Category: Physician Fee Schedule

Providers Plan a Post-Pandemic Future With Telehealth Strategies

They’ve tried the technology and tested the workloads. Now that telehealth is here to stay, providers are looking closely at what telehealth strategies do and not work for them. September 14, 2020 – With the onset of the coronavirus pandemic in March, healthcare providers across the country launched or expanded telehealth...

CMS Proposes Significant Changes to Remote Patient Monitoring Coverage

The Centers for Medicare & Medicaid Services has clarified how providers can use telehealth and mHealth to establish and run remote patient monitoring programs, with changes that some feel could hinder care at home. The federal government is clarifying how it regulates remote patient monitoring, with changes that could...

Medicare Telehealth Coverage and Reimbursement After the Public Health Emergency

Over the past five months, Congress and the Centers for Medicare & Medicaid Services (CMS) have dramatically, but temporarily, expanded coverage and reimbursement for telehealth services in response to the COVID-19 pandemic. The changes are in effect for the duration of the Health and Human Services (HHS) Public Health...

CMS Proposes Telehealth Updates to the 2021 Medicare Physician Fee Schedule

On August 3, the Centers for Medicare & Medicaid Services (CMS) released its proposed Medicare Physician Fee Schedule (MPFS) updates for the 2021 calendar year, addressing among other policy changes how CMS will treat telehealth codes for the duration of and following the COVID-19 public health emergency (PHE). Background: CMS’ Process...

CMS Proposes Telehealth Updates to the 2021 Medicare Physician Fee Schedule

On August 3, the Centers for Medicare & Medicaid Services (CMS) released its proposed Medicare Physician Fee Schedule (MPFS) updates for the 2021 calendar year, addressing among other policy changes how CMS will treat telehealth codes for the duration of and following the COVID-19 public health emergency (PHE). Background: CMS’ Process...

MedPAC members weigh future of telehealth coverage

The commission, which advises Congress on issues affecting Medicare, put forth a number of options aimed at maximizing care access while minimizing risk. By Kat Jercich September 09, 2020 04:56 PM In a virtual public meeting this past Friday, members of the Medicare Payment Advisory Commission discussed how – and...

AHA urges HHS to make telehealth rollbacks permanent

Dive Brief: The American Hospital Association wants HHS to ensure the telehealth flexibilities it has allowed during the COVID-19 pandemic will continue permanently, according to a Tuesday letter it sent to the agency. Specifically, AHA wants hospitals to permanently be allowed to bill and get reimbursed for certain Medicare services provided...

CMS May Eliminate Most Emergency Codes for COVID-19 Telehealth Services

CMS is planning to eliminate 74 of the 83 codes created to cover telehealth services during the coronavirus pandemic, though it’s adding 13 new codes and could be swayed by public comments to add more coverage. August 14, 2020 – While Congress debates extending telehealth coverage and President Trump tries to...

CMS Releases 2021 MPFS and QPP Proposed Rule

Highlights The Centers for Medicare & Medicaid Services (CMS) published the Calendar Year (CY) 2021 Proposed Rule for the Medicare Physician Fee Schedule (MPFS), which contains updates to the Quality Payment Program (QPP). The MPFS dictates Medicare rates and policies under Part B, while the QPP implements two value-based...

CMS Proposes Expanding Medicare Coverage of Telehealth Services

On August 3, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule and other Medicare Part B services provided on or after January 1, 2021.  Many of the CMS proposals...

CMS Proposes Significant Changes to Remote Patient Monitoring Coverage

The Centers for Medicare & Medicaid Services has clarified how providers can use telehealth and mHealth to establish and run remote patient monitoring programs, with changes that some feel could hinder care at home.  By Eric Wicklund September 01, 2020 – The federal government is clarifying how it regulates remote patient monitoring,...

CMS Takes a Preliminary Step to Make Certain COVID-19 Waivers Permanent

On August 4, 2020, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule to update its payment policies under the Medicare Physician Fee Schedule (PFS) for calendar year 2021. The proposed rule was issued in tandem with a presidential executive order, which directed the Secretary of the US Department...

CMS Releases Proposed CY 2021 Physician Fee Schedule Addressing Many PHE Telehealth Policy Changes

On Aug. 4, 2020, the Center for Medicare and Medicaid Services (CMS) published their CY 2021 proposed revisions related to the Physicians Fee Schedule (PFS). Comments on the proposals are due no later than 5 pm on October 5, 2020. The proposed PFS addresses some changes CMS made administratively as a result...

Medicare Telehealth Coverage and Reimbursement After the Public Health Emergency

Over the past five months, Congress and the Centers for Medicare & Medicaid Services (CMS) have dramatically, but temporarily, expanded coverage and reimbursement for telehealth services in response to the COVID-19 pandemic. The changes are in effect for the duration of the Health and Human Services (HHS) Public Health...

CMS proposed rules would extend certain telehealth flexibilities and expansions beyond the COVID-19 public health emergency

CY 2021 Medicare Physician Fee Schedule Proposed Rule On August 3, 2020, the Centers for Medicare and Medicaid Services (CMS) published the Calendar Year (CY) 2021 Medicare Physician Fee Schedule Proposed Rule (PFS Proposed Rule). The agency’s proposals relating to telehealth and remote services are particularly noteworthy given the central role telehealth...
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