Time’s up and pencils down! Comments on the calendar year (CY) 2024 physician fee schedule (PFS) proposed reg were due earlier this week. Now, the Centers for Medicare & Medicaid Services (CMS) will have to review them and issue a final reg on or before November 1, 2023—60 days before the start of the new […]
HIMSS, a global advocate for digital health transformation, supports a proposed extension of coverage for telehealth services through Dec. 31, 2024. The reimbursement, at the non-facility rate, was originally scheduled to cease when the federal government ended the COVID-19 public health emergency on May 11, 2023. More than 150 million people live in federally designated […]
Consolidated codes for reporting current COVID-19 immunizations, provisional codes for forthcoming monovalent vaccines, and codes for Respiratory Syncytial Virus (RSV) immunizations are among the features of the American Medical Association’s 2024 Current Procedural Terminology (CPT) code set unveiled today. In all, the 2024 code set includes 230 additions, 49 deletions and 70 revisions among its 11,163 codes according […]
Learn What’s New for FY 2024 CMS issued FY 2024 Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital Prospective Payment System (LTCH PPS) final rules to update IPPS hospital and LTCH Medicare payment policies. See a summary of key provisions effective October 1, 2023. The Medicare, Medicaid, and SCHIP [State Children’s Health Insurance Program] Balanced Budget Refinement Act […]
Learn What’s New for FY 2024 CMS issued FY 2024 Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital Prospective Payment System (LTCH PPS) final rules to update IPPS hospital and LTCH Medicare payment policies. See a summary of key provisions effective October 1, 2023. On January 30, 2023, the Biden Administration announced its intent to end the national […]
Eight Essentials of Effective Telehealth Services, including: The Essentials Guide was made possible thanks to the generous support of the David M.C. Ju Foundation.
WASHINGTON, DC, AUGUST 29, 2023 — The American Telemedicine Association (ATA) and ATA Action submitted comments in response to the Centers for Medicare & Medicaid Services (CMS) CY2024 Physician Fee Schedule (PFS) proposed policy changes for Medicare payments under the PFS, and other Medicare Part B issues. The ATA and ATA Action commend CMS for extending most of the telehealth flexibilities implemented […]
The American Telemedicine Association and affiliate ATA Action are voicing support for the Centers for Medicare & Medicaid Services’ proposed rule for the 2024 Physician Fee Schedule, which the advocates note extends into the new year the telehealth flexibilities put forward during the COVID-19 public health emergency. “The proposed rule is, overall, positive for the telehealth community and patients, and […]
The 2024 Physician Fee Schedule proposed rule (CMS-1784-P) — released July 13 by the US Centers for Medicare and Medicaid Services (CMS) — extends coverage of a variety of telehealth services at the non-facility reimbursement rate through Dec. 31, 2024, as mandated by Congress in the 2022 Consolidated Appropriations Act. The proposed rule also ensures that the […]
§ 411.15 Particular services excluded from coverage. Link to an amendment published at 88 FR 53345, Aug. 7, 2023. The following services are excluded from coverage: (a) Routine physical checkups such as: (1) Examinations performed for a purpose other than treatment or diagnosis of a specific illness, symptoms, complaint, or injury, except for screening mammography, colorectal cancer screening […]
The U.S. Centers for Medicare & Medicaid Services (CMS) has extended a COVID-19 pandemic-era waiver that will allow home- and community-based service (HCBS) providers to take advantage of flexibilities in their state programs. The Appendix K waiver allowed HCBS providers more wiggle room during emergencies, such as the COVID-19 pandemic. CMS introduced the waiver to […]
2023: New Federal Developments There were no new federal developments in the last month. 2023: New State-Level Developments State Activity Illinois Illinois passed S.B. 1913, which requires Medicaid FFS and Medicaid managed care plans to provide coverage of mental health services, substance use disorder treatment, and ‘behavioral telehealth services’. Requires Medicaid FFS and Medicaid managed care plans […]