decisionhealth Newsletters, Part B News - 2022 Issue 7 (July)
CMS tweaks telehealth rules as 151-day extension remains in place
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Article Overview
This article explains proposed CMS changes affecting Medicare telehealth during and after the public health emergency, including the timing of a temporary waiver extension, updates to telehealth service availability, audio-only reporting, and the expected oversight environment. It is relevant to coders, billing staff, compliance teams, and practices that provide telehealth services under Medicare.
Why This Topic Matters
The piece helps healthcare stakeholders understand how telehealth billing and compliance may change as temporary pandemic-era flexibilities evolve. It highlights areas where practices may need to monitor CMS guidance, audit risk, and operational planning.
Article Sections
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Proposed telehealth policy updates
An overview of CMS proposals affecting Medicare telehealth policy in the upcoming fee schedule cycle. It introduces the main areas of change discussed in the article.
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Timing of the telehealth waiver extension
Discussion of when the temporary extension would begin and how long it would last after the public health emergency ends. It also addresses uncertainty around future guidance and rulemaking.
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Expectations for telehealth billing and oversight
A summary of anticipated operational impacts for telehealth claims, compliance monitoring, and enforcement posture. It includes broader discussion of audit scrutiny and agency oversight activity.
What You Will Learn
- How CMS is approaching telehealth policy updates in the proposed Medicare physician fee schedule
- What the temporary post-PHE waiver extension is intended to do
- What types of telehealth billing and oversight issues are discussed for practices and compliance teams
- Which agencies are involved in reviewing telehealth utilization and program integrity concerns
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance officers
- Physician practices
- Telehealth program managers
- Healthcare consultants
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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