decisionhealth Newsletters, Part B News - 2018 Issue 5 (May)
CMS opens up telehealth billing sites, including home, for some dialysis patients
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Article Overview
This article covers CMS updates affecting telehealth billing for providers caring for ESRD patients, including changes tied to the Comprehensive ESRD Care model and broader Medicare telehealth expansion. It explains the policy context, the operational impact on claims processing and place-of-service reporting, and the kinds of services and provider groups that may be affected. The piece is relevant to nephrology, internal medicine, dialysis organizations, and revenue cycle teams preparing for telehealth claim submission changes.
Why This Topic Matters
The article matters because it addresses Medicare telehealth billing access for a high-cost patient population and describes a policy shift that may affect claim submission, site-of-service reporting, and practice readiness. It is useful for providers and billing staff who need to understand how CMS telehealth policy changes may alter workflows for ESRD-related care.
Article Sections
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Billing
Overview of the telehealth billing policy changes, including the Medicare payment context and the CMS waiver expansion related to ESRD care models.
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Assessing the impact on providers
Discussion of operational effects for provider groups, ESCO participation, claims processing readiness, and broader practice implications.
What You Will Learn
- How CMS is changing telehealth access for certain ESRD-related care settings
- Which provider and care models are affected by the policy update
- What operational billing and claims-processing issues may arise
- How the article frames provider readiness for expanded telehealth use
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Nephrology practices
- Dialysis organizations
- Internal medicine providers
- Compliance teams
Codes Discussed
Code Ranges Discussed
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