decisionhealth Newsletters, Part B News - 2013 Issue 12 (December)
Relaxed HPSA rules allow more rural practices to capture telehealth dollars
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Article Overview
This article explains CMS changes affecting telehealth eligibility for rural and shortage-area providers under Medicare Part B. It covers revised geographic criteria for originating sites, the timing of eligibility determinations, and the addition of certain care-management services to the set of services that may be furnished by telehealth. The piece is relevant to rural practices, telehealth program staff, and medical coders tracking Medicare policy updates.
Why This Topic Matters
The changes may expand which sites qualify for telehealth payment and influence how rural providers plan billing and service delivery under Medicare. It also highlights broader implications for shortage-area designation and related CMS program eligibility.
Article Sections
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Telehealth
Overview of CMS telehealth policy changes affecting rural and shortage-area providers. The section discusses Medicare geographic eligibility, originating site status, and related payment implications.
What You Will Learn
- How CMS adjusted telehealth-related geographic eligibility criteria
- Why rural and shortage-area designation changes matter for Medicare payment
- How annual eligibility determination timing affects originating sites
- Which care-management services were added to the telehealth-related discussion
- How broader CMS program eligibility can be influenced by shortage-area status
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Rural health clinic administrators
- Telehealth program managers
- Compliance teams
- Primary care practices
Codes Discussed
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