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The Centers for Medicare & Medicaid Services (CMS) issued its2025 Physician Fee Schedule (PFS) proposed ruleearlier this month. Alongside a2.8 percent payment cutfor physicians, the rule includes numerous proposals directed at virtual care, including brand new codes for certain digital t...
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On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final2023 Medicare Physician Fee Schedule(PFS) rule. As finalized, some of the most significant telehealth policy changes include: Discontinuing reimbursement of telephone (audio-only) evaluation and management (E...
(CMS) has proposed a new category of digital health services—Remote Therapeutic Monitoring (RTM)—to complement the existing suite of Remote Physiological Monitoring (RPM) codes covered under Medicare. The new codes, part of theproposed 2022 Physician Fee Schedule, are intended to expand the ...
CMS also did some revising on the 2021 Medicare Physician Fee Schedule (PFS)to clarify and correct coding plus other information aroundremote patient monitoring (RPM)effective 1 January: 20 minutes of time includes, but is not limited to, “Interactive Communication” with patient ...
Physician Fee Schedule will provide additional details to support longer term strategies to address anomalous spending. For example, we have recommended the establishment of an outlier policy to detect variation in anomalous spending and remove services from future calculations. We loo...
Other provisions include an increase of the Medicare physician fee schedule by 2.5%, extensions of hospital-at-home waivers and the SUPPORT Act for opioid treatment, blocking patent thickets, billing transparency, the elimination of a $8 billion cut to Medicaid disproportionate share hospital funding...
Medical Staff:Clarifies that medical staffsmustbe composed of physicians, andmayinclude non-MD or DO physicians as well as non-physician practitioners, in accordance with State laws, determined to be eligible for appointment by the governing body; re-interprets existing provisions relating to multi...
CMS STARTS THE HOLIDAY WEEKEND OFF RIGHT— Late Friday afternoon, as we all packed our beach bags, CMS released three payment regulations: a proposed rule on the Medicare hospital outpatient prospective pa...