In The Time of COVID-19 as of 2020-03-17

ANNOUNCED TODAY:  The Secretary of Health and Human Services utilized his waiver power provided in the March 6 COVID-19 bill, HR 6074, to waive certain telehealth limitations in Medicare.  Today the Center for Medicare and Medicaid Services (CMS) released guidance on what those policies will cover.  CCHP has updated...

Telehealth Coverage Policies In The Time of COVID-19 as of 2020-03-16

JUST RELEASED:  Telehealth policy changes made in the face of addressing COVID-19 have been rapidly developing and changing on an almost daily basis.  The Center for Connected Health Policy (CCHP) has developed a fact sheet summarizing the developments thus far as they relate to telehealth policy on the federal...

CMS Releases Fact Sheets On COVID-19 Medicare Coverage, Billing Guidelines

Monday, March 9, 2020 The Centers for Medicare and Medicaid Services (CMS) released several fact sheets on COVID-19 coverage and benefits, and announced a second Healthcare Common Procedure Coding System (HCPCS) code, U0002, for billing COVID-19 diagnostic tests. Medicare will accept claims with U0001 and U0002 starting on April...
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