decisionhealth Newsletters, Part B News - 2013 Issue 7 (July)
Practices could use telehealth in place of face-to-face visit for TCM codes
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Article Overview
This article explains proposed CMS updates in the 2014 physician fee schedule that would expand telehealth coverage for transitional care management and refine certain rural telehealth eligibility definitions. It is relevant to physicians, billers, coders, and practice managers who follow Medicare telehealth policy and transitional care management requirements. The discussion focuses on proposed coverage changes, site eligibility concepts, and the broader policy rationale behind the update.
Why This Topic Matters
The proposal could affect how practices deliver and document follow-up care after hospital discharge, especially for patients in rural areas. It also highlights possible changes to telehealth access rules that may influence Medicare billing operations and patient access planning.
Article Sections
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Transitional care management
Discusses proposed Medicare telehealth changes affecting transitional care management and the broader context of the 2014 physician fee schedule. It also addresses related office/outpatient evaluation and management services.
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Telehealth for rural HPSAs
Covers proposed updates to telehealth originating-site eligibility in rural health professional shortage areas and related geographic definitions. It also notes the policy goal of improving access for Medicare beneficiaries in rural settings.
What You Will Learn
- What proposed Medicare telehealth changes are being discussed
- How the article frames transitional care management in relation to telehealth policy
- What rural access and originating-site issues are included in the proposal
- Which types of Medicare services are being compared in the discussion
- Why the policy changes may matter to practices serving rural patients
Who Should Read This
- Physicians
- Medical coders
- Medical billers
- Practice managers
- Revenue cycle staff
- Telehealth administrators
Codes Discussed
Code Ranges Discussed
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