decisionhealth Newsletters, Part B News - 2022 Issue 11 (November)
CMS adds 151 days to telehealth waivers – but that’s it
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Article Overview
This article covers CMS’s update to Medicare telehealth policy in the 2023 Physician Fee Schedule final rule, with emphasis on how the post-PHE extension period affects waivered telehealth services, Category 3 telehealth list timing, audio-only service coverage, and related billing modifiers. It is aimed at providers, billers, coders, and compliance teams that need to understand how telehealth payment flexibility changes as the public health emergency ends and how the rule interacts with Medicare telehealth billing practices.
Why This Topic Matters
The rule affects whether certain telehealth services remain payable, how long temporary flexibilities last, and what billing approach applies once emergency allowances expire. Organizations that rely on Medicare telehealth should monitor these changes to avoid coverage and billing disruptions.
Article Sections
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Telehealth
Overview of CMS’s telehealth policy update in the 2023 Physician Fee Schedule final rule and the post-PHE extension period. Covers the general impact on Medicare telehealth availability and timing.
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Audio-only fades away
Discussion of how audio-only telehealth coverage changes after the extension period ends. Summarizes the policy shift affecting telephone-based services and related billing treatment.
What You Will Learn
- How CMS’s final rule changes the timing of Medicare telehealth flexibilities after the COVID-19 public health emergency
- What broad categories of telehealth services are affected by the extension period
- How audio-only telehealth coverage changes after the extension expires
- Which billing modifiers are referenced for waivered telehealth and audio-only services
- How the rule may affect providers that rely on temporary Medicare telehealth allowances
Who Should Read This
- Medical coders
- Medical billers
- Telehealth program staff
- Compliance professionals
- Physician practices
- Therapists
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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