decisionhealth Newsletters, Part B News - 2023 Issue 4 (April)
3 NPP policies created during the PHE won’t change after May 11
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Article Overview
This article covers Medicare policy changes affecting non-physician practitioners that originated during the COVID-19 public health emergency and identifies which of those changes became permanent or otherwise continue after May 11, 2023. It is relevant to coders, billers, compliance staff, and clinicians who need to understand current Medicare reporting options, supervision requirements, and related CMS guidance. The article references CMS final rulemaking, a change request, and Medicare manual updates that clarify ongoing policy for selected services.
Why This Topic Matters
These policy updates affect whether certain Medicare services can still be reported after the public health emergency and who may perform or supervise them. Knowing the current status helps organizations maintain compliant billing workflows and avoid relying on expired temporary flexibilities.
Article Sections
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Overview of Medicare policy changes for non-physician practitioners
Introduces the Medicare flexibilities that were expanded during the public health emergency and notes that some remain in place after the emergency ends. It frames the article around CMS rulemaking and update guidance.
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Diagnostic test supervision by qualified health care professionals
Discusses Medicare’s supervision policy for diagnostic tests and the groups of practitioners addressed by the CMS update. It also notes the related manual clarification and the distinction from incident-to services.
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Online visits by qualified NPPs
Covers the expanded ability of certain non-physician practitioners to report online assessment and management services and the post-PHE limitations described in the article. It also references the related CMS reporting framework.
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Delegation of maintenance therapy
Summarizes the temporary PHE-era allowance for delegation of maintenance therapy in therapy settings. The section addresses the general role of treating therapists and assistants.
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Remote evaluation and virtual check-ins
Describes the continued availability of certain remote evaluation and virtual check-in services for qualified non-physician practitioners after the emergency period. It highlights the article’s general reminder about ongoing reporting categories.
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Resources
Lists the referenced CMS and Medicare source documents supporting the article’s policy discussion.
What You Will Learn
- Which Medicare non-physician practitioner policies from the public health emergency continue after the emergency ends
- How CMS guidance and Medicare manual updates relate to those continuing policies
- Which categories of practitioner services are addressed by the article
- What general reporting limitations remain after the public health emergency for certain services
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Practice managers
- Clinicians
- Therapy providers
Codes Discussed
Code Ranges Discussed
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