Category Archive
for: ‘CMS’

CMS Finalizes New Telehealth Rule for Medicare Advantage & more Telehealth Buzz

CMS Finalizes New Telehealth Rule for Medicare Advantage & more Telehealth Buzz On Friday, the Centers for Medicare & Medicaid Services finalized a new rule for Medicare Advantage (MA) and Part D plans. While the new rule addresses a variety of issues, it specifically makes telehealth more accessible for MA recipients. MA plans can offer […]

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New Bill Addresses Reimbursement for Therapy Professionals & more Telehealth Buzz

New Bill Addresses Telehealth Reimbursement for Therapy Professionals A new bill, the Emergency COVID-19 Telehealth Response Act, would expand the list of healthcare providers able to treat patients via telehealth. US Reps. Cindy Axne (D-IA), Troy Balderson (R-OH), and French Hill (R-AR) introduced the bill last week to address the exclusion of therapy professionals, such […]

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CMS Clears up Murky Reimbursement Issues & more Telehealth Buzz

BHCOE Provides Telehealth Accreditation Standards for Autism Care In light of COVID-19, the Behavioral Health Center of Excellence (BHCOE) has established new standards of care for providing applied behavioral analysis therapy via telehealth. Routine and schedules are extremely important for children with autism and other developmental disorders; changes in routine are often harmful to the […]

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Members of Congress urge CMS to allow telephone-only mental health care during COVID-19 & more Telehealth Buzz

Bipartisan Effort to Expand Access to Tele-mental Health for Medicare Recipients Last week U.S. Reps. John Katko (R-NY), Brian Fitzpatrick (R-PA), and Grace Napolitano (D-CA) sent a letter to the Department of Health and Human Services and the Centers for Medicaid and Medicare Services urging the agencies to expand Medicare-covered telehealth services. The CARES Act […]

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More Changes to Telehealth from CMS this Week and more Telehealth Buzz

More Changes to Telehealth from CMS this Week From the Press Release: Emergency departments can now use telehealth services to quickly assess patients. 80 additional services can now be furnished via telehealth. Providers can bill for telehealth visits at the same rate as in-person visits. Practitioners can now engage with new patients via telehealth. CMS […]

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CMS Proposes New Telehealth Coverage Codes

In last week’s newsletter, we talked about the new fee changes coming to the Centers for Medicare and Medicaid Services (CMS) physician fee schedule in 2020. Interestingly enough, as the National Law Review first reported, CMS did not receive any requests to add telehealth services to Medicare; rather, they took it upon themselves to include […]

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Medicare Proposes Changes for 2020 Calendar Year

The Centers for Medicare and Medicaid Services (CMS) are proposing new rule changes to the Medicare physician fee schedule for 2020. These changes include updates to payment policies, payment rates, and quality provisions (with some telehealth provisions included as well). The agency rolled out the new proposal for the physician fee schedule (PFS) just this […]

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Good News for MA Beneficiaries!

For those enrolled in Medicare Advantage (MA) plans, good news is headed your way. In fall 2018, following the passage of the Bipartisan Budget Act (as we reported at the time) earlier that year, the Center for Medicare and Medicaid Services (CMS) proposed a rule that would allow MA plans to include more telehealth options. […]

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Open For Comments: CMS Proposed Rule on Telehealth Payments

At a time when efforts to expand Medicare reimbursement for telehealth services have gained new momentum, advocates received some promising news from the Centers for Medicare and Medicaid Services (CMS). As outlined in a proposed rule published in the Federal Register this past month, the Physician Fee Schedule (PFS) for CY 2019 would include additional […]

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OIG Report Says CMS Made Improper Telehealth Payments

Have the Centers for Medicare and Medicaid Services (CMS) been making improper payments to providers for telehealth services? That’s the question that the Office of the Inspector General (OIG) at the Department of Health and Human Services (HHS) considered in a recently released report. The answer? As MedCity News and others first reported, OIG researchers […]

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