Resources & Reports

Newsletter

POS 10 Non-Facility Rate Payment and Modifiers Clarification

Given the robust amount of content provided in the CCHP newsletter last week (July 16, 2024 edition), some readers may have missed a Change Request to the CMS Manual System issued by the Centers for Medicare and Medicaid Services (CMS) in June that went into effect July 8, 2024.  Change Request 13582, Billing and Payment for Telehealth Services with Place of Service (POS) 10 was directed at the Medicare Administrative Contractors (MAC).  MACs are entities that have a contract with CMS to process Medicare Part A and Part B claims for certain territories. When a claim is submitted to Medicare, it goes through the MAC covering the area where the claim is made.  MACs receive instructions and information from CMS regarding relevant policies, including Change Request 13582, which is specific to the use of POS 10.

Newsletter

Proposed CY 2025 Physician Fee Schedule – A Drilldown on the Telehealth Proposals

On July 10, 2024, the Centers for Medicare and Medicaid Services (CMS) released their proposed Physician Fee Schedule (PFS) for CY 2025. Each year the PFS contains new or updated policies which CMS will be adopting for Medicare in the following year.  Generally, each PFS contains items that will impact telehealth, and with December 31, 2024 as the current end date to the COVID-19 telehealth policy waivers (see CCHP’s Medicare 101 page), many have been waiting to see what the agency will be proposing for 2025.  At this time, these are only proposals. The public has until 5:00 pm (no time zone given) September 9, 2024 to provide comments to CMS regarding these proposed policies.
Newsletter

CMS Proposes 2025 Physician Fee Schedule, Strives to Preserve Telehealth Flexibilities Amid Statutory Constraints

CCHP’s July Newsletter is here! This month’s topics include – CMS Proposes 2025 Physician Fee Schedule, Strives to Preserve Telehealth Flexibilities Amid Statutory Constraints; Regulatory Crossroads: Past, Present and Potential Future – Telemedicine Controlled Substance Prescribing Amid Fraud Concerns; CMS Clarifies Rate for Place of Service Code 10 in Manual; Medicaid and CHIP Services Bulletin on Enhancing Mental Health and Substance Use Disorder Treatments through Health IT; An Update on Federal Legislation to Extend (or Make Permanent) COVID Medicare Telehealth Flexibilities; Advancing Personalized Care with Remote Patient Monitoring and AI; AMA CPT Editorial Panel Meeting Stalls Changes to Remote Patient Monitoring Codes; FCC’s Net Neutrality Rules Face Legal Challenges Ahead of July 22 Implementation; Latest Policy Developments in CCHP’s Telehealth Policy Finder and Policy Trends Map; Environmental and Health Benefits of Decentralized Cancer Care: Telehealth’s Impact.