decisionhealth Newsletters, Coder Pink Sheets - 2020 Issue 10 (October)
COVID-19: CMS plans to nix most PHE telehealth services
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Article Overview
This article explains CMS’s proposed 2021 Medicare physician fee schedule updates for telehealth in the context of the COVID-19 public health emergency. It focuses on how telehealth coverage is expected to change after the PHE ends, why CMS is proposing a temporary category for some services, and what types of services are affected. It is relevant to physicians, coders, billers, and practice leaders tracking Medicare telehealth policy and comment opportunities.
Why This Topic Matters
Telehealth coverage policy may change substantially after the public health emergency ends, affecting how practices plan services, documentation workflows, and reimbursement expectations under Medicare.
Article Sections
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PHE telehealth policy outlook
Explains the overall expectation for telehealth policy after the COVID-19 public health emergency and the proposed Medicare rulemaking context.
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CMS plans for the telehealth services list
Summarizes CMS’s proposed approach to services that would remain available, transition temporarily, or no longer stay on the telehealth list.
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Proposed additions and revisions to Medicare’s telehealth services
Presents the article’s table of service categories and the planned telehealth status changes for 2021.
What You Will Learn
- How CMS is framing telehealth coverage after the end of the COVID-19 public health emergency
- What categories of Medicare telehealth services are being proposed for different post-PHE treatment
- Which service groups are highlighted in the proposed 2021 telehealth list changes
- Why CMS is considering a temporary telehealth category for some services
- How the proposed rule fits into the Medicare physician fee schedule process
Who Should Read This
- Medical coders
- Billing staff
- Physician practices
- Compliance teams
- Revenue cycle professionals
- Telehealth program managers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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