Medicare expanding coverage of telehealth servicesALICIA AULT
The Centers for Medicare & Medicaid Services (CMS) has finalized its rule on in-person exam requirements for Medicare coverage of telehealth-based mental health services when the patient is located at home. The Frequently Asked Questions below are based on CMS’ policies in the2022 Physician Fee ...
Currently, nearly all Medicare Advantage plans offer a telehealth benefit. And, seeing how most care providers have integrated telehealth into their offerings, it looks like that coverage might be here to stay, even after 2024 wraps up. Just check your plan benefits to see how telehealth is cur...
Through an emergency declaration under the Stafford Act and the National Emergencies Act, Medicare coverage will now include three types of virtual services: Medicare telehealth visits, virtual check-ins, and e-visits. Medicare telehealth visits use audio or video telehealth tools for office,...
An audit found flaws with almost a third of claims submitted to Medicare for telehealth services, a field of treatment the program intends to expand even more while implementing improvements to the payment system.
Medicare has two original parts: Part A hospital coverage and Part B outpatient coverage. Telehealth services fall under Part B. Medicare Part B will cover a telehealth consultation whenever a consultation is medically necessary, and your Medicare doctor follows the guidelines in arranging the consulta...
If your plan comes with prescription drug coverage, it may help pay for prescribed medications to treat a mental health condition.Check your plan’s formulary to find out what’s covered. Medicare Advantage for telehealth mental health services ...
2. Medicare Coverage for Telehealth Medicare has recognized theimportance and convenience of telehealth services, particularly during the COVID-19 pandemic, and has expanded its coverage to include a wide array of telehealth visits. The coverage for telehealth services under Medicare varies depending on...
For example, for people covered under traditional Medicare, prepandemic coverage of telehealth services was limited to people living in rural areas, with restrictions on where they could receive these services (at qualifying sites rather than in their own homes). The easing of these restrictions mea...
CMS has updated its FAQs for Medicare coverage of telehealth, and promises more detailed guidance on how the CARES Act will boost reimbursement for connected health services.