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BC Advantage - 2025 Issue 6

Telehealth and Advanced Practitioner Coding Considerations

With the increased utilization of both advanced practitioners (i.e., physician assistants [PAs] and nurse practitioners [NPs]) and telehealth, Health Insurance Portability and Accountability Act (HIPAA) covered entities need to stay abreast of the recent changes and the continued implementation of best practices.   On November 1, 2024, the Centers for Medicare and Medicaid (CMS) announced the Calendar Year (CY) 2025 Medicare Physician Fee Schedule Final Rule, which finalized changes to the Physician Fee Schedule (PFS). Telehealth was one of the items that received a lot of attention because of its adoption during COVID-19 and the changes that are...

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