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After learning that the public health emergency (PHE) for COVID-19 was to end May 11, the healthcare industry wondered what telehealth services would remain covered. What regulations under the Consolidated Appropriations Act, 2023 (CAA) would extend coverage? Which provisions in the Medicare Physician Fee Schedule Final Rule be enforced? And which of the Centers for […]
The post Telehealth Services After the PHE: Part 2 appeared first on AAPC Knowledge Center.
More safeguards are needed to strengthen program integrity. The U.S. Department of Health and Human Services’ (HHS’) Office of Inspector General’s (OIG) Pandemic Response Accountability Committee (PRAC) Health Care Subgroup issued a report, December 2022, revealing telehealth use and integrity risks in six federal agencies during the first year of the COVID-19 public health emergency (PHE). […]
The post OIG: Feds Lack Oversight of Telehealth Services appeared first on AAPC Knowledge Center.
Stay on top of the latest telehealth risk adjustment requirements and guidance to ensure continued compliance. It has been more than a year since the rapid expansion of covered telehealth services due to the public health emergency (PHE) for COVID-19. According to the Department of Health and Human Services (HHS), we can bask in the […]
The post Leveraging Telehealth appeared first on AAPC Knowledge Center.
CMS guidance clarifies MIPS measure specifications. Which electronic clinical quality measures (eCQMs) include telehealth-eligible encounter codes, and which do not? Guidance from the Centers for Medicare & Medicaid Services (CMS) identifies the eCQMs that eligible clinicians may report for the Merit-Based Incentive Payment System (MIPS) 2021 performance period to receive credit, even if the encounters […]
The post eCQMs and Telehealth appeared first on AAPC Knowledge Center.
Physicians can now offer more services via telehealth and get paid. The Centers for Medicare & Medicaid Services (CMS) is adding 11 codes to the list of telehealth services payable under the Medicare Physician Fee Schedule (MPFS). Coverage is retroactive to March 1, 2020, and is effective for the duration of the public health emergency […]
The post CMS Adds 11 Codes to Telehealth List appeared first on AAPC Knowledge Center.
Unless ordered otherwise, most commercial payers will return to business as usual Jan. 1, or sooner. The COVID-19 public health emergency (PHE) continues, but will expanded telehealth coverage and cost sharing waivers? Some health insurers will stop paying for expanded telehealth services as soon as Oct. 1. Patient cost-sharing may resume soon, as well. In […]
The post Payers Ending Telehealth Expansion Coverage appeared first on AAPC Knowledge Center.
Physician Fee Schedule proposed rule lays the groundwork for payment and policy changes in 2021.
The post CMS Proposes Medicare Telehealth Coverage in 2021 appeared first on AAPC Knowledge Center.
The new CPT® codes are for only nonphysician practitioners who cannot report their own evaluation and management (E/M) services.
The post New Behavior Assessment Codes for Telehealth appeared first on AAPC Knowledge Center.
As the global pandemic enters its fifth month, we are all feeling the strain. Staying home to slow the spread of the coronavirus may be keeping more people physically healthy, but isolation exacts a toll on mental health.
The post Telehealth Coverage for Mental Health Services During COVID-19 appeared first on AAPC Knowledge Center.
2020 has proven to be one of the most complex, busiest times in healthcare — in the 21st century, anyway. In January, we were preparing for a new chapter in ICD-10-CM, Chapter 21: Vaping-Related Disorders. On January 30, the World Health Organization announced a Public Health Emergency of International Concern (i.e., pandemic) for coronavirus. In […]
The post How Telehealth Services Factor Into Risk Adjustment appeared first on AAPC Knowledge Center.