decisionhealth Newsletters, Coder Pink Sheets - 2020 Issue 9 (September)
Proposed physician fee schedule: CMS mulls major cull of telehealth services added during the PHE
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Article Overview
This article reviews CMS’s proposed 2021 Medicare physician fee schedule changes affecting telehealth coverage after the COVID-19 public health emergency. It is aimed at practices, coders, and revenue cycle teams that need to understand the general direction of telehealth policy changes, the categories of services CMS is considering for permanent, temporary, or ending status, and the comment process tied to the proposal.
Why This Topic Matters
Telehealth coverage policy affects service availability, billing workflows, and planning for care delivery after the public health emergency ends. The proposal signals which broad service groups CMS may continue, phase out, or keep temporarily while gathering feedback.
Article Sections
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Telehealth policy after the public health emergency
Introduces the expected transition from emergency telehealth flexibilities to the post-PHE Medicare framework. Summarizes the broader policy context for practices that have been relying on expanded telehealth coverage.
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Proposed additions and revisions to Medicare’s telehealth services
Presents CMS’s proposed organization of telehealth services into permanent, temporary, and ending categories for 2021. Includes the article’s summary table of affected service groups and the public comment timeline.
What You Will Learn
- How CMS is structuring proposed telehealth coverage changes for 2021
- Which broad categories of services are being considered for permanent, temporary, or ending telehealth status
- Why the post-PHE telehealth policy transition matters for Medicare-covered services
- How the proposed rule ties telehealth policy changes to the CMS comment process
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Revenue cycle teams
- Physician practices
- Telehealth program managers
- Compliance staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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