CMS expands direct supervision, ends facility limits for specific codes

Why This Topic Matters

These proposed updates may affect how Medicare services are supervised, delivered, documented, and billed, especially for practices using telehealth or remote supervision workflows. The article also flags expiring exceptions that could impact operational planning and enrollment compliance.

Article Sections

1. Telehealth

   Overview of the proposed Medicare telehealth and supervision policy changes and the context for current temporary flexibilities.

2. ‘Immediately available’ expands

   Discussion of CMS’s planned expansion of direct supervision at a distance and the general categories of services implicated.

3. Farewell to frequency limits

   Summary of the proposed removal of telehealth frequency limitations for certain follow-up and consult services.

4. Teaching physician exception ends

   Coverage of the status of a teaching-physician telehealth exception and related rural versus non-rural distinctions.

5. Missing: the home address exception

   Explanation of the unresolved status of a temporary enrollment-related exception for providers working from home.