decisionhealth Newsletters, Part B News - 2021 Issue 11 (November)
COVID-era telehealth to remain through 2023. After that, the future is unclear.
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Article Overview
This piece covers CMS final telehealth policy updates in the Medicare physician fee schedule, with attention to temporary COVID-era extensions, mental health telehealth flexibilities, and areas where CMS says it lacks authority to make broader changes permanent. It is relevant to physicians, therapists, behavioral health providers, rural health clinics, FQHCs, compliance staff, and coding/billing professionals tracking Medicare telehealth coverage and regulatory updates. The article also places these changes in the context of stakeholder comments, federal rulemaking, and pending legislative efforts.
Why This Topic Matters
Telehealth coverage and billing rules changed quickly during the public health emergency, and this article explains which flexibilities CMS extended, which were made permanent, and which remain uncertain. That matters for organizations planning Medicare telehealth workflows, documentation, and service delivery after the emergency period.
Article Sections
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Telehealth
Overview of CMS final telehealth policy changes tied to the COVID-era public health emergency and Medicare physician fee schedule updates. Covers temporary extensions and the broader policy context for telehealth coverage.
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Mental health expands permanently
Discussion of permanent telehealth flexibilities affecting mental health services, including home-based access and audio-only options. Also notes related coverage changes for certain site-based providers.
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Waiting for laws
Summary of stakeholder reactions, legislative efforts, and CMS limitations in expanding telehealth authority. Addresses the role of Congress and the uncertainty surrounding future changes.
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Supervision stalls
Discussion of CMS hesitation to make telehealth-based supervision policy permanent and the concerns cited in support of that decision. Includes the broader implications for services billed under supervision-based arrangements.
What You Will Learn
- How CMS treated COVID-era telehealth flexibilities in the Medicare physician fee schedule
- Which categories of telehealth policy were extended temporarily versus made permanent
- How mental health telehealth coverage changed for patients in the home
- Why CMS said some requested telehealth changes exceeded its authority
- What issues remain unresolved for supervision and other telehealth policies after the public health emergency
Who Should Read This
- Medical coders
- Billing professionals
- Compliance teams
- Physicians and clinicians
- Behavioral health providers
- Therapists
- Rural health clinics
- Federally qualified health centers
- Health policy analysts
Codes Discussed
Modifiers Discussed
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