decisionhealth Newsletters, Part B News - 2020 Issue 3 (March)
After CMS issues telehealth waiver, know what’s changed — and what hasn’t
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Article Overview
This article explains how CMS temporarily expanded telehealth access during the early COVID-19 emergency and what aspects of Medicare coverage and payment were affected. It is aimed at providers, coders, and revenue cycle staff who need a general understanding of the scope of the waiver, the settings and communication methods discussed, and the distinction between Medicare, Medicaid, and other payers.
Why This Topic Matters
The CMS waiver changed how many clinicians could deliver and bill telehealth services during the public health emergency. Understanding the article helps readers quickly determine whether its guidance applies to Medicare telehealth policy, beneficiary location and setting changes, and related Medicaid/CHIP updates.
Article Sections
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Telehealth changes during the COVID-19 public health emergency
Introduces the CMS announcement and the broader context of telehealth policy changes during the COVID-19 emergency. Summarizes the article’s focus on Medicare coverage and payment changes.
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What Medicare telehealth coverage includes
Describes the categories of telehealth services discussed in the CMS guidance and the general payment framework. Covers the types of patient communication and service delivery approaches referenced in the article.
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Medicare telehealth amendments
Outlines the main flexibilities and limits described in the waiver, including geographic and site changes, as well as what remained unchanged. Also notes related considerations for cost-sharing and other program constraints.
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Medicaid and CHIP telehealth FAQ update
Summarizes the CMS FAQ update for Medicaid and CHIP and the article’s discussion of state flexibility for telehealth coverage. Highlights the distinction between federal Medicare changes and state-administered program policies.
What You Will Learn
- How CMS described temporary telehealth flexibilities during the COVID-19 public health emergency
- Which broad Medicare telehealth policy areas were addressed in the waiver
- What general categories of telehealth service delivery were discussed
- How the article distinguishes Medicare changes from Medicaid and CHIP guidance
- Why payer-specific differences matter for telehealth coverage inquiries
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Physician practices
- Health care providers
- Revenue cycle professionals
Codes Discussed
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