Value-based care (VBC) models seek to reimburse providers according to the quality of care they provide rather than based upon the quantity of services provided to patients.
The new Uniform Telehealth Act states that services can be provided via telehealth consistent with existing practitioner standards of care and it also establishes a registration process allowing out-of-state providers to deliver services through telehealth to patients in states that choose to adopt the Act.
This video will cover the proposed telehealth policy changes for Medicare that CMS is making for CY 2023. View the PPT for this video here.
Citing a significant increase in fraud schemes, on July 20th the U.S. Department of Health and Human Services Office of the Inspector General (OIG) released a special fraud alert to warn providers of questionable telemedicine company practices. The alert outlines that the fraud schemes being referenced revolve around inappropriate orders or prescriptions for medically unnecessary items such as durable medical equipment (DME) and genetic testing.
On July 7, the Centers for Medicare and Medicare Services (CMS) released the unpublished version of the proposals for the CY 2023 Medicare Physician Fee Schedule (PFS). CMS uses this process to make administrative updates to Medicare’s policy related to telehealth. This year, the telehealth proposals focused primarily on what services will be covered by the program and what will happen immediately following the end of the public health emergency (PHE), including during the 151-day grace period included in the 2022 Budget Act.
