PFS round-up: Telehealth sticks, split or shared aligns, misvalued codes targeted and more

Why This Topic Matters

These final-rule updates affect how services are reported, supervised, and paid under Medicare in 2024. The article helps readers track policy changes that may influence documentation workflows, telehealth operations, and fee schedule monitoring.

Article Sections

1. Physician fee schedule

   Introductory overview of the Medicare physician fee schedule updates discussed in the article.

2. Relaxed supervision requirements for remote therapeutic monitoring (RTM) performed by therapy assistants

   Coverage and supervision policy changes affecting remote therapeutic monitoring and therapy assistants in private practice settings.

3. Telehealth pay parity, and code additions

   Telehealth payment policy updates, temporary and permanent additions to telehealth service lists, and related operational waivers.

4. CMS finalizes decision to potentially revalue 19 therapy codes

   CMS review activity involving potentially misvalued therapy services and the broader process used to identify codes for reconsideration.

5. Therapeutic apheresis values to be evaluated

   Additional CMS review activity concerning selected apheresis and related services identified for further valuation analysis.

6. Split or shared visit definition

   Final-rule alignment of Medicare split/shared visit policy with a defined approach for substantive portion and related supervision rules.

7. Rate boost coming for COVID, other vaccine administrations

   Updated Medicare payment policy for vaccine administration, including COVID-19 and other preventive vaccines, along with in-home administration payment adjustments.

8. CMS clarifies billing rules for MNT and DSMT services

   Clarification of reporting and billing responsibilities for medical nutrition therapy and diabetes self-management training services.

9. DSMT, insulin injection-training approved for telehealth

   Finalized telehealth-related reporting and manual updates for diabetes self-management training and insulin injection training.