decisionhealth Newsletters, Part B News - 2024 Issue 11 (November)
CMS tweaks telehealth rules ahead of waiver expiration date
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Article Overview
This article is for coders, compliance teams, physicians, and telehealth administrators who need to track Medicare telehealth policy changes tied to the end of pandemic-era waivers. It explains which flexibilities are ending, which limited exceptions remain, and how CMS is handling several temporary extensions in the 2025 Medicare physician fee schedule. The discussion centers on telehealth access, supervision, teaching physician requirements, and related Medicare billing considerations.
Why This Topic Matters
These updates affect whether telehealth services can continue under temporary flexibilities and what documentation, supervision, and site requirements will apply after waiver expiration. The article helps readers understand which CMS telehealth policies are changing for 2025 and which provisions are being extended.
Article Sections
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Telehealth rules returning after the PHE
Overview of the end of certain pandemic-era telehealth flexibilities and the general scope of CMS’s 2025 policy changes. It frames the article around Medicare telehealth coverage and waiver expiration timing.
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Permanent audio-only changes
Discussion of the narrow audio-only telehealth exception that CMS is keeping in place. The section explains the general circumstances under which audio-only access remains available and the related patient and provider considerations.
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3 telehealth waiver extensions
Summary of three temporary extensions CMS is keeping through 2025. The section covers telehealth frequency limits, direct supervision through telecommunications, and teaching physician presence requirements at a broad policy level.
What You Will Learn
- How CMS is handling telehealth policy changes after the public health emergency
- Which telehealth flexibilities are being extended temporarily
- What general categories of telehealth services are affected by the permanent audio-only exception
- How Medicare telehealth supervision and teaching requirements are being addressed in 2025
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance professionals
- Physicians and clinicians
- Telehealth administrators
- Practice managers
Codes Discussed
Code Ranges Discussed
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